Six-Month Prevalence of Mental Disorders and Service Contacts among Children and Youth in Ontario: Evidence from the 2014 Ontario Child Health Study
Six-Month Prevalence of Mental Disorders and Service Contacts among Children and Youth in Ontario: Evidence from the 2014 Ontario Child Health Study
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DOI：
10.1177/0706743719830024
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发表时间：
2019-04-01
影响因子：
4
通讯作者：
Wekerle, Christine
中科院分区：
文献类型：
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作者：
Georgiades, Katholiki;Duncan, Laura;Wekerle, Christine
目的：介绍安大略儿童（4至11岁）和青年（12至17岁）样本中精神障碍和精神健康相关服务接触的6个月患病率和社会人口学相关性。方法：2014年安大略儿童健康研究是对安大略6537个有4至17岁儿童的家庭进行的省级代表性调查。DSM-IV-TR精神障碍采用儿童和青少年国际神经精神简易访谈进行评估（MINI-KID）和包含的情绪（重度抑郁发作）、焦虑（广泛性焦虑，分离焦虑，社交恐惧症，特定恐惧症）和行为障碍（注意力缺陷/多动障碍，对立违抗障碍，MINI-KID是在家庭中独立地对主要照顾者和12至17岁的青少年进行的。结果：过去6个月的任何精神障碍的患病率范围从18.2%到21.8%，这取决于年龄和被调查者。行为障碍在儿童中最常见，焦虑症在青年中最常见。在患有父母确定的精神障碍的儿童和青少年中，25.6%的儿童和33.7%的青少年与心理健康提供者有过接触。然而，60%的人与一个或多个评估的提供者或服务环境有联系，最常见的是通过学校。结论：在安大略，18%到22%的儿童和青少年符合精神障碍的标准，但只有不到三分之一的人与精神健康提供者有过接触。这些研究结果为加强预防和早期干预工作以及提高服务能力提供了支持，以满足安大略儿童和青少年的心理健康需求。
Objectives: To present the 6-month prevalence and sociodemographic correlates of mental disorders and mental health-related service contacts in a sample of children (4 to 11 years) and youth (12 to 17 years) in Ontario. Methods: The 2014 Ontario Child Health Study is a provincially representative survey of 6537 families with children aged 4 to 17 years in Ontario. DSM-IV-TR mental disorders were assessed using the Mini International Neuropsychiatric Interview for Children and Adolescents (MINI-KID) and included mood (major depressive episode), anxiety (generalized anxiety, separation anxiety, social phobia, specific phobia), and behaviour disorders (attention-deficit/hyperactivity disorder, oppositional-defiant disorder, conduct disorder).The MINI-KID was administered independently to the primary caregiver and youth aged 12 to 17 years in the family's home. Results: Past 6-month prevalence of any mental disorder ranged from 18.2% to 21.8% depending on age and informant. Behaviour disorders were the most common among children, and anxiety disorders were the most common among youth. Among children and youth with a parent-identified mental disorder, 25.6% of children and 33.7% of youth had contact with a mental health provider. However, 60% had contact with one or more of the providers or service settings assessed, most often through schools. Conclusions: Between 18% and 22% of children and youth in Ontario met criteria for a mental disorder but less than one-third had contact with a mental health provider. These findings provide support for strengthening prevention and early intervention efforts and enhancing service capacity to meet the mental health needs of children and youth in Ontario.