DSM-IV disorders in children with borderline to moderate intellectual disability.: I:: Prevalence and impact
DSM-IV disorders in children with borderline to moderate intellectual disability.: I:: Prevalence and impact
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DOI：
10.1097/01.chi.0000046892.27264.1a
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发表时间：
2003-08-01
影响因子：
13.3
通讯作者：
Koot, HM
中科院分区：
文献类型：
--
作者：
Dekker, MC;Koot, HM
目的：评估7- 20岁智力残疾人群中DSM-IV类疾病的患病率、合并症和影响。方法：共有474名儿童（响应86.8%）被随机选择从荷兰学校的智障学生的样本。父母完成了焦虑，情绪和破坏性障碍模块的诊断面试时间表的儿童。结果如下：共有21.9%的儿童符合DSM-IV焦虑障碍的症状标准，4.4%符合心境障碍的症状标准，25.1%符合破坏性障碍的症状标准。在广泛性发育障碍筛查阳性或阴性的儿童中发现了类似的患病率。超过一半的符合DSM-IV标准的儿童在日常生活中严重受损，约37%的儿童患有共病。患有多种疾病的儿童更有可能在日常功能的各个领域受到损害。近27%的确诊儿童在去年接受了精神卫生保健。合并症和日常功能障碍增加了转诊的可能性。结论：智力残疾儿童存在多种障碍。减值和共病率高。有精神疾病的儿童中只有不到三分之一得到精神保健，这一调查结果值得注意。
Objective: To assess the prevalence, comorbidity, and impact of DSM-IV disorders in 7- to 20-year-olds with intellectual disability. Method: A total of 474 children (response 86.8%) were randomly selected from a sample of students from Dutch schools for the intellectually disabled. Parents completed the anxiety, mood, and disruptive disorder modules of the Diagnostic Interview Schedule for Children. Results: A total of 21.9% of the children met the DSM-IV symptom criteria for anxiety disorder, 4.4% for mood disorder, and 25.1% for disruptive disorder. Similar prevalence rates were found for children who screened positive or negative for pervasive developmental disorder. More than half of the children meeting the criteria for a DSM-IV disorder were severely impaired in everyday functioning, and about 37% had a comorbid disorder. Children with multiple disorders were more likely to be impaired across various areas of everyday functioning. Almost 27% of the diagnosed children received mental health care in the last year. Comorbidity and impairment in everyday functioning increased the likelihood of referral. Conclusions: Most disorders can be observed in intellectually disabled children. Impairment and comorbidity are high. The finding that less than one third of the children with a psychiatric disorder receive mental health care deserves attention.