Epidemiology of mental disorders in children and adolescents.

Epidemiology of mental disorders in children and adolescents.
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DOI:
10.31887/dcns.2009.11.1/krmerikangas
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发表时间:
2009
影响因子:
8.3
通讯作者:
Kessler RC
Kessler RC
中科院分区:
医学2区
文献类型:
--
作者:
Merikangas KR;Nakamura EF;Kessler RC

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这篇文章提供了一个审查的严重性,儿童和青少年的精神障碍,从最近的社区调查在世界各地。虽然研究结果因研究方法的不同而有很大差异,但研究结果一致表明,大约四分之一的青年在过去一年中经历过精神障碍,大约三分之一的青年在一生中经历过精神障碍。焦虑症是儿童中最常见的疾病,其次是行为障碍,情绪障碍和物质使用障碍。目前患有精神障碍的青少年中,只有不到一半的人接受心理健康专业治疗。然而,那些患有最严重疾病的人往往接受心理健康服务。目前的问题,现在正在确定在儿童精神流行病学领域包括:完善的分类和评估,包括年幼的儿童在流行病学调查,整合儿童和成人精神流行病学,并评估儿童的精神和身体疾病。
This article provides a review of the magnitude of mental disorders in children and adolescents from recent community surveys across the world. Although there is substantial variation in the results depending upon the methodological characteristics of the studies, the findings converge in demonstrating that approximately one fourth of youth experience a mental disorder during the past year, and about one third across their lifetimes. Anxiety disorders are the most frequent conditions in children, followed by behavior disorders, mood disorders, and substance use disorders. Fewer than half of youth with current mental disorders receive mental health specialty treatment. However, those with the most severe disorders tend to receive mental health services. Current issues that are now being identified in the field of child psychiatric epidemiology include: refinement of classification and assessment, inclusion of young children in epidemiologic surveys, integration of child and adult psychiatric epidemiology, and evaluation of both mental and physical disorders in children.