Lifetime prevalence of mental disorders in U.S. adolescents: results from the National Comorbidity Survey Replication--Adolescent Supplement (NCS-A).
Lifetime prevalence of mental disorders in U.S. adolescents: results from the National Comorbidity Survey Replication--Adolescent Supplement (NCS-A).
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DOI：
10.1016/j.jaac.2010.05.017
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发表时间：
2010-10
影响因子：
13.3
通讯作者：
Swendsen J
中科院分区：
文献类型：
--
作者：
Merikangas KR;He JP;Burstein M;Swanson SA;Avenevoli S;Cui L;Benjet C;Georgiades K;Swendsen J
呈现患有和未患有严重损害的《精神疾病诊断与统计手册》第四版（DSM - IV）精神障碍的终生患病率估计值、各类障碍之间的共病情况以及它们与社会人口统计学的相关性。
全国共病调查青少年补充研究（NCS - A）是对美国本土10123名13 - 18岁青少年进行的具有全国代表性的面对面调查。使用完全结构化的世界卫生组织复合性国际诊断访谈的修订版对DSM - IV精神障碍进行评估。
焦虑障碍是最常见的情况（31.9%），其次是行为障碍（19.1%）、心境障碍（14.3%）和物质使用障碍（11.4%），大约40%患有一类障碍的人也符合另一类终生障碍的标准。伴有严重损害和/或痛苦的障碍总体患病率为22.2%；（心境障碍为11.2%；焦虑障碍为8.3%；行为障碍为9.6%）。各类障碍发病的中位年龄最早的是焦虑障碍（6岁），其次是行为障碍（11岁）、心境障碍（13岁）和物质使用障碍（15岁）。
这些研究结果提供了美国青少年具有全国代表性样本中多种精神障碍的首批患病率数据。在美国，大约每4 - 5名青少年中就有1人在其一生中符合伴有严重损害的精神障碍标准。成年人常见精神障碍很可能首先出现在儿童期和青少年期，这凸显了需要从通常关注美国青少年的治疗转向预防和早期干预。
To present estimates of the lifetime prevalence of DSM-IV mental disorders with and without severe impairment, their comorbidity across broad classes of disorder, and their sociodemographic correlates. The National Comorbidity Survey-Adolescent Supplement NCS-A is a nationally representative face-to-face survey of 10,123 adolescents aged 13–18 years in the continental U.S. DSM-IV mental disorders were assessed using a modified version of the fully structured World Health Organization Composite International Diagnostic Interview. Anxiety disorders were the most common condition (31.9%), followed by behavior disorders (19.1%), mood disorders (14.3%), and substance use disorders (11.4%), with approximately 40% of those with one class of disorder also meeting criteria for another class of lifetime disorder. The overall prevalence of disorders with severe impairment and/or distress was 22.2%; (11.2% with mood disorders; 8.3% with anxiety disorders; 9.6% behavior disorders). The median age of onset for disorder classes was earliest for anxiety (6 years), followed by 11 years for behavior, 13 years for mood, and 15 years for substance use disorders. These findings provide the first prevalence data on a broad range of mental disorders in a nationally representative sample of U.S. adolescents. Approximately one in every 4–5 youth in the U.S. meets criteria for a mental disorder with severe impairment across their lifetime. The likelihood that common mental disorders in adults first emerge in childhood and adolescence highlights the need for a transition from the common focus on treatment of U.S. youth to that of prevention and early intervention.
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DOI：
10.1097/00004583-199607000-00011
发表时间：
1996-07-01
影响因子：
13.3
作者：
Lahey, BB;Flagg, EW;Regier, DA
通讯作者：
Regier, DA
影响因子：
6.9
作者：
Grills, AE;Ollendick, TH
通讯作者：
Ollendick, TH
影响因子：
5
作者：
Akinbami, LJ;Schoendorf, KC;Parker, J
通讯作者：
Parker, J
DOI：
10.1016/j.chc.2005.06.003
发表时间：
2005-10-01
影响因子：
2.4
作者：
Costello, EJ;Egger, HL;Angold, A
通讯作者：
Angold, A
DOI：
10.1207/s15374424jccp280302
发表时间：
1999-09-01
期刊：
JOURNAL OF CLINICAL CHILD PSYCHOLOGY
影响因子：
--
作者：
Costello, EJ;Erkanli, A;Angold, A
通讯作者：
Angold, A