Publication
Title
Family history of mental conditions in the preventive paediatric primary care : is it really used? Case of the Netherlands
Author
Abstract
Aim Many child-onset mental health diseases have strong epigenetic links, but no genetic tests are yet available for them. Family history (FH) information in paediatric primary care should be promoted to assist decision-making. This study aims to explore the extent of the real-life use of the FH for mental health issues by paediatric physicians. Methods The medical records of 474 children (31.5% female), referred to the specialised mental health care services in the Netherlands, were used. Data were retrospectively extracted from the medical files, according to a list of 15 criteria regarding the use of FH information. Results The FH was explored in the form of a diagnosis and was presented at birth in 88.3% of cases and in half of the files at 5 years. Negative FH and the age of relatives at the time of diagnosis were virtually not mentioned. FH was present in more reports from the specialists, than in referral letters. Conclusion Despite the high importance of FH for primary paediatric care, this study shows that FH is underreported in practice. We should promote structural FH taking to increase how often it is used to treat children who do not meet criteria for definitive diagnosis.
Language
English
Source (journal)
Acta paediatrica. - Oslo, 1992, currens
Publication
Oslo : 2014
ISSN
0803-5253 [print]
1651-2227 [online]
Volume/pages
103:3(2014), p. 309-313
ISI
000331270000027
Full text (Publisher's DOI)
Full text (publisher's version - intranet only)
UAntwerpen
Faculty/Department
Publication type
Subject
Law 
External links
Web of Science
Record
Identification
Creation 02.10.2015
Last edited 17.09.2017