Introduction

Pediatric mental health needs are common in primary care, but many children never access treatment. With parents as a critical gatekeeper, it is important to identify barriers and facilitators to treatment access and explore the role of family history.

Method

Parents/caregivers (N = 1,763) with children aged 3–17 years were recruited in the original study and participated in a 71-item survey that addressed mental health–related communication.

Results

An association was found between family history of mental health disorders and recognition of behavioral concerns, and between anxiety/depression disorders and sharing of concerns. In addition, parents with a family history were less likely to feel completely satisfied with time spent discussing mental health or with how the provider answered questions.

Discussion

Although fear of stigma has been previously cited in the literature as a barrier to accessing treatment, findings suggest a family history of mental health disorders can facilitate parental help-seeking steps.

中文翻译：

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心理健康障碍的家族史和在儿科初级保健办公室寻求行为健康问题的父母帮助

介绍

儿科心理健康需求在初级保健中很常见，但许多儿童从未获得治疗。父母是关键的守门人，重要的是要确定获得治疗的障碍和促进因素，并探索家族史的作用。

方法

 原始研究招募了 3-17 岁儿童的父母/照顾者 ( N = 1,763)，并参与了一项涉及心理健康相关交流的 71 项调查。

结果

发现精神健康障碍的家族史与行为问题的认知之间，以及焦虑/抑郁障碍与担忧的分享之间存在关联。此外，有家族病史的父母不太可能对花时间讨论心理健康或提供者如何回答问题感到完全满意。

讨论

虽然之前文献中曾将害怕耻辱作为获得治疗的障碍，但研究结果表明，精神健康障碍的家族史可以促进父母寻求帮助的步骤。