Evidence map›Paper›PMID 35060408›Full record

ArticleCanadian journal of psychiatry. Revue canadienne de psychiatrie2022

Prevalence and Correlates of Physical-mental Multimorbidity in Outpatient Children From a Pediatric Hospital in Canada.

Mark A Ferro, Saad Qureshi, Ryan J Van Lieshout, Ellen L Lipman, Kathy Georgiades, Jan Willem Gorter, Brian W Timmons, Lilly Shanahan

Abstract read
In one paragraph

Article in Canadian journal of psychiatry. Revue canadienne de psychiatrie, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Trajectories of health-related quality of life in youth with chronic physical illness and their siblings.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2026
    Article
  4. Article
  5. Article
  6. Article
  7. 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 · 2025
    Article
  8. Article
  9. Equivalence of psychiatric structured interviews and symptom checklists in predicting health-related quality of life in children with chronic physical illness.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2025
    Article
  10. Article
  11. Article
  12. Article
  13. Perceived School Belonging Among Youth with Chronic Physical Illness.Journal of psychoeducational assessment · 2024
    Article
  14. Article
  15. Article
  16. Article
  17. Correlates of Moderate-to-Vigorous Physical Activity in Children With Physical Illness and Physical-Mental Multimorbidity.Health education & behavior : the official publication of the Society for Public Health Education · 2022
    Article
  18. Self-concept in Adolescents with Physical-Mental Comorbidity.Journal of multimorbidity and comorbidity
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Mark A FerroSchool of Public Health Sciences, 8430University of Waterloo, Waterloo, Ontario, Canada.ORCID 0000-0002-0979-3233
Saad QureshiSchool of Public Health Sciences, 8430University of Waterloo, Waterloo, Ontario, Canada.
Ryan J Van LieshoutDepartment of Psychiatry and Behavioral Neurosciences, 3710McMaster University, Hamilton, Ontario, Canada.ORCID 0000-0001-7244-0222
Ellen L LipmanDepartment of Psychiatry and Behavioral Neurosciences, 3710McMaster University, Hamilton, Ontario, Canada.
Kathy GeorgiadesDepartment of Psychiatry and Behavioral Neurosciences, 3710McMaster University, Hamilton, Ontario, Canada.ORCID 0000-0002-1413-9332
Jan Willem GorterDepartment of Pediatrics, 3710McMaster University, Hamilton, Ontario, Canada.
Brian W TimmonsDepartment of Pediatrics, 3710McMaster University, Hamilton, Ontario, Canada.
Lilly ShanahanDepartment of Psychology, 27217University of Zurich, Zurich, Switzerland.

Funding

CIHR PJT-148602
6 · The paper itself

Abstract

objectiveThe aim of this study was to estimate the six-month prevalence of mental illness in children with chronic physical illness (multimorbidity), examine agreement between parent and child reports of multimorbidity, and identify factors associated with child multimorbidity.

methodThe sample included 263 children aged 2-16 years with a physician-diagnosed chronic physical illness recruited from the outpatient clinics at a pediatric hospital. Children were categorized by physical illness according to the International Statistical Classification of Diseases and Related Health Problems (ICD)-10. Parent and child-reported six-month mental illness was based on the Mini International Neuropsychiatric Interview for Children and Adolescents (MINI-KID).

resultsOverall, 101 (38%) of children had a parent-reported mental illness; 29 (25%) children self-reported mental illness. There were no differences in prevalence across ICD-10 classifications. Parent-child agreement on the MINI-KID was low (κ = 0.18), ranging from κ = 0.24 for specific phobia to κ = 0.03 for attention-deficit hyperactivity. From logistic regression modeling (odds ratio [OR] and 95% confidence interval), factors associated with multimorbidity were: child age (OR = 1.16 [1.04, 1.31]), male (OR = 3.76 [1.54, 9.22]), ≥$90,000 household income (OR = 2.57 [1.08, 6.22]), parental symptoms of depression (OR = 1.09 [1.03, 1.14]), and child disability (OR = 1.21 [1.13, 1.30]). Similar results were obtained when modeling number of mental illnesses.

conclusionsFindings suggest that six-month multimorbidity is common and similar across different physical illnesses. Level of disability is a robust, potentially modifiable correlate of multimorbidity that can be assessed routinely by health professionals in the pediatric setting to initiate early mental health intervention to reduce the incidence of multimorbidity in children.

Indexed as

MultimorbidityOutpatientsAdolescentCanadaChildChronic DiseaseHospitals, PediatricHumansMalePrevalencechild healthmental illnessmultimorbidityphysical illness

Identifiers

PMID35060408
PMCPMC9301150

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

None linked

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.