How Mental Health Screening Shapes Pediatricians' Diagnostic Decision Making

OBJECTIVE: Pediatricians underidentify mental health diagnoses in primary care settings. Incorporating mental health screening tools into practice may improve identification and diagnostic accuracy of mental health diagnoses. However, there is a lack of research into how pediatricians should best incorporate mental health screening into diagnostic decision making. METHODS: We deployed 2 series of clinical vignettes depicting child patients with attention-deficit hyperactivity disorder (ADHD) and anxiety by electronic survey. Each series presented sequential data including DSM-5 criteria, crite