Skip to main content

Table 2 Factors associated with patient–clinician discordance on unmet care needs with regard to:

From: What if children with psychiatric problems disagree with their clinicians on the need for care? Factors explaining discordance and clinical directions

 

Mental health problems

Information regarding diagnosis and/or treatment

Making and keeping friends

N

OR

95% CI

P

N

OR

95% CI

P

N

OR

95% CI

P

Child level

Severity of psychiatric problems

244

1.077

1.034–1.123

 < 0.001

244

1.086

1.042–1.131

 < .001

244

1.113

1.065–1.164

 < .001

Severity of internalizing problems

244

1.129

1.033–1.235

0.008

244

1.070

0.987–1.159

0.099

244

1.152

1.051–1.263

0.003

Severity of externalizing problems

244

1.094

0.975–1.229

0.126

244

1.182

1.046–1.337

0.007

244

1.152

1.022–1.300

0.021

Dangerous behavior

            

Dangerous behavior towards self (yes/no)

244

5.268

2.980–9.312

 < 0.001

244

4.182

2.404–7.277

 < 0.001

244

5.582

3.156–9.871

 < 0.001

Rule-breaking behavior (yes/no)

244

3.647

2.024–6.571

 < 0.001

244

3.072

1.760–5.364

 < 0.001

244

3.632

2.031–6.494

 < 0.001

Age

4–11

12–18

243

90

153

1.823

1.033–3.219

0.038

243

90

153

1.332

0.776–2.288

0.299

243

90

153

1.978

1.122–3.486

0.018

Parent level

Degree of parental stress

244

1.525

1.316–1.768

 < 0.001

244

1.265

1.121–1.427

 < 0.001

244

1.407

1.229–1.609

 < 0.001

Severity of parent’s psychiatric problems

244

1.232

1.163–1.305

 < 0.001

244

1.163

1.107–1.221

 < 0.001

244

1.236

1.166–1.310

 < 0.001

Family/social-context level

Family’s socioeconomic status

Basic

Intermediate

High

244

86

112

46

0.835

0.703

0.467–1.494

0.327–1.508

0.644

0.544

0.365

244

86

112

46

0.553

0.739

0.310–0.984

0.357–1.531

0.131

0.044

0.416

244

86

112

46

0.892

0.602

0.502–1.587

0.278–1.306

0.433

0.698

0.199

Child growing up in a single-parent household

244

4.588

2.618–8.042

 < 0.001

244

3.110

1.813–5.335

 < 0.001

244

3.510

2.030–6.072

 < 0.001

Quality of the parent–child relationship

238

0.997

0.935–1.063

0.920

238

0.996

0.935–1.061

0.904

238

0.975

0.915–1.039

0.435

Degree of discordance between parent and child on the child’s mental health problems

190

1.168

1.096–1.245

 < 0.001

190

1.168

1.096–1.245

 < 0.001

190

1.166

1.094–1.242

 < 0.001

Severity of problems with peers

244

1.125

1.055–1.199

 < 0.001

244

1.098

1.031–1.168

0.004

244

1.120

1.050–1.193

0.001

Severity of problems related to school

244

1.078

1.009–1.152

0.026

244

1.067

1.000–1.139

0.050

244

1.079

1.010–1.152

0.024

  1. Univariable analysis: individual binary logistic regression analyses of each candidate factor performed separately; N: Number of patients; OR: Odds ratio; CI: Confidence interval; P-value < 0.05 is considered statistically significant (in bold)
Back to article page

Child and Adolescent Psychiatry and Mental Health

ISSN: 1753-2000