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Clinical Pediatrics, Vol. 30, No. 8, 493-497 (1991)
DOI: 10.1177/000992289103000807

Screening for Psychosocial Dysfunction in Pediatric Dermatology Practice

Paula K. Rauch, MD

Child Psychiatry Service, Massachusetts General Hospital, Boston, MA

Michael S. Jellinek, MD

Child Psychiatry Service, Massachusetts General Hospital, Boston, MA

J. Michael Murphy, EdD

Child Psychiatry Service, Massachusetts General Hospital, Boston, MA

Lawrence Schachner, MD

Department of Dermatology, Cutaneous Surgery and Pediatrics, Division of Pediatric Dermatology, University of Miami School of Medicine, Miami, FL

Ronald Hansen, MD

Department of Internal Medicine, Dermatology and Pediatrics, University of Arizona Health Sciences Center, Tucson, AZ

Nancy B. Esterly, MD

Departments of Dermatology and Pediatrics, Medical College of Wisconsin, Milwaukee, WI

Julie Prendiville, MD

Department of Dermatology, Wright State University, Dayton, Ohio

Sandra J. Bishop, MA

Child Psychiatry Service, Massachusetts General Hospital, Boston, MA

Marilyn Goshko, EdM

Child Psychiatry Service, Massachusetts General Hospital, Boston, MA

The Pediatric Symptom Checklist, a brief psychosocial screening questionnaire, was used in a multi-center study of pediatric dermatology clinics (n=377). Overall rates of positive screening indicated that approximately 13% of patients screened positive, a rate similar to findings in primary care pediatric settings. Examining the sample in greater detail demonstrated that children whose dermatologic disorder is perceived to have a greater impact on their appearance are at higher risk for psychosocial dysfunction.


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