Prevalence, persistence, and sociodemographic correlates of DSM-IV disorders in the National Comorbidity Survey Replication Adolescent Supplement.

Prevalence, persistence, and sociodemographic correlates of DSM-IV disorders in the National Comorbidity Survey Replication Adolescent Supplement.
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DOI:
10.1001/archgenpsychiatry.2011.160
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发表时间:
2012-04
影响因子:
--
通讯作者:
Merikangas, Kathleen Ries
Merikangas, Kathleen Ries
中科院分区:
其他
文献类型:
--
作者:
Kessler, Ronald C.;Avenevoli, Shelli;Costello, E. Jane;Georgiades, Katholiki;Green, Jennifer Greif;Gruber, Michael J.;He, Jian-ping;Koretz, Doreen;McLaughlin, Katie A.;Petukhova, Maria;Sampson, Nancy A.;Zaslavsky, Alan M.;Merikangas, Kathleen Ries

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为了政策规划的目的,需要关于青少年精神障碍流行率和相关因素的社区流行病学数据。只有有限的这类数据可用。在国家合并症调查复制青少年补充资料中,对青少年中常见的DSM-IV障碍的12个月和30天患病率、持续性(终生病例中12个月患病率和12个月病例中30天患病率)和社会人口学相关性进行估计。国家共病调查复制青少年补充是一项针对美国青少年的DSM-IV焦虑、情绪、行为和物质障碍的美国国家调查,该调查基于在受访者家中进行的面对面访谈,并附有父母补充问卷。美国青少年双框架家庭和学校样本。共10 148名13 - 17岁青少年(访谈)和每名青少年1名家长(问卷)。DSM-IV障碍采用世界卫生组织综合国际诊断访谈进行评估,并采用基于学龄儿童情感障碍和精神分裂症时间表的盲法临床访谈进行验证。综合国际诊断访谈与《学龄期儿童情感障碍与精神分裂症量表》诊断结果一致性较好(受试者工作特征曲线下面积≥0.80)。任何DSM-IV障碍的患病率估计在12个月时为40.3%(占终生病例的79.5%),在30天时为23.4%(占12个月病例的57.9%)。焦虑症是最常见的一类障碍,其次是行为障碍、情绪障碍和物质障碍。尽管随着时间的推移,疾病的相对患病率相当稳定,但焦虑和行为障碍的30天至12个月患病率高于情绪或物质障碍,这表明前者比后者更为慢性。30天至12个月的患病率通常低于12个月至终生的患病率,这表明疾病的持续存在更多地是由于发作复发而不是慢性。社会人口学相关性与先前的研究基本一致。在美国青少年中,DSM-IV障碍非常普遍且持续存在。青少年的持久性高于成人,似乎更多的是由于复发而不是儿童青少年发病障碍的慢性。
Community epidemiological data on the prevalence and correlates of adolescent mental disorders are needed for policy planning purposes. Only limited data of this sort are available. To present estimates of 12-month and 30-day prevalence, persistence (12-month prevalence among lifetime cases and 30-day prevalence among 12-month cases), and sociodemographic correlates of commonly occurring DSM-IV disorders among adolescents in the National Comorbidity Survey Replication Adolescent Supplement. The National Comorbidity Survey Replication Adolescent Supplement is a US national survey of DSM-IV anxiety, mood, behavior, and substance disorders among US adolescents based on face-to-face interviews in the homes of respondents with supplemental parent questionnaires. Dual-frame household and school samples of US adolescents. A total of 10 148 adolescents aged 13 to 17 years (interviews) and 1 parent of each adolescent (questionnaires). The DSM-IV disorders assessed with the World Health Organization Composite International Diagnostic Interview and validated with blinded clinical interviews based on the Schedule for Affective Disorders and Schizophrenia for School-Age Children. Good concordance (area under the receiver operating characteristic curve ≥0.80) was found between Composite International Diagnostic Interview and Schedule for Affective Disorders and Schizophrenia for School-Age Children diagnoses. The prevalence estimates of any DSM-IV disorder are 40.3% at 12 months (79.5% of lifetime cases) and 23.4% at 30 days (57.9% of 12-month cases). Anxiety disorders are the most common class of disorders, followed by behavior, mood, and substance disorders. Although relative disorder prevalence is quite stable over time, 30-day to 12-month prevalence ratios are higher for anxiety and behavior disorders than mood or substance disorders, suggesting that the former are more chronic than the latter. The 30-day to 12-month prevalence ratios are generally lower than the 12-month to lifetime ratios, suggesting that disorder persistence is due more to episode recurrence than to chronicity. Sociodemographic correlates are largely consistent with previous studies. Among US adolescents, DSM-IV disorders are highly prevalent and persistent. Persistence is higher for adolescents than among adults and appears to be due more to recurrence than chronicity of childadolescent onset disorders.
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