Objective.—To assess the relationship between parents' mood and the provision of anticipatory
guidance by pediatric health care providers.
Data Source.—Data analyzed were from the National Survey of Early Childhood Health, a cross-sectional
nationally representative survey concerning young children 4–35 months of age (n =
2068).
Key Variables.—Parents were asked whether the children's health care providers had discussed 10–12
age-appropriate health promotion topics and 5 psychosocial issues during the past
12 months. Parents also identified missed opportunities for guidance (ie, topics not
discussed for which discussion would have been helpful) and reported whether providers
should discuss psychosocial issues. Parents' mood was assessed using factor scores
derived from the Mental Health Inventory.
Analyses.—Log–linear regression analyses determined if parents' mood was a significant predictor
of the number of topics and issues discussed, the number of missed opportunities,
and the reported number of issues that providers should discuss.
Results.—Parents who were more often in a positive mood discussed more health promotion topics
(B = .06, P < .001) and psychosocial issues (B = .10, P < .01) with their child's health care providers. Parents who were more often in a
negative mood identified more missed opportunities (B = .08, P = .02) and more issues that providers should discuss (B = .04, P < .001).
Conclusions.—Increased attention to parents' mood and emotional well-being may help pediatricians
identify parents who desire additional anticipatory guidance and ensure that opportunities
for the provision of guidance are not inadvertently missed.
KEY WORDS
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Article info
Publication history
Accepted:
January 15,
2004
Received:
August 8,
2003
Footnotes
Presented in part at the 14th Annual Convention of the American Psychological Society, New Orleans, La, June 2002, and at the 19th Annual Research Meeting of the Academy for Health Services Research and Health Policy, Washington, DC, June 2002.
Identification
Copyright
© 2004 Ambulatory Pediatric Association. Published by Elsevier Inc. All rights reserved.
