ArticleBMJ open2018
Mental disorder in children with physical conditions: a pilot study.
Article in BMJ open, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 54 papers, 2 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
54 citing papers in PubMed, 2 syntheses or guidelines pooled it, 111 citations in OpenAlex.
- The impact of juvenile idiopathic arthritis on psychosocial outcomes: a systematic review and meta-analysis.Journal of pediatric psychology · 2025Pooled it
- Using Arts-Based Therapies to Improve Mental Health for Children and Young People With Physical Health Long-Term Conditions: A Systematic Review of Effectiveness.Frontiers in psychology · 2020Pooled it
- "Accessible and Acceptable" Drop-In Mental Health Services for Children With Long-Term Conditions: A Mixed-Methods Exploratory Analysis of Integrated Services From a Health Equity Perspective.Clinical child psychology and psychiatry · 2026Trial
- Clinical effectiveness of drop-in mental health services in paediatric healthcare settings: a non-randomised multi-site study for children, young people and their families.BMC health services research · 2025Trial
- Physical illnesses, mental or neurodevelopmental disorders, and multimorbidity in children: results from the Canadian Health Survey on Children and Youth.Social psychiatry and psychiatric epidemiology · 2026Article
- Accessing providers for co-occurring health and mental health disorders for children and youth in Ontario: an analysis of linked survey and administrative health data.BMC primary care · 2026Article
- Mental health needs of children and young people with arthritis.Arthritis research & therapy · 2026Review
- Mental Health Service Use Among Children with Chronic Physical Illness.Journal of the Canadian Academy of Child and Adolescent Psychiatry = Journal de l'Academie canadienne de psychiatrie de l'enfant et de l'adolescent · 2025Article
- Mental health service contact in children with and without physical-mental multimorbidity.Social psychiatry and psychiatric epidemiology · 2025Article
- Association Between Excessive Internet Use Time, Internet Addiction, and Physical-Mental Multimorbidity Among Chinese Adolescents: Cross-Sectional Study.Journal of medical Internet research · 2025Article
- Longitudinal Association Between Youth Multimorbidity and Psychological Distress: Impact of the COVID-19 Pandemic.Child psychiatry and human development · 2025Article
- Development of a machine learning-based predictive nomogram for screening children with juvenile idiopathic arthritis: a pseudo-longitudinal study of 223,195 children in the United States.Frontiers in public health · 2025Article
- Review
- Perceived School Belonging Among Youth with Chronic Physical Illness.Journal of psychoeducational assessment · 2024Article
- An Epidemiological Study of Physical-Mental Multimorbidity in Youth: Une étude épidémiologique de la morbidité physique-mentale chez les jeunes.Canadian journal of psychiatry. Revue canadienne de psychiatrie · 2024Article
- Anxiety and depression symptoms in adolescents and young adults with juvenile idiopathic arthritis: results of an outpatient screening.Arthritis research & therapy · 2024Observational
- Psychosocial Factors and Quality of Life of Portuguese Adolescents With Chronic Conditions - Increased Risk for Victims of Bullying.Continuity in education · 2024Article
- Impact of early work start on mental health outcomes in older adults: A cross-sectional study from Ecuador.PloS one · 2024Article
- Prevalence and risk factors of depressive symptoms in children and adolescents with juvenile idiopathic arthritis.Rheumatology international · 2023Article
- Population-based affective-disorder-related biomedical/biophysical multi-hyper-morbidity across the lifespan: A 16-year population study.World journal of psychiatry · 2023Article
Corrections and comments
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Authors and funding
10 authors at 3 institutions in 1 country.
Funding
Abstract
objectivesMethodologically, to assess the feasibility of participant recruitment and retention, as well as missing data in studying mental disorder among children newly diagnosed with chronic physical conditions (ie, multimorbidity). Substantively, to examine the prevalence of multimorbidity, identify sociodemographic correlates and model the influence of multimorbidity on changes in child quality of life and parental psychosocial outcomes over a 6-month follow-up.
designProspective pilot study.
settingTwo children's tertiary-care hospitals.
participantsChildren aged 6-16 years diagnosed in the past 6 months with one of the following: asthma, diabetes, epilepsy, food allergy or juvenile arthritis, and their parents. OUTCOME MEASURES: Response, participation and retention rates. Child mental disorder using the Mini International Neuropsychiatric Interview at baseline and 6 months. Child quality of life, parental symptoms of stress, anxiety and depression, and family functioning. All outcomes were parent reported.
resultsResponse, participation and retention rates were 90%, 83% and 88%, respectively. Of the 50 children enrolled in the study, the prevalence of multimorbidity was 58% at baseline and 42% at 6 months. No sociodemographic characteristics were associated with multimorbidity. Multimorbidity at baseline was associated with declines over 6 months in the following quality of life domains: physical well-being, β=-4.82 (-8.47, -1.17); psychological well-being, β=-4.10 (-7.62, -0.58) and school environment, β=-4.17 (-8.18, -0.16). There was no association with parental psychosocial outcomes over time.
conclusionsPreliminary evidence suggests that mental disorder in children with a physical condition is very common and has a negative impact on quality of life over time. Based on the strong response rate and minimal attrition, our approach to study child multimorbidity appears feasible and suggests that multimorbidity is an important concern for families. Methodological and substantive findings from this pilot study have been used to implement a larger, more definitive study of child multimorbidity, which should lead to important clinical implications.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.