HOW CAN EPIDEMIOLOGY IMPROVE MENTAL-HEALTH-SERVICES FOR CHILDREN AND ADOLESCENTS
HOW CAN EPIDEMIOLOGY IMPROVE MENTAL-HEALTH-SERVICES FOR CHILDREN AND ADOLESCENTS
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DOI：
10.1097/00004583-199311000-00002
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发表时间：
1993-11-01
影响因子：
13.3
通讯作者：
LEAF, PJ
中科院分区：
文献类型：
--
作者：
COSTELLO, EJ;BURNS, BJ;LEAF, PJ
流行病学是对疾病在时间和空间上的分布模式的研究，可以通过增加对精神疾病的原因、发展和病程的了解来帮助改善儿童和青少年的心理健康服务。为了提供服务，儿童精神病理学流行病学研究可以提供有关服务需求、服务可用性和服务有效性的信息。出于科学和规划的目的，流行病学研究可以告诉我们（1）儿童期和青春期精神疾病的发展过程，（2）精神疾病对正常儿童发展过程的影响，以及（3）儿童发展对精神疾病发展过程的影响。有关患病率和发病率的信息对于规划初级、二级和三级预防和治疗服务很有用。同样的信息在科学上是有用的，因为它有助于回答有关因果关系、过程和结果的问题。然而，本文的目的之一是表明流行病学的意义远不止于疾病发生率。
Epidemiology, the study of patterns of disease distribution in time and space, can help to improve mental health services for children and adolescents by increasing understanding of the causes, development, and course of psychiatric disorders. For the purpose of service delivery, epidemiologic research on child psychopathology can provide information on need for services, availability of services, and effectiveness of services. For both scientific and planning purposes, epidemiologic research can inform us about (1) the developmental course of psychiatric disorders during childhood and adolescence, (2) the effect of psychiatric disorder on the course of normal childhood development, and (3) the effect of childhood development on the developmental course of psychiatric disorder. Information about prevalence and incidence is useful for planning primary, secondary, and tertiary prevention and treatment services. The same information is scientifically useful to the extent that it helps to answer questions about causation, course, and outcome. However, one aim of this paper is to show that epidemiology is about a great deal more than rates of disorder.