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• W2939538865 abstract "Abstract Background Evidence suggests that physical and mental illnesses are strongly correlated in children. This study examined patterns of the chronicity of multimorbidity (co‐occurring physical and mental illness); estimated homotypic continuity; and modelled factors associated with chronicity in children newly diagnosed with a chronic physical illness. Methods Children aged 6–16 years diagnosed with one of asthma, diabetes, epilepsy, food allergy, or juvenile arthritis were recruited from two children's hospitals and followed for 6 months. Child mental illness was measured using the parent‐reported Mini International Neuropsychiatric Interview and Ontario Child Health Study Emotional Behavioural Scales at baseline and 6 months later. Children were stratified into three groups: no multimorbidity, acute (multimorbidity at only one assessment), and persistent (multimorbidity at both assessments). Results Forty‐nine children were available for analysis: no multimorbidity ( n = 18), acute ( n = 13), and persistent ( n = 18). Homotypic continuity was highest for conduct disorder (67.5%) and lowest for major depression (16.7%). Unadjusted analyses showed positive associations between child and parent behavioural symptoms, as well as family functioning with persistent multimorbidity. These associations remained after adjustment, ranging from odds ratio (OR) = 1.29 [1.01, 1.64] for depression to OR = 1.61 [1.11, 2.33] and OR = 1.61 [1.10, 2.35] for attention‐deficit hyperactivity and oppositional defiant, respectively, in child models. In parent models, associations remained for parental anxiety (OR = 1.18 [1.04, 1.34]) and stress (OR = 1.15 [1.02, 1.31]). Conclusions Multimorbidity is persistent in children newly diagnosed with physical illnesses, regardless of the mental comorbidity experienced. Integrating family‐centred mental health services soon after the diagnosis of a physical illness should be prioritized in pediatric settings." @default.
• W2939538865 created "2019-04-25" @default.
• W2939538865 creator A5038638150 @default.
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• W2939538865 date "2019-05-21" @default.
• W2939538865 modified "2023-10-18" @default.
• W2939538865 title "Chronicity of mental comorbidity in children with new‐onset physical illness" @default.
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• W2939538865 doi "https://doi.org/10.1111/cch.12667" @default.
• W2939538865 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/30982997" @default.
• W2939538865 hasPublicationYear "2019" @default.
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