Prevalence and correlates of mental disorders among adolescents in Italy: the PrISMA study
Prevalence and correlates of mental disorders among adolescents in Italy: the PrISMA study
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DOI：
10.1007/s00787-008-0720-x
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发表时间：
2009-04-01
影响因子：
6.4
通讯作者：
Molteni, Massimo
中科院分区：
文献类型：
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作者：
Frigerio, Alessandra;Rucci, Paola;Molteni, Massimo
背景：虽然在过去5年中，意大利对成人精神障碍的患病率进行了几项研究，但到目前为止还没有针对青少年精神障碍的流行病学研究。方法采用儿童行为量表/6-18(CBCL)和发展与幸福感评估(DAWBA)对3418名研究对象进行两个阶段的研究，DAWBA是一种结构化访谈，由临床医生逐字报告。结果CBCL干酪症和DSM-IV障碍的患病率分别为9.8%(CI 8.8~10.8%)和8.2%(CI 4.2~12.3%)。DSM-IV情感障碍的发生率(6.5%CI 2.2-10.8%)高于外在性障碍(1.2%CI 0.2-2.3%)。在女孩中，患病率估计随着年龄的增长而显著增加；此外，与单亲生活、母亲教育水平低、家庭收入低与患情绪或行为问题的可能性更高有关。结论约十分之一的青少年存在心理问题。教师和临床医生应将重点放在与单亲和/或处于不利社会经济条件下的男孩和女孩身上。
Background While in the last 5 years several studies have been conducted in Italy on the prevalence of mental disorders in adults, to date no epidemiological study has been targeted on mental disorders in adolescents. Method A two-phase study was conducted on 3,418 participants using the child behavior checklist/6-18 (CBCL) and the development and well-being assessment (DAWBA), a structured interview with verbatim reports reviewed by clinicians. Results The prevalence of CBCL caseness and DSM-IV disorders was 9.8% (CI 8.8-10.8%) and 8.2% (CI 4.2-12.3%), respectively. DSM-IV Emotional disorders were more frequently observed (6.5% CI 2.2-10.8%) than externalizing disorders (1.2% CI 0.2-2.3%). In girls, prevalence estimates increased significantly with age; furthermore, living with a single parent, low level of maternal education, and low family income were associated with a higher likelihood of suffering from emotional or behavioral problems. Conclusions Approximately one in ten adolescents has psychological problems. Teachers and clinicians should focus on boys and girls living with a single parent and/or in disadvantaged socioeconomic conditions.