HOME >> MEDICINE >> NEWS
Pediatricians often underestimate substance abuse problems in adolescents

Adolescents who have problems with substance use often aren't identified during routine pediatric visits, according to a study to be released in the November issue of Pediatrics, the peer-reviewed, scientific journal of the American Academy of Pediatrics (AAP).

"We found that most pediatricians significantly underestimate the severity of adolescent substance use," said the study's primary author, Dr. Celeste R. Wilson, an investigator with the Center for Adolescent Substance Abuse Research (CeASAR) at Children's Hospital Boston. "Since many pediatricians do not use a structured screening tool, but rely solely on clinical impressions, these findings are of great concern."

The study, funded by The Robert Wood Johnson Foundation, involved more than 500 14- to 18-year-old patients arriving for routine health care at Children's Adolescent/Young Adult Medical Clinic and more than 100 of their medical care providers. The providers completed a form giving their clinical impressions about the adolescent's level of substance use (none, minimal, problem use, abuse, dependence). After the visit, the adolescents underwent structured diagnostic interviews, and their level of substance use was formally classified.

Wilson's analysis found that more than 60 percent of the time, pediatricians knew that adolescents had used alcohol or other drugs, but in most cases the doctors thought the problem was less severe than it actually was. The pediatricians accurately identified substance-related problems less than 15 percent of the time. A clinical assessment of "abuse" was accurately identified only 10 percent of the time and "dependence" was missed in all 36 diagnosed cases. Providers correctly recognized 75 percent of adolescents with substance abuse or dependence as being users, but in half these cases, the providers characterized the level of use as minimal.

These data underscore the relevance of the American Medical Association's guidelines, which r
'"/>

Contact: Susan Craig
susan.craig@childrens.harvard.edu
617-355-6420
Children's Hospital Boston
1-Nov-2004


Page: 1 2 3

Related medicine news :

1. Pediatricians wary about recommending complementary therapies
2. Pediatricians can help immigrant mothers by explaining child development, NICHD study suggests
3. Pediatricians need more training on environmental health
4. Pediatricians are plentiful, but not in poorer states
5. Pediatricians and parents key to improving quality of childrens health care
6. Study Shows That Pediatricians Play Crucial Role In Violence Prevention
7. Stroke warning signs often occur hours or days before attack
8. Common schizophrenia symptoms often overlooked by physicians, according to expert panel
9. How often should women get mammograms?
10. Adolescent gamblers often suffer psychiatric problems
11. Sleep disorders often indicate multiple health conditions

Post Your Comments:
*Name:
*Comment:
*Email:


(Date:10/18/2018)... ... October 18, 2018 , ... Fellow Health Partners, Inc. , a New ... doctors who have agreed to join its Advisory Board. , CEO Michael N. Brown ... is helping to guide Fellow Health Partners. They will provide strategic as well as ...
(Date:10/17/2018)... ... October 17, 2018 , ... A new report ... identifies best practices in the management of lesbian, bisexual, gay, transgender, questioning, and ... are overrepresented in the juvenile justice system, especially lesbian and bisexual girls and ...
(Date:10/16/2018)... ... 2018 , ... With a petition (case CJ-2018-04177) filed last week in Tulsa ... series of lawsuits filed in states around the country against Massage Envy that seek ... Massage Envy’s massage therapists. , This lawsuit alleges that the company's corporate policies ...
(Date:10/16/2018)... ... October 16, 2018 , ... ... – Bethesda, MD, http://www.fdanews.com/fdainspectionssummit , The 13th Annual FDA Inspections Summit ... Summit that it sometimes feels difficult to keep up. The FDA is focused ...
(Date:10/16/2018)... LOS ANGELES (PRWEB) , ... October 16, 2018 ... ... conference announced today that it will host the proceedings of the 4th Annual ... speak at this symposium that runs Wednesday, May 22, 2019, through Friday, May ...
Breaking Medicine News(10 mins):
(Date:10/18/2018)... CHADD'S FORD, Pa. (PRWEB) , ... October 18, 2018 , ... ... TearDrop Memories Post Mortem Gallery Auction, A Business Obituary , TearDrop Memories NorthFork Pet ... Mechanic st New Hope PA. R.I.P.. A major tourist destination in ...
(Date:10/18/2018)... ... 18, 2018 , ... Ensurem, LLC, an innovative technology and ... the launch of the first 100 percent digital application for Medicare Supplement insurance. ... streamline the insurance industry. , The e-application offers consumers the ease and convenience ...
(Date:10/18/2018)... , ... October 18, 2018 , ... ... $2.1 million grant by the Centers for Medicare & Medicaid Services (CMS) to ... Registry (NPQR) for the CMS’ Quality Payment Program (QPP). ASCP is among seven ...
Breaking Medicine Technology:
Cached News: