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Table 5 Factors associated with patient–clinician discordance on unmet care needs with regard to making and keeping friends

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

 

Child multivariable model

Child and parent multivariable model

Child, parent and family/social context multivariable model

N

OR

95% CI

P

N

OR

95% CI

P

N

OR

95% CI

P

Child level

            

Severity of psychiatric problems

243

   

243

   

181

   

Severity of internalizing problems

 

1.114

1.049–1.247

0.002

 

1.049

0.993–1.109

0.088

    

Severity of externalizing problems

 

0.963

0.823–1.128

0.644

        

Dangerous behavior

 

0.996

0.790–1259

0.975

        

Dangerous behavior towards self (yes/no)

 

4.955

2.493–9.849

 < 0.001

 

4.458

2.239-.8.875

 < 0.001

 

4.320

1.867–9.996

0.001

Rule-breaking behavior (yes/no)

 

2.709

1.389–5.281

0.003

 

2.286

1.110–4.710

0.025

 

1.683

0.725–3.903

0.226

Age

4–11

12–18

243

90

153

1.642

0.814–3.314

0.166

        

Parent level

Degree of parental stress

     

1.162

0.991–1.363

0.065

    

Psychiatric problems

            

Severity of parent’s psychiatric problems

     

1.166

1.093–1.244

 < 0.001

 

1.166

1.087–1.251

 < 0.001

Family/social-context level

Child growing up in a single-parent household

         

2.410

1.059–5.487

0.036

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

         

1.081

1.000–1.169

0.051

Severity of problems with peers

         

0.921

0.838-.1.013

0.089

Severity of problems related to school

         

1.000

0.900–1.112

1.000

  1. Multivariable: binary regression analyses of the predictors that were significant in the univariable analysis, performed simultaneously; n: number of patients; CI: Confidence interval; P-value < 0.05 is considered statistically significant (in bold)
  2. Child-level: Omnibus test, Step P = 0.000, Model P =  < 0.000, Hosmer–Lemeshow, P = 0.657, Nagelkerke R2 = 0.368
  3. Child-parent-level: Omnibus test, Step P = 0.000, Model P =  < 0.000, Hosmer–Lemeshow, P = 0.969, Nagelkerke R2 = 0.496
  4. Child-parent-family/social-context-level: Omnibus test, Step P = 0.000, Model P =  < 0.000, Hosmer–Lemeshow, P = 0.514, Nagelkerke R2 = 0.527