Prevalence and development of psychiatric disorders in childhood and adolescence
Prevalence and development of psychiatric disorders in childhood and adolescence
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DOI：
10.1001/archpsyc.60.8.837
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发表时间：
2003-08-01
影响因子：
--
通讯作者：
Angold, A
中科院分区：
文献类型：
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作者：
Costello, EJ;Mustillo, S;Angold, A
背景：这项纵向社区研究评估了9岁至16岁期间精神障碍的患病率和发展情况，并检验了同型和异型连续性。
方法：对1420名在入组时年龄为9至13岁的儿童进行代表性人群抽样，每年针对《精神障碍诊断与统计手册》第四版（DSM - IV）中的各类障碍进行评估，直至其16岁。
结果：尽管任何一种障碍的3个月患病率平均为13.3%（95%置信区间[CI]，11.7% - 15.0%），但在研究期间，36.7%的参与者（31%的女孩和42%的男孩）至少患有一种精神障碍。一些障碍（社交焦虑、惊恐、抑郁和物质滥用）的患病率上升，而其他障碍，包括分离焦虑障碍和注意缺陷/多动障碍（ADHD），患病率下降。滞后分析显示，有精神障碍病史的儿童在任何后续评估阶段被诊断出患病的可能性是无既往病史儿童的3倍（优势比，3.7；95% CI，2.9 - 4.9；P（此处原文似乎不完整）
Background: This longitudinal community study assessed the prevalence and development of psychiatric disorders from age 9 through 16 years and examined homotypic and heterotypic continuity.Methods: A representative population sample of 1420 children aged 9 to 13 years at intake were assessed annually for DSM-IV disorders until age 16 years.Results: Although 3-month prevalence of any disorder averaged 13.3% (95% confidence interval [CI], 11.7%-15.0%), during the study period 36.7% of participants (31% of girls and 42% of boys) had at least 1 psychiatric disorder. Some disorders (social anxiety, panic, depression, and substance abuse) increased in prevalence, whereas others, including separation anxiety disorder and attention-deficit/hyperactivity disorder (ADHD), decreased. Lagged analyses showed that children With a history of psychiatric disorder were 3 times more likely than those with no previous disorder to have a diagnosis at any subsequent wave (odds ratio, 3.7; 95% Cl, 2.9-4.9; P