The NIMH Methods for the Epidemiology of Child and Adolescent Mental Disorders (MECA) Study: Background and methodology
The NIMH Methods for the Epidemiology of Child and Adolescent Mental Disorders (MECA) Study: Background and methodology
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DOI：
10.1097/00004583-199607000-00011
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发表时间：
1996-07-01
影响因子：
13.3
通讯作者：
Regier, DA
中科院分区：
文献类型：
--
作者：
Lahey, BB;Flagg, EW;Regier, DA
目的：进行了一项合作研究，以制定方法，在未经筛选的人口为基础的样本的儿童和青少年的精神障碍和服务利用的调查。方法：在四个地点选择了9至17岁的青少年的概率家庭样本，并对总共1 285对青少年及其家中的成年看护人进行了访谈。外行访谈管理的NIMH诊断访谈时间表2.3版和结构化访谈的计算机辅助版本，以评估人口统计学变量，功能障碍，风险因素，服务利用率和障碍服务利用。结果：超过7，500个住户在四个地点进行了点算，点算回应率超过99%。在各个地点，84%符合条件的青年看护人对接受了约2小时的采访。95%的年轻人和照顾者认为面试是可以接受的，足以推荐给朋友。结论：这些研究结果表明，大规模的流行病学调查的精神障碍和精神卫生服务的使用，涉及长时间的访谈，在家中的未筛选的人口为基础的样本的青年和他们的成年照顾者是可以接受的社会，可以实现良好的响应率。本特别章节的其他报告论述了各种调查工具的可靠性和有效性以及其他主要调查结果。
Objective: A collaborative study was conducted to develop methods for surveys of mental disorder and service utilization in unscreened population-based samples of children and adolescents. Method: Probability household samples of youths 9 through 17 years of age were selected at four sites and interviews were conducted with a total of 1,285 pairs of youths and their adult caretakers in their homes. Lay interviewers administered a computer-assisted version of the NIMH Diagnostic Interview Schedule for Children Version 2.3 and structured interviews to assess demographic variables, functional impairment, risk factors, service utilization, and barriers to service utilization. Results: More than 7,500 households were enumerated at four sites, with enumeration response rates above 99%. Across sites, 84% of eligible youth-caretaker pairs were interviewed for about 2 hours each. Ninety-five percent of both youths and caretakers found the interview to be acceptable enough to recommend to a friend. Conclusions: These findings indicate that large-scale epidemiological surveys of mental disorders and mental health service use involving lengthy interviews in the homes of unscreened population-based samples of youths and their adult caretakers are acceptable to the community and can achieve good response rates. The other reports in this Special Section address the reliability and validity of the various survey instruments and other key findings.