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Family history of mental conditions in the preventive paediatric primary care: is it really used? Case of the Netherlands
Author(s) -
Syurina Elena V,
Hens Kristien,
Dondorp Wybo J,
Feron Frans JM
Publication year - 2014
Publication title -
acta paediatrica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.772
H-Index - 115
eISSN - 1651-2227
pISSN - 0803-5253
DOI - 10.1111/apa.12521
Subject(s) - medicine , referral , mental health , primary care , family medicine , family history , medical record , family doctors , pediatrics , psychiatry , radiology
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.