Psychiatric disorders in Norwegian 8-to 10-year-olds: An epidemiological survey of prevalence, risk factors, and service use
Psychiatric disorders in Norwegian 8-to 10-year-olds: An epidemiological survey of prevalence, risk factors, and service use
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DOI：
10.1097/chi.0b013e31803062bf
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发表时间：
2007-04-01
影响因子：
13.3
通讯作者：
Gillberg, Christopher
中科院分区：
文献类型：
--
作者：
Heiervang, Einar;Stormark, Kjell M.;Gillberg, Christopher
目的：卑尔根儿童研究是对挪威卑尔根市儿童心理健康的纵向研究。我们目前的方法和结果，从第一波的研究，重点是疾病的患病率，与危险因素的关联，以及使用的服务。方法：目标人群包括2002/2003学年期间在卑尔根学校就读二至四年级的所有9 430名儿童。主要的筛选工具是优势和困难问卷，而诊断是基于发展和福祉评估。在第二阶段还获得了有关儿童和家庭风险因素以及服务使用情况的信息。结果如下：在第一阶段，获得了9，155名（97%）目标儿童的教师优势和困难问卷，以及6，297名（67%）匹配的父母优势和困难问卷; 1，011名儿童（11%）在第二阶段进行了发展和幸福感评估。任何DSM-IV精神疾病的加权患病率为7.0%（95%置信区间为5.60%-8.5%）。疾病与年龄、性别、学习困难、家庭类型和贫困有关。虽然75%的注意力缺陷/多动障碍儿童曾与专业精神卫生服务机构联系过，但只有13%的纯情绪障碍儿童有这种联系。结论：在这一挪威样本中，儿童精神障碍的总体患病率相对较低，采用发展和福祉评估进行评估。患有情绪障碍的儿童获得专家服务的机会有限。
Objective: The Bergen Child Study is a longitudinal study of child mental health from the city of Bergen, Norway. We present methods and results from the first wave of the study, focusing on prevalence of disorders, associations with risk factors, and the use of services. Method: The target population included all 9,430 children attending grades 2 to 4 in Bergen schools during the academic year 2002/2003. The main screening instrument was the Strengths and Difficulties Questionnaire, whereas diagnoses were based on the Development and Well-Being Assessment. Information about child and family risk factors and service use was also obtained in this second stage. Results: In the first phase, the teacher Strengths and Difficulties Questionnaire was obtained for 9,155 (97%) of the target children and the matching parent Strengths and Difficulties Questionnaire for 6,297 (67%); 1,011 children (11%) were assessed with the Development and Well-Being Assessment in the second phase. The weighted prevalence for any DSM-IV psychiatric disorder was 7.0% (95% confidence interval 5.60%-8.5%). Disorders were associated with age, gender, learning difficulties, family type, and poverty. Although 75% of children with attention-deficit/hyperactivity disorder had been in contact with specialist mental health services, this was true for only 13% of those with pure emotional disorders. Conclusions: The overall prevalence of psychiatric disorders in children is relatively low in this Norwegian sample, when assessed with the Development and Well-Being Assessment. Children with emotional disorders have limited access to specialist services.