Prevalence of child and adolescent psychiatric disorders in southeast Brazil
Prevalence of child and adolescent psychiatric disorders in southeast Brazil
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DOI：
10.1097/01.chi.0000120021.14101.ca
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发表时间：
2004-06-01
影响因子：
13.3
通讯作者：
Goodman, R
中科院分区：
文献类型：
--
作者：
Fleitlich-Bilyk, B;Goodman, R
目的：描述以人口为基础的7- 14岁巴西学童的DSM-IV疾病的患病率和合并症的模式。方法：随机抽样学校（分为私立、公立农村和公立城市），然后从学校名单中随机抽样学生。2000-2001年间，共有1251名儿童接受了dsm - iv诊断评估，使用了发展和幸福评估，这是一种结构化的多信息评估，辅以临床医生审查的逐字报告。结果：有效率为83%。DSM-IV障碍的总体患病率为12.7%(95%可信区间= 9.8%-15.5%)，其中3.5%的儿童被指定为未特别说明的诊断，而不是操作性诊断。精神障碍的总体患病率明显高于采用相同测量方法和诊断程序的英国研究（12.7%对9.7%,p = 0.02）。结论：在巴西东南部的研究地区，大约八分之一的学童患有精神疾病，包括一定程度的痛苦或社交障碍，可能需要治疗。需求和供给之间的鸿沟目前是巨大的。
Objective: To describe the prevalence of DSM-IV disorders and the pattern of comorbidity in a population-based sample of 7- to 14-year-old Brazilian schoolchildren. Method: Random sampling of schools (stratified into private, public rural, and public urban) was followed by random sampling of pupils from school lists. In 2000-2001, a total of 1,251 children were assessed for DSM-IVdiagnoses using the Development and Well-Being Assessment, a structured multiinformant assessment supplemented by verbatim reports reviewed by clinicians. Results: The response rate was 83%. The overall prevalence of DSM-IV disorders was 12.7% (95% confidence interval = 9.8%-15.5%), with 3.5% of children being assigned as not otherwise specified rather than operationalized diagnoses. The overall prevalence of psychiatric disorder was significantly higher than in a British study with the same measures and diagnostic procedures (12.7% versus 9.7%, p = .02). Conclusions: Approximately one in eight schoolchildren in the study area in the southeast of Brazil have psychiatric disorders involving a level of distress or social impairment likely to warrant treatment. The gulf between need and provision is currently vast.