Services for Adolescents With Psychiatric Disorders: 12-Month Data From the National Comorbidity Survey-Adolescent
Services for Adolescents With Psychiatric Disorders: 12-Month Data From the National Comorbidity Survey-Adolescent
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DOI：
10.1176/appi.ps.201100518
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发表时间：
2014-03-01
影响因子：
3.8
通讯作者：
Merikangas, Kathleen Ries
中科院分区：
文献类型：
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作者：
Costello, E. Jane;He, Jian-ping;Merikangas, Kathleen Ries
目的：本研究调查了青少年精神、情感和行为障碍的12个月服务使用率。方法：数据来自国家共病调查青少年补充（NCS-A），这是一项关于DSM-IV精神、情感和行为障碍和服务使用的调查。结果：在过去的12个月里，45.0%的青少年精神障碍患者接受了某种形式的服务。最有可能的是ADHD（73.8%）、品行障碍（73.4%）或对立违抗性障碍（71.0%）。最不可能的是那些有特定恐惧症（40.7%）和任何焦虑症（41.4%）的人。在有任何障碍的人中，在学校环境中（23.6%）或在专业精神卫生环境中（22.8%）比在一般医疗环境中（10.1%）更容易接受服务。患有任何疾病的青少年还在少年司法机构（4.5%）、补充和替代医学（5.3%）以及人类服务机构（7.9%）接受服务。尽管普通医疗服务提供者治疗情绪障碍青少年的比例高于行为障碍青少年，但他们更有可能治疗行为障碍青少年，因为后者的数量更多（1,465人中有11.5%，820人中有13.9%）。与白人青年相比，黑人青年接受专业精神健康或一般精神障碍医疗服务的可能性明显较低。结论：NCS-A数据分析的结果证实了早期小型研究的结果，即只有少数患有精神疾病的青少年接受了任何形式的治疗。这种治疗大多是在服务环境中提供的，在这些环境中，很少有提供者可能接受过专门的心理健康培训。
Objective: This study examined 12-month rates of service use for mental, emotional, and behavioral disorders among adolescents. Methods: Data were from the National Comorbidity Survey Adolescent Supplement (NCS-A), a survey of DSM-IV mental, emotional, and behavioral disorders and service use. Results: In the past 12 months, 45.0% of adolescents with psychiatric disorders received some form of service. The most likely were those with ADHD (73.8%), conduct disorder (73.4%), or oppositional defiant disorder (71.0%). Least likely were those with specific phobias (40.7%) and any anxiety disorder (41.4%). Among those with any disorder, services were more likely to be received in a school setting (23.6%) or in a specialty mental health setting (22.8%) than in a general medical setting (10.1%). Youths with any disorder also received services in juvenile justice settings (4.5%), complementary and alternative medicine (5.3%), and human services settings (7.9%). Although general medical providers treated a larger proportion of youths with mood disorders than with behavior disorders, they were more likely to treat youths with behavior disorders because of the larger number of the latter (11.5% of 1,465 versus 13.9% of 820). Black youths were significantly less likely than white youths to receive specialty mental health or general medical services for mental disorders. Conclusions: Findings from this analysis of NCS-A data confirm those of earlier, smaller studies, that only a minority of youths with psychiatric disorders receive treatment of any sort. Much of this treatment was provided in service settings in which few providers were likely to have specialist mental health training.