Prevalence of psychopathology among children and adolescents.
Prevalence of psychopathology among children and adolescents.
复制标题
儿童和青少年中精神病理学的患病率。
DOI：
10.1176/ajp.155.6.715
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发表时间：
1998
期刊：
影响因子：
--
通讯作者：
Rosenblatt,A
中科院分区：
文献类型：
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作者：
Roberts,RE;Attkisson,CC;Rosenblatt,A
本研究的目的是更新和扩展最近综述中提供的信息，对过去的研究提供更系统的批评，确定当前的研究趋势和问题，方法作者回顾了过去40年来的52项研究，这些研究试图估计儿童和青少年精神疾病的总体患病率。自1980年以来发表了许多研究报告，与以前一样。样本量从58到8 462不等;大多数在500到1 000之间。在20多个国家进行了研究，最常见的是美国和联合王国。受试者的年龄范围为1至18岁。鲁特的标准是最常用的情况下定义，最近的研究更有可能使用DSM标准。最常用的面试是Rutter时间表。计算流行率最常见的时间范围是现在，其次是6个月和1年。精神病理学的患病率估计值范围为约1%至近51%（平均值=15.8%）。中位率为8%的学龄前儿童，12%的preadolescent，15%的青少年，和18%的研究，包括更广泛的年龄范围。CONCLUSIONSThe证据比预期的信息少，因为有几个问题，继续困扰儿童和青少年疾病的研究。这些包括抽样、案例确定、案例定义以及数据分析和介绍。在理解儿童疾病流行病学方面的进展将在很大程度上取决于未来的研究是否成功地应对这些挑战。
OBJECTIVEThis study was done to update and expand information given in recent reviews, provide a more systematic critique of past research, identify current research trends and issues, and explore possible strategies for future research in child psychiatric epidemiology.METHODThe authors identified and reviewed 52 studies done over the past four decades that attempted to estimate the overall prevalence of child and adolescent psychiatric disorders.RESULTSAbout as many studies have been published since 1980 as were published before. Sample sizes ranged from 58 to 8,462; most were in the 500–1,000 range. Studies were carried out in over 20 countries, most frequently the United States and the United Kingdom. Subjects' ages ranged from 1 to 18 years. Rutter's criteria were the most frequently used for case definition; more recent studies were more likely to use DSM criteria. The most frequently used interview was the Rutter schedule. The most common time frame for calculating prevalence was the present, followed by 6 months and 1 year. Prevalence estimates of psychopathology ranged from approximately 1% to nearly 51% (mean=15.8%). Median rates were 8% for preschoolers, 12% for preadolescents, 15% for adolescents, and 18% in studies including wider age ranges.CONCLUSIONSThe evidence is less informative than expected because of several problems that continue to plague research on child and adolescent disorders. These involve sampling, case ascertainment, case definition, and data analyses and presentation. Progress in understanding the epidemiology of child disorders will largely depend on whether future research successfully meets these challenges.