Epidemiology and Impact of Health Care Provider-Diagnosed Anxiety and Depression Among US Children.
Epidemiology and Impact of Health Care Provider-Diagnosed Anxiety and Depression Among US Children.
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DOI：
10.1097/dbp.0000000000000571
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发表时间：
2018-06
期刊：
影响因子：
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通讯作者：
Walkup JT
中科院分区：
文献类型：
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作者：
Bitsko RH;Holbrook JR;Ghandour RM;Blumberg SJ;Visser SN;Perou R;Walkup JT
这项研究记录了美国儿童焦虑和抑郁的患病率和影响，基于医疗保健提供者诊断的父母报告。分析了2003年，2007年和2011-2012年的全国儿童健康调查数据，以估计6至17岁儿童的焦虑或抑郁患病率。估计数是基于父母被卫生保健提供者告知他们的孩子患有特定疾病的报告。使用2011-2012年的数据估计了社会人口学特征、其他疾病的共同发生、医疗保健使用、学校措施和养育恶化。根据家长报告，6至17岁儿童的焦虑或抑郁终身诊断从2003年的5.4%增加到2011-2012年的8.4%。当前焦虑或抑郁从2007年的4.7%增加到2011-2012年的5.3%;当前焦虑显著增加，而当前抑郁没有变化。焦虑和抑郁与并发症的风险增加，医疗保健的使用，学校的问题，并有父母与高养育恶化。患有焦虑或抑郁症的儿童与有效的护理协调或医疗之家不太可能有未满足的医疗保健需求或父母与高养育恶化。根据家长报告，2011-2012年，超过1/20的美国儿童目前患有焦虑或抑郁症。两者都与显著的合并症和对儿童和家庭的影响有关。这些发现可能有助于改善内化障碍儿童的健康和福祉。未来的研究需要确定为什么儿童焦虑诊断似乎从2007年到2012年有所增加。
This study documents the prevalence and impact of anxiety and depression in US children based on the parent report of health care provider diagnosis. National Survey of Children's Health data from 2003, 2007, and 2011–2012 were analyzed to estimate the prevalence of anxiety or depression among children aged 6 to 17 years. Estimates were based on the parent report of being told by a health care provider that their child had the specified condition. Sociodemographic characteristics, co-occurrence of other conditions, health care use, school measures, and parenting aggravation were estimated using 2011–2012 data. Based on the parent report, lifetime diagnosis of anxiety or depression among children aged 6 to 17 years increased from 5.4% in 2003 to 8.4% in 2011–2012. Current anxiety or depression increased from 4.7% in 2007 to 5.3% in 2011–2012; current anxiety increased significantly, whereas current depression did not change. Anxiety and depression were associated with increased risk of co-occurring conditions, health care use, school problems, and having parents with high parenting aggravation. Children with anxiety or depression with effective care coordination or a medical home were less likely to have unmet health care needs or parents with high parenting aggravation. By parent report, more than 1 in 20 US children had current anxiety or depression in 2011–2012. Both were associated with significant comorbidity and impact on children and families. These findings may inform efforts to improve the health and well-being of children with internalizing disorders. Future research is needed to determine why child anxiety diagnoses seem to have increased from 2007 to 2012.