ArticleThe European journal of general practice2024
Children and young people's consultation rates for psychosocial problems between 2016 and 2021 in the Netherlands.
Article in The European journal of general practice, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 2 papers.
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Who cites it
2 citing papers in PubMed.
- Caring for young minds: general practitioners' self-assessed competence in child and adolescent psychiatry.Scandinavian journal of primary health care · 2026Article
- Mental health problems in children and young people in Dutch general practice: trends in incidence and consultation rates from 2016 to 2022.Social psychiatry and psychiatric epidemiology · 2026Article
Corrections and comments
- Erratum issuedCorrection.2024
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundWorldwide, there are concerns about declining mental health of children and young people (CYP).
objectivesTo examine trends in GP consultation rates for psychosocial problems and the impact of the COVID-19 pandemic.
methodsWe performed a population-based cohort study using electronic GP records of CYP (0-24 years) living in the Rotterdam metropolitan area between 2016 and 2021. We calculated monthly consultation rates for psychosocial problems, stratified by age group and sex. We used negative binomial models to model the pre-COVID-19 trend, and estimate expected rates post-COVID-19 onset. We modelled the effect of COVID-19 infection rate and school closure on consultation rates per sex and age group.
resultsThe cohort increased from 64801 to 92093 CYP between January 2016 and December 2021. Median age was 12.5 years and 49.3% was female. Monthly consultation rates increased from 2,443 to 4,542 consultations per 100,000 patient months over the six years. This trend (RR 1.009, 95%CI 1.008-1.011) started well before the COVID-19 pandemic. Consultation rates of adolescent girls and young women increased most strongly. Between March and May 2020, there was a temporary reduction in consultation rates, whereupon these returned to expected levels. COVID-19 infection rate and school closures showed small but significant associations with consultation rates for psychosocial problems but this did not affect the overall trend. Although consultation rates for psychosocial problems increased, this increment was stable over the entire study period.
conclusionThe COVID-19 pandemic did not significantly increase consultation rates for psychosocial problems in CYP. The consultation rates increased, especially in adolescent girls and young women.
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