Psychiatric and psychosocial disorders in children with somatic symptoms in pediatrics

The prevalence and types of psychiatric disorders in an out-patient pediatric population (pediatricians in practice; hospital outpatient department) are analysed. Nearly one forth of all 6 to 12 year old children fulfilled the criteria for a psychiatric disorder in addition to somatic disease according to a standardized documentation. The perception of a behavioural symptom is associated with further pediatric outpatient, non pharmacological treatment, but does not lead to referrals to psychotherapeutic institutions. The importance of the primary care pediatrician for the diagnosis of behavioural problems in childhood is discussed.