{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T05:19:16Z","timestamp":1777526356749,"version":"3.51.4"},"reference-count":35,"publisher":"SAGE Publications","issue":"13","license":[{"start":{"date-parts":[[2015,3,15]],"date-time":"2015-03-15T00:00:00Z","timestamp":1426377600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Clin Pediatr (Phila)"],"published-print":{"date-parts":[[2015,11]]},"abstract":"<jats:p>Objective. To systematically screen for behavioral and mental health problems and psychosocial stressors (PS) in newly referred patients and adult caregivers (PACs) in a pediatric weight management program. Methods. We used the Strengths and Difficulties Questionnaire (SDQ), the Center for Epidemiologic Studies Depression Scale (CES-D) for caregivers and patients \u226518 years, and assessed urgent mental health concerns and psychosocial stressors. Results. A total of 243 PACs were screened; data were unavailable for 6. Compared with US normative data for the SDQ\u2013Parent Proxy Version, the proportion of patients in our sample with borderline\/abnormal total difficulties and conduct problems scores was greater for all age groups. Among adult caregivers with complete CES-D, 18.4% were at risk for depression. Eleven percent of patients screened positive for urgent mental health problems. Overall, 43% of patients and 57.4% of caregivers had PS. Conclusions. Systematic screening identified untreated symptoms and significant PS. Addressing these complex problems likely requires collaborative approaches with community providers.<\/jats:p>","DOI":"10.1177\/0009922815574077","type":"journal-article","created":{"date-parts":[[2015,3,16]],"date-time":"2015-03-16T20:03:13Z","timestamp":1426536193000},"page":"1247-1256","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":7,"title":["The Burden of Psychosocial Stressors and Urgent Mental Health Problems in a Pediatric Weight Management Program"],"prefix":"10.1177","volume":"54","author":[{"given":"Ian S.","family":"Zenlea","sequence":"first","affiliation":[{"name":"Boston Children\u2019s Hospital, Boston, MA, USA"},{"name":"Harvard Medical School, Boston, MA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"E. 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