ArticleJournal of the Canadian Academy of Child and Adolescent Psychiatry = Journal de l'Academie canadienne de psychiatrie de l'enfant et de l'adolescent2020
Identification of Preschool Children with Mental Health Problems in Primary Care: Systematic Review and Meta-analysis.
Article in Journal of the Canadian Academy of Child and Adolescent Psychiatry = Journal de l'Academie canadienne de psychiatrie de l'enfant et de l'adolescent, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
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
27 citing papers in PubMed, 32 citations in OpenAlex.
- Comorbidities Among Mental Disorders in Preschool Children in the Mercy Pregnancy Emotional Wellbeing Study.Clinical child psychology and psychiatry · 2026Article
- Examining the Child Behavior Checklist (CBCL) Utility in a Native American Population.JAACAP open · 2026Article
- Factors associated with the nonperception of the need for care among parents of children who exhibit elevated scores on the strengths and difficulties questionnaire.European child & adolescent psychiatry · 2026Article
- Tuning in to KidsBMC psychology · 2026Article
- Early Childhood Anxiety and Maternal Factors: Associations with State and Trait Anxiety in a Greek Cohort of Preschoolers.Medical sciences (Basel, Switzerland) · 2026Article
- Neurodevelopmental Trajectories at 3 Years: Insights From the NASCITA Italian Birth Cohort.International journal of pediatrics · 2026Article
- Article
- Family structure and birth order in relation to preschoolers' social, emotional, and behavioral outcomes: a cross-sectional analysis of 19,987 children in western China.Frontiers in psychology · 2026Article
- Association between insufficient sleep and mental health in preschoolers: effect modification by low household income.Frontiers in psychiatry · 2026Article
- Perinatal risk and protective factors associated with diagnosis of mental health disorders in children by age 9 years.European child & adolescent psychiatry · 2025Article
- Association of Maternal Sociodemographic, Anthropometric, and Lifestyle Factors with Childhood Anthropometric Measures and Anxiety Symptoms: A Nationally Representative Cross-Sectional Study of Preschool-Aged Children in Greece.Diseases (Basel, Switzerland) · 2025Article
- Crafting wellness: exploring the effectiveness of a single-item mental health measure for young children and their mothers.Annals of general psychiatry · 2025Article
- Mediating Effects of Executive Function on the Relationship between Sleep Problems and Emotional and Behavioral Problems among Preschoolers: Physical Activity as a Protective Factor.Child psychiatry and human development · 2025Article
- Maternal dietary patterns and offspring behavioral problems.Pediatric research · 2025Article
- A Mindfulness-Based Lifestyle Intervention Among Economically Marginalized Caregiver-Preschooler Dyads: Feasibility, Acceptability, and Satisfaction.School mental health · 2025Article
- Preschool-level socio-economic deprivation in relation to emotional and behavioural problems among preschool children in Sweden.Scandinavian journal of public health · 2024Article
- A qualitative exploration of Gestalt therapy and systemic pedagogy paediatric primary healthcare consultations in Agramunt (Spain).Primary health care research & development · 2024Article
- Prevalence of Common Child Mental Health Disorders Using Administrative Health Data and Parent Report in a Prospective Community-Based Cohort from Alberta, Canada: Prévalence des troubles communs de santé mentale de l'enfant à l'aide des données de santé administratives et des rapports des parents dans une cohorte prospective communautaire d'Alberta, Canada.Canadian journal of psychiatry. Revue canadienne de psychiatrie · 2024Article
- Parenting style and child mental health at preschool age: evidence from rural China.BMC psychiatry · 2024Article
- Longitudinal associations between socioeconomic status and psychosocial problems in preschool children.European child & adolescent psychiatry · 2024Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors at 7 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivePrimary care practitioners determine access to care for many preschool children with mental health (MH) problems. This study examined rates of mental health (MH) problem identification in preschoolers within primary healthcare settings, related service use, and MH status at follow-up. The findings may inform evidence-based policy and practice development for preschool MH.
methodFor this systematic review, MEDLINE
resultsThirty-five publications representing 21 studies met the inclusion criteria. MH problems were identified in 17.6% of preschoolers (95% Confidence Interval (CI): 11.1-24.1), Q = 4.9, p > 0.1 by primary/community healthcare practitioners. Psychiatric diagnoses were identified in 18.4% of preschoolers (95% CI: 12.3 - 24.4), Q= 1.6, p > 0.1. Based on three studies, parents of 67-72% of identified children received advice and 26-42% received specialist referrals. In the subset of studies examining persistence of MH disorders, 25-67% of identified children had MH disorders after one to three years.
conclusionWhile the identification rate by primary/community practitioners is similar to the diagnostic rate, these may not consistently be the same children. Substantial variability in management and outcomes indicate need for more rigorous evaluation of primary care services for this population.
Indexed as
Identifiers
32405310PMC7213917W3027605883What OpenQuestion holds
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.