Quebec Child Mental Health Survey:: Prevalence of DSM-III-R mental health disorders
Quebec Child Mental Health Survey:: Prevalence of DSM-III-R mental health disorders
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DOI：
10.1017/s0021963098003618
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发表时间：
1999-03-01
影响因子：
7.6
通讯作者：
Lépine, S
中科院分区：
文献类型：
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作者：
Breton, JJ;Bergeron, L;Lépine, S
魁北克儿童精神健康调查(QCMHS)于1992年在魁北克各地对2400名6至14岁的儿童和青少年进行了具有代表性的抽样。9个Axis-I DSM-III-R(美国精神病学协会，1987)精神健康障碍的患病率根据每个告密者(6-11岁儿童：儿童、家长和教师；12-14岁儿童：儿童和父母)计算。信息者平行允许在Logistic回归模型中对与疾病相关的人口统计变量的结果进行分类。这一策略适用于群体变量(疾病的相关性)，而信息者一致性适用于个体诊断。告密者平行意味着两个或两个以上告密者的结果是相同的且显著的。在QCMHS中，破坏性障碍存在告密者平行，即在两个ADHD回归模型(儿童和家长)中男孩和幼儿的发病率较高，在三个对立/品行障碍回归模型(儿童、家长和教师)中男孩的发病率较高。在内在化障碍的Logistic回归模型中没有观察到告密者的平行关系，即人口统计变量与焦虑和抑郁障碍的关联模式因告密者而异。城乡居民并不是Logistic回归模型中的一个显著变量。根据父母的说法，6个月的总患病率达到19.9%，根据孩子的说法，达到15.8%。本文还讨论了研究结果对政策制定者和临床医生的影响。
The Quebec Child Mental Health Survey (QCMHS) was conducted in 1992 on a representative sample of 2400 children and adolescents aged 6 to 14 years from throughout Quebec. Prevalences of nine Axis-I DSM-III-R (American Psychiatric Association, 1987) mental health disorders were calculated based on each informant (for 6-11-year-olds: child, parent, and teacher; for 12-14-year-olds: child and parent). Informant parallelism allows the classification of results of the demographic variables associated with disorders in the logistic regression models. This strategy applies to group variables (correlates of disorders) whereas informant agreement applies to individual diagnoses. Informant parallelism implies that results for two informants or more an in the same direction and significant. In the QCMHS, informant parallelism exists for disruptive disorders, i.e. in two ADHD regression models (child and parent) higher rates among boys and young children, and in three oppositional/conduct disorders regression models (child, parent, and teacher) higher rates among boys. No informant parallelism is observed in the logistic regression models for internalizing disorders, i.e. the patterns of association of demographic variables with anxiety and depressive disorders vary across informants. Urban-rural residence does not emerge as a significant variable in any of the logistic regression models. The overall 6-month prevalences reach 19.9 % according to the parent and 15.8 % according to the child. The implications of the results for policy makers and clinicians are discussed.