{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,7]],"date-time":"2026-04-07T20:12:06Z","timestamp":1775592726155,"version":"3.50.1"},"reference-count":25,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2021,9,23]],"date-time":"2021-09-23T00:00:00Z","timestamp":1632355200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pediatrics International"],"published-print":{"date-parts":[[2021,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>The 30\u2010item Questionnaire for Triage and Assessment (QTA30) is a standardized triage and assessment tool for assessing pediatric psychosomatic disorders. It is estimated that one in 10 children in Japan experience difficulties in their school life. Using the QTA30 we evaluated mental health in children at an outpatient clinic in a local hospital.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>All elementary and junior high school students (\u22659 years) who visited our institution between December 1 2019 and March 31 2020 were asked to complete the QTA30.<\/jats:p><\/jats:sec><jats:sec><jats:title>Result<\/jats:title><jats:p>A total of 372 children responded. Half of the children with a psychosomatic disorder and 9% of children with other chronic disorders were suspected to have poor mental health. Suspected poor mental health was associated with higher odds of female gender (odds ratio [OR]: 1.89, 95% confidence interval [CI]: 1.07\u20133.39), junior high school students (OR: 3.73, 95% CI: 2.11\u20136.73), and not enjoying exercise (OR: 2.13, 95% CI: 1.16\u20133.9). The mean \u00b1 standard deviation total QTA30 score was significantly worse in children with psychosomatic disorders (38.0 \u00b1 19.1) among children with other chronic diseases; however, only the score in children with central precocious puberty (27.4 \u00b1 13.7) showed no difference.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Based on our survey, the percentage of children suspected to have mental health problems manifesting as non\u2010psychosomatic chronic disorders was similar to the proportion of children suspected to experience difficulties with their school life. Pediatricians should carefully consider the possibility of mental health problems when children are seen in regular visits to the outpatient clinic.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ped.14723","type":"journal-article","created":{"date-parts":[[2021,4,8]],"date-time":"2021-04-08T16:00:22Z","timestamp":1617897622000},"page":"1297-1302","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Evaluating the mental health of children in a local hospital outpatient clinic"],"prefix":"10.1111","volume":"63","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5882-6441","authenticated-orcid":false,"given":"Mari","family":"Saito","sequence":"first","affiliation":[{"name":"Department of Pediatrics Haga Red Cross Hospital Mouka Tochigi Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yutaka","family":"Kikuchi","sequence":"additional","affiliation":[{"name":"Department of Pediatrics Haga Red Cross Hospital Mouka Tochigi Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alan Kawarai","family":"Lefor","sequence":"additional","affiliation":[{"name":"Department of Surgery Jichi Medical University Simotsuke Tochigi Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Masaru","family":"Hoshina","sequence":"additional","affiliation":[{"name":"Department of Pediatrics Haga Red Cross Hospital Mouka Tochigi Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2021,9,23]]},"reference":[{"key":"e_1_2_8_2_1","first-page":"1000","article-title":"The Japanese Society of Psychosomatic Pediatrics. An evaluation scale of child psychosomatic disorder Questionnaire for triage and assessment with 30 items","volume":"121","author":"Ishii R","year":"2017","journal-title":"J. Jpn. Pediatr. Soc."},{"key":"e_1_2_8_3_1","volume-title":"Survey about problem behavior, problem of student guidance such as school refusal of schoolchildren","author":"Ministry of Education, Culture, Sports, Science and Technology"},{"key":"e_1_2_8_4_1","volume-title":"Survey of children who are not going to school","author":"The Nippon Foundation"},{"key":"e_1_2_8_5_1","volume-title":"Guidelines for the management of obesity disease in children and adolescents 2017","author":"Japan Society for the Study of Obesity","year":"2017"},{"key":"e_1_2_8_6_1","article-title":"Utility of the QTA30 in a school medical checkup for adolescent students","volume":"28","author":"Habukawa C","year":"2020","journal-title":"Pediatr. 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