Epidemiology of psychiatric disability in childhood and adolescence
Epidemiology of psychiatric disability in childhood and adolescence
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DOI：
10.1111/1469-7610.00786
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发表时间：
2001-10-01
影响因子：
7.6
通讯作者：
Angold, A
中科院分区：
文献类型：
--
作者：
Ezpeleta, L;Keeler, G;Angold, A
这项研究的目的是确定儿童和青少年精神残疾的因素结构和患病率与人口统计变量和诊断的关系。对北卡罗来纳州11个国家的1420名儿童(9-13岁)的代表性样本进行了长达6年的跟踪调查。儿童和照顾者接受了儿童和青少年精神评估的采访，该评估生成了DSM-IV诊断，并包括了心理症状继发的残疾衡量标准。确定了三个广泛的残疾领域(与家庭、学校和同龄人有关)，学校残疾在男孩中比女孩更常见，而家庭残疾则相反。年龄的影响是复杂的，而且部分存在性别差异。来自少数族裔的儿童总体上有更高的学习障碍患病率，并且比白人更容易受到破坏性行为障碍的残疾影响。焦虑症和抑郁障碍一样可能导致残疾，在某些领域，对立违抗障碍与残疾的关联比品行障碍更强。残疾表现的领域因种族、性别、年龄和所患疾病的类型而不同。讨论了这些发现对病因学和预防的影响。
The goal of the study was to ascertain the factor structure and prevalence of psychiatric disability in children and adolescents in relation to demographic variables and diagnosis. A representative sample of 1420 children (9-13 years) from 11 countries in North Carolina was followed for up to 6 years. Children and caretakers were interviewed with the Child and Adolescent Psychiatric Assessment, which generates DSM-IV diagnoses and includes a measure of disability secondary to psychological symptoms. Three broad areas of disability were identified (relating to family, school, and peers), School disabilities were more common in boys than girls, while the reverse was true of family disability. Effects of age were complex, and partially gender-differentiated. Children from minority ethnic groups had a higher overall prevalence of school disabilities, and were more prone than Whites to the disabling effects of disruptive behavior disorders. Anxiety disorders were as likely to result in disability as depressive disorders, and oppositional defiant disorders were more strongly associated with disability in some areas than was conduct disorder. The areas where disability is manifested are different depending on race, gender, age, and the type of disorder suffered. The implications of these findings for nosology and prevention are discussed.