{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,9]],"date-time":"2026-07-09T08:16:34Z","timestamp":1783584994302,"version":"3.55.0"},"reference-count":14,"publisher":"Walter de Gruyter GmbH","issue":"6","license":[{"start":{"date-parts":[[2025,11,6]],"date-time":"2025-11-06T00:00:00Z","timestamp":1762387200000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,5,21]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Most adult mental health conditions begin in early childhood and adolescence, the most common being anxiety and behavioral disorders. Early intervention can improve outcomes and may reduce the risk of developing a clinical disorder in the future. However, children may not have the communication or understanding to share their symptoms with those around them, leaving pediatric primary care providers responsible for identifying concerning signs. This paper reviews both general symptoms that suggest possible mental health conditions as well as specific correlations between symptoms and psychiatric diagnoses. A literature search utilizing PubMed identified nine relevant articles that were supplemented with additional sources. The findings found that impaired coordination or balance, weakness, paralysis or loss of sensation, seizure-like activity, blindness, double vision, deafness, or one severe symptom, typically pain, were general signs that may indicate a psychiatric illness. More specific associations were also identified. For instance, children who report somatic complaints and school refusal have been linked to anxiety; in addition, reported stress, anger, and worries about family alcohol and drug use have been linked to depression, among many others. Awareness of the somatic and social concerns presented by children to primary care can reduce the delay from the onset of symptoms to diagnosis, leading to earlier identification, treatment, and improved outcomes. Early intervention may delay or prevent symptoms from developing into a diagnosable psychiatric disorder and\/or may reduce the severity of symptoms in a child who already has a psychiatric condition.<\/jats:p>","DOI":"10.1515\/jom-2025-0132","type":"journal-article","created":{"date-parts":[[2025,11,5]],"date-time":"2025-11-05T16:44:03Z","timestamp":1762361043000},"page":"299-303","source":"Crossref","is-referenced-by-count":1,"title":["Identifying somatic and social concerns that may suggest an underlying mental health condition in pediatric primary care"],"prefix":"10.1515","volume":"126","author":[{"given":"Casey","family":"Shubrook","sequence":"first","affiliation":[{"name":"Department of Clinical Sciences and Community Health , 155229 Touro University California College of Osteopathic Medicine , Vallejo , CA , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kimberly","family":"Breneisen","sequence":"additional","affiliation":[{"name":"Department of Clinical Sciences and Community Health , 155229 Touro University California College of Osteopathic Medicine , Vallejo , CA , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maxine","family":"Pottenger","sequence":"additional","affiliation":[{"name":"Solano County Health and Social Services Department , Fairfield , CA , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"374","published-online":{"date-parts":[[2025,11,6]]},"reference":[{"key":"2026052012500629582_j_jom-2025-0132_ref_001","doi-asserted-by":"crossref","unstructured":"Rickwood, DJ, Deane, FP, Wilson, CJ. When and how do young people seek professional help for mental health problems? Med J Aust. 2007;187:S35\u20139. https:\/\/doi.org\/10.5694\/j.1326-5377.2007.tb01334.x.","DOI":"10.5694\/j.1326-5377.2007.tb01334.x"},{"key":"2026052012500629582_j_jom-2025-0132_ref_003","doi-asserted-by":"crossref","unstructured":"Dalsgaard, S, Thorsteinsson, E, Trabjerg, BB, Schullehner, J, Plana-Ripoll, O, Brikell, I, et al.. Incidence rates and cumulative incidences of the full spectrum of diagnosed mental disorders in childhood and adolescence. JAMA Psychiatry 2020;77:155\u201364. https:\/\/doi.org\/10.1001\/jamapsychiatry.2019.3523.","DOI":"10.1001\/jamapsychiatry.2019.3523"},{"key":"2026052012500629582_j_jom-2025-0132_ref_004","doi-asserted-by":"crossref","unstructured":"Merikangas, KR, He, J, Burstein, M, Swanson, SA, Avenevoli, S, Cui, L, et al.. Lifetime prevalence of mental disorders in US adolescents: results from the national comorbidity study-adolescent supplement (NCS-A). J\u00a0American Acad Child and Adolesc Psychiatry 2010;49:980\u20139. https:\/\/doi.org\/10.1016\/j.jaac.2010.05.017.","DOI":"10.1016\/j.jaac.2010.05.017"},{"key":"2026052012500629582_j_jom-2025-0132_ref_005","unstructured":"National Institute of Mental Health. Children and mental health: is this just a stage? https:\/\/www.nimh.nih.gov\/health\/publications\/children-and-mental-health [Accessed 5 February 2025]."},{"key":"2026052012500629582_j_jom-2025-0132_ref_006","doi-asserted-by":"crossref","unstructured":"Shelby, GD, Shirkey, KC, Sherman, AL, Beck, JE, Haman, K, Shears, AR, et al.. Functional abdominal pain in childhood and long-term vulnerability to anxiety disorders. Pediatrics 2013;132:475\u201382. https:\/\/doi.org\/10.1542\/peds.2012-2191.","DOI":"10.1542\/peds.2012-2191"},{"key":"2026052012500629582_j_jom-2025-0132_ref_002","unstructured":"Merck manual professional edition. Accessed February 5, 2025. https:\/\/www.merckmanuals.com\/professional."},{"key":"2026052012500629582_j_jom-2025-0132_ref_007","unstructured":"American Academy of Child and Adolescent Psychiatry. Your Adolescent\u2014anxiety and avoidant disorders. https:\/\/www.aacap.org\/AACAP\/Families_and_Youth\/Resource_Centers\/Anxiety_Disorder_Resource_Center\/Your_Adolescent_Anxiety_and_Avoidant_Disorders.aspx [Accessed 5 February 2025]."},{"key":"2026052012500629582_j_jom-2025-0132_ref_008","doi-asserted-by":"crossref","unstructured":"Dumont, IP, Olson, AL. Primary care, depression, and anxiety: exploring somatic and emotional predictors of mental health status in adolescents. J\u00a0Am Board Fam Med 2012;25:291\u20139. https:\/\/doi.org\/10.3122\/jabfm.2012.03.110056.","DOI":"10.3122\/jabfm.2012.03.110056"},{"key":"2026052012500629582_j_jom-2025-0132_ref_009","unstructured":"American Academy of Child and Adolescent Psychiatry. Depression in children and teens. https:\/\/www.aacap.org\/AACAP\/Families_and_Youth\/Facts_for_Families\/FFF-Guide\/The-Depressed-Child-004.aspx [Accessed 5 February 2025]."},{"key":"2026052012500629582_j_jom-2025-0132_ref_010","doi-asserted-by":"crossref","unstructured":"Hornberge, LL, Lane, MA, Breuner, CC, AldermanEM, Grubb, LK, Pwoers, M, et al., Committee on adolescence. identification and management of eating disorders in children and adolescents. Pediatrics. 2021;147:e2020040279. https:\/\/doi.org\/10.1542\/peds.2020-040279.","DOI":"10.1542\/peds.2020-040279"},{"key":"2026052012500629582_j_jom-2025-0132_ref_011","doi-asserted-by":"crossref","unstructured":"Cottrell, DJ. Fifteen-minute consultation: medically unexplained symptoms. Arch Dis Child Educa Pract 2016;101:114\u20138. https:\/\/doi.org\/10.1136\/archdischild-2015-309344.","DOI":"10.1136\/archdischild-2015-309344"},{"key":"2026052012500629582_j_jom-2025-0132_ref_012","unstructured":"Clinical features of young children referred for impairing temper outbursts. Accessed February 5, 2025. https:\/\/pubmed.ncbi.nlm.nih.gov\/24168713\/."},{"key":"2026052012500629582_j_jom-2025-0132_ref_013","doi-asserted-by":"crossref","unstructured":"Sorcher, LK, Silver, J, Chad-Friedman, E, Carlson, GA, Klein, DN, Dougherty, LR. Early predictors and concurrent correlates of tonic and phasic irritability in adolescence. Res Child Adolesc Psychopathol 2024;52:1105\u201317. https:\/\/doi.org\/10.1007\/s10802-024-01185-x.","DOI":"10.1007\/s10802-024-01185-x"},{"key":"2026052012500629582_j_jom-2025-0132_ref_014","unstructured":"Greenspace Health. Child depression. CES-DC. 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