{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,3]],"date-time":"2026-09-03T05:46:37Z","timestamp":1788414397538,"version":"build-2803163510"},"reference-count":38,"publisher":"SAGE Publications","issue":"1_suppl","license":[{"start":{"date-parts":[[2024,10,1]],"date-time":"2024-10-01T00:00:00Z","timestamp":1727740800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"Eleanor and Miles Shore Faculty Development Award"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["JDR Clinical &amp; Translational Research"],"published-print":{"date-parts":[[2024,10]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>Adolescents have experienced increasing levels of anxiety (AD) and depressive disorders (DD) in recent years. This study assessed the current attitudes of pediatric dentists and orthodontists on incorporating screenings for mental health disorders for their adolescent patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A sequential mixed-methods approach was used. A 35-item survey was sent to 5,538 pediatric dentists and orthodontists that included questions about attitudes and current screening practices for AD and DD. Multivariate logistic regression analysis was performed to examine factors associated with dentists\u2019 willingness to incorporate screening and discuss results with patients for AD and DD. Subsequently, we interviewed 16 orthodontists and pediatric dentists, conducted thematic analysis, and identified themes and subthemes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Based on 305 responses, &gt;80% of respondents viewed screening for AD and DD as important, but &lt;15% conducted screenings for them. Moreover, for those not screening, the odds of future screening for AD (odds ratio [OR]: 0.18, confidence interval [CI]: 0.08\u20130.43) and DD (OR: 0.23; CI: 0.09\u20130.56) were lower as the perceived importance of screening increased. Their willingness to screen for both AD (OR: 0.26, CI: 0.08\u20130.82) and DD (OR: 0.18, CI: 0.05\u20130.71) was also lower if they perceived this to negatively affect their patients\u2019 perception of them. The thematic analysis identified 3 main themes: (1) provider attitudes around mental health, (2) barriers to incorporating mental health screening, and (3) opportunities to integrate screening. Barriers included lack of training, access to mental health resources, and provider and patient stigma.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Our study showed that while most pediatric dentists and orthodontists understand the importance of screening their adolescent patients for AD and DD, many are unlikely to conduct screenings in the future. Obstacles such as inadequate training and stigma must be addressed for wider adoption. Further research and initiatives are crucial to tackle these challenges.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Knowledge Transfer Statement:<\/jats:title>\n                    <jats:p>The findings of this study offer insights to clinicians and policy makers into the attitudes, barriers, and facilitators among dentists\u2014specifically pediatric dentists and orthodontists\u2014who regularly treat adolescent patients, regarding mental health screenings for these individuals. This information can guide the development of initiatives, policy changes, and future research aimed at creating a more integrated dental care system that emphasizes the overall health of adolescent patients.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/23800844241273775","type":"journal-article","created":{"date-parts":[[2024,11,19]],"date-time":"2024-11-19T03:00:32Z","timestamp":1731985232000},"page":"70S-87S","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Attitudes toward Adolescent Mental Health Screening in a Dental Setting: A Mixed-Methods Study"],"prefix":"10.1177","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1665-5082","authenticated-orcid":false,"given":"S.","family":"Ticku","sequence":"first","affiliation":[{"name":"Instructor, Oral Health Policy and Epidemiology, Harvard School of Dental Medicine, Boston, MA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S.","family":"Nath","sequence":"additional","affiliation":[{"name":"Dental student, Harvard School of Dental Medicine, Boston, MA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"N.","family":"Ramesh","sequence":"additional","affiliation":[{"name":"Dental public health resident, Harvard School of Dental Medicine, Boston, MA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C.A.","family":"Riedy","sequence":"additional","affiliation":[{"name":"Delta Dental of Massachusetts Associate Professor, Oral Health Policy and Epidemiology, Harvard School of Dental Medicine, Boston, MA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2024,11,19]]},"reference":[{"key":"bibr1-23800844241273775","doi-asserted-by":"publisher","DOI":"10.1016\/0749-5978(91)90020-T"},{"key":"bibr2-23800844241273775","doi-asserted-by":"publisher","DOI":"10.1186\/s13012-017-0605-9"},{"key":"bibr3-23800844241273775","doi-asserted-by":"publisher","DOI":"10.1016\/j.acap.2016.02.013"},{"issue":"1","key":"bibr4-23800844241273775","first-page":"20","volume":"50","author":"Bethune S.","year":"2019","journal-title":"Am Psychol Assoc"},{"key":"bibr5-23800844241273775","doi-asserted-by":"publisher","DOI":"10.1111\/jphd.12501"},{"key":"bibr6-23800844241273775","doi-asserted-by":"publisher","DOI":"10.3402\/qhw.v9.26152"},{"key":"bibr7-23800844241273775","unstructured":"Centers for Disease Control and Prevention. Facts about suicide 2023. [accessed 2024 January 1]. https:\/\/www.cdc.gov\/suicide\/facts\/index.html."},{"key":"bibr8-23800844241273775","unstructured":"Company r-dard dental email list. 2021. [accessed 2024 January 1 ]. http:\/\/www.redidata.com\/healthcare-lists\/email-lists\/dentist-email-lists\/"},{"key":"bibr9-23800844241273775","doi-asserted-by":"publisher","DOI":"10.1002\/9781394260645"},{"key":"bibr10-23800844241273775","doi-asserted-by":"publisher","DOI":"10.1016\/0889-5406(92)70013-Z"},{"key":"bibr11-23800844241273775","doi-asserted-by":"publisher","DOI":"10.4135\/9781483384436"},{"key":"bibr12-23800844241273775","doi-asserted-by":"publisher","DOI":"10.3233\/EFI-180221"},{"key":"bibr13-23800844241273775","unstructured":"Ibarra AB. 2023 An AHS\n                      SF Chronicle\n                      feature. [accessed 2024 January 1]. https:\/\/asianhealthservices.org\/an-ahs-sf-chronicle-feature\/"},{"key":"bibr14-23800844241273775","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2023.307267"},{"key":"bibr15-23800844241273775","doi-asserted-by":"publisher","DOI":"10.1016\/0147-1767(85)90062-8"},{"key":"bibr16-23800844241273775","doi-asserted-by":"publisher","DOI":"10.1186\/1748-5908-6-42"},{"key":"bibr17-23800844241273775","volume-title":"Qualitative data analysis: a methods sourcebook","author":"Miles MB","year":"2013"},{"key":"bibr18-23800844241273775","doi-asserted-by":"publisher","DOI":"10.1177\/104973239500500201"},{"key":"bibr19-23800844241273775","unstructured":"National Institute of Mental Health. Major depression 2024. [accessed 2024 January 1]. https:\/\/www.nimh.nih.gov\/health\/statistics\/major-depression."},{"key":"bibr20-23800844241273775","unstructured":"National Institutes of Mental Health. Any anxiety disorder. 2024. [accessed 2024 Janaury 1]. https:\/\/www.nimh.nih.gov\/health\/statistics\/any-anxiety-disorder."},{"key":"bibr21-23800844241273775","unstructured":"National Network of Oral Health Access. Integration of behavioral and oral health user\u2019s guide. 2023. [accessed 2024 January 1]. https:\/\/www.nnoha.org\/pages-1\/resources-%7C-access-to-care-%7C-integration-%7C-behavioral-health-integration."},{"key":"bibr22-23800844241273775","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2013.301700"},{"key":"bibr23-23800844241273775","unstructured":"PR Newswire. Pacific Dental Services opens first dental-medical integrated office with Memorial Care. 2015. [accessed 2024 August 28]. https:\/\/www.prnewswire.com\/news-releases\/pacific-dental-services-opens-first-dental-medical-integrated-office-with-memorialcare-302006601.html."},{"key":"bibr24-23800844241273775","unstructured":"Qualtrics: the leading research & experience software. 2024. [accessed 2024 Jan 1]. https:\/\/www.qualtrics.com."},{"key":"bibr25-23800844241273775","doi-asserted-by":"publisher","DOI":"10.1097\/MOP.0000000000001248"},{"key":"bibr26-23800844241273775","unstructured":"Reinhart R. Nurses continue to rate highest in honesty, ethics. 2020. Gallup. [accessed 2024 Jan 1]. https:\/\/news.gallup.com\/poll\/274673\/nurses-continue-rate-highest-honesty-ethics.aspx."},{"key":"bibr27-23800844241273775","volume-title":"The coding manual for qualitative researchers","author":"Saldana J.","year":"2015"},{"key":"bibr28-23800844241273775","unstructured":"StataCorp LLC. n.d. Stata statistical software (version 15.1) [software]. [accessed 2024 Jan 1]. https:\/\/www.stata.com."},{"key":"bibr29-23800844241273775","doi-asserted-by":"publisher","DOI":"10.1177\/1098214005283748"},{"key":"bibr30-23800844241273775","doi-asserted-by":"publisher","DOI":"10.1370\/afm.2931"},{"key":"bibr31-23800844241273775","unstructured":"US Preventive Services Task Force. 2022a. Anxiety in children and adolescents: screening. [accessed 2024 Jan 1]. https:\/\/www.uspreventiveservicestaskforce.org\/uspstf\/recommendation\/screening-anxiety-children-adolescents."},{"key":"bibr32-23800844241273775","unstructured":"US Preventive Services Task Force. 2022b. Depression and suicide risk in children and adolescents: screening. [accessed 2024 Jan 1]. https:\/\/www.uspreventiveservicestaskforce.org\/uspstf\/recommendation\/screening-depression-suicide-risk-children-adolescents."},{"key":"bibr33-23800844241273775","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyt.2022.917552"},{"key":"bibr34-23800844241273775","doi-asserted-by":"publisher","DOI":"10.1016\/j.jadohealth.2021.12.003"},{"issue":"2","key":"bibr35-23800844241273775","first-page":"6","volume":"6","author":"Wong EC","year":"2017","journal-title":"Rand Health Q"},{"key":"bibr36-23800844241273775","doi-asserted-by":"publisher","DOI":"10.1097\/PTS.0000000000000673"},{"key":"bibr37-23800844241273775","doi-asserted-by":"publisher","DOI":"10.1016\/j.acap.2013.11.006"},{"key":"bibr38-23800844241273775","unstructured":"Zoom Video Communications, Inc. n.d. Zoom [software]. [accessed 2024 1 Jan]. https:\/\/zoom.us."}],"container-title":["JDR Clinical &amp; Translational Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/23800844241273775","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/23800844241273775","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/23800844241273775","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T20:45:26Z","timestamp":1777495526000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/23800844241273775"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,10]]},"references-count":38,"journal-issue":{"issue":"1_suppl","published-print":{"date-parts":[[2024,10]]}},"alternative-id":["10.1177\/23800844241273775"],"URL":"https:\/\/doi.org\/10.1177\/23800844241273775","relation":{},"ISSN":["2380-0844","2380-0852"],"issn-type":[{"value":"2380-0844","type":"print"},{"value":"2380-0852","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,10]]}}}