Prevalence of pervasive developmental disorders in the British nationwide survey of child mental health
Prevalence of pervasive developmental disorders in the British nationwide survey of child mental health
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DOI：
10.1097/00004583-200107000-00017
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发表时间：
2001-07-01
影响因子：
13.3
通讯作者：
Goodman, R
中科院分区：
文献类型：
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作者：
Fombonne, E;Simmons, H;Goodman, R
目的：广泛性发育障碍(PDD)的患病率尚未完全确定，需要监测。在1999年英国全国儿童和青少年心理健康调查中，对PDD的患病率进行了调查。方法：从儿童福利登记处抽取5至15岁儿童(N=12,529)作为随机分层样本。训练有素的面试者用标准化的诊断面谈(发展和福祉评估)采访了11岁或11岁以上的父母和青少年。并从教师和家长处获得问卷数据(长处和困难问卷)，他们也完成了心理苦恼的自评量表。最终诊断结果是由一组经验丰富的临床医生利用所有数据来源完成的。结果：共进行了10,438次访谈(83%)。有2名女孩患有Rett综合征(加权患病率：3.8/10,000女孩)，27名儿童患有其他PDD(加权患病率：26.1/10,000)。与患有PDD以外的精神障碍的儿童相比，在PDD组中，社交问题而不是行为问题更常见。PDD儿童的父母有较高的心理苦恼发生率。比来自两个对照组的更多。结论：与最近的其他调查一致，PDD的发病率高于30年前的报告。与PDD相关的负担非常高。
Objective: The prevalence of pervasive developmental disorders (PDD) is not well established and needs monitoring. The prevalence of PDD in the 1999 nationwide British survey of child and adolescent mental health was investigated. Method: A randomized, stratified sample of children (N = 12,529) aged 5 to 15 years was generated from the Child Benefit Register. Trained interviewers interviewed parents and youths aged 11 or older with a standardized diagnostic interview (Development and Well-Being Assessment). and questionnaire data (Strengths and Difficulties Questionnaire) were obtained from teachers and parents, who also completed self-report measures of psychological distress. Final diagnostic determination was achieved by a team of experienced clinicians using all data sources. Results: A total of 10,438 (83%) interviews were conducted. There were 2 girls with Rett syndrome (weighted prevalence: 3.8/10,000 girls) and 27 children with other PDD (weighted prevalence: 26.1/10,000). Compared with children with a psychiatric disorder other than PDD, social but not behavioral problems were more frequent in the PDD group. Parents of children with PDD had higher rates of psychological distress. than those from the two comparison groups. Conclusions: Consistent with other recent surveys, PDD rates are higher than those reported 30 years ago. The burden associated with PDD is very high.