The economic impact of subthreshold and clinical childhood mental disorders
The economic impact of subthreshold and clinical childhood mental disorders
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DOI：
10.1080/09638237.2018.1466041
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发表时间：
2018-11-02
影响因子：
3.3
通讯作者：
Graeff-Martins, Ana Soledade
中科院分区：
文献类型：
--
作者：
Fatori, Daniel;Salum, Giovanni;Graeff-Martins, Ana Soledade
背景：精神障碍是常见的健康问题，与严重的损害和经济影响有关。目的：估计巴西儿童样本中临床和阈下精神障碍的费用。方法：高风险队列研究是在巴西两个主要城市进行的社区研究。受试者为6-14岁在校注册的儿童。从最初的9937名儿童中，使用随机选择（n = 958）和高风险组选择程序（n = 1554）进一步研究了两个亚组，得到了2512名受试者的样本。使用发展和幸福感评估进行精神障碍评估。每名儿童的成本是从以下几个方面估算的：心理健康和社会服务的使用、学校问题和父母生产力的损失。结果：儿童阈下和临床精神障碍显示终身平均总成本分别为1750.9美元和3141.2美元。全国终生成本估计为阈下精神障碍99亿美元，临床精神障碍116亿美元（按美元购买力平价计算）。结论：本研究提供的证据表明，儿童精神障碍对社会有很大的经济影响。迫切需要规划一个有效的护理系统，提供具有成本效益的治疗和预防方案，以减轻经济负担。
Background: Mental disorders are common health problems associated with serious impairment and economic impact. Aims: To estimate the costs of clinical and subthreshold mental disorders in a sample of Brazilian children. Method: The High Risk Cohort Study is a community study conducted in two major Brazilian cities. Subjects were 6-14 years old children being registered at school. From an initial pool of 9937 children, two subgroups were further investigated using a random-selection (n = 958) and high-risk group selection procedure (n = 1554), resulting in a sample of 2512 subjects. Mental disorder assessment was made using the Development and Well-Being Assessment. Costs for each child were estimated from the following components: mental health and social services use, school problems and parental loss of productivity. Results: Child subthreshold and clinical mental disorders showed lifetime mean total cost of $1750.9 and $3141.2, respectively. National lifetime cost estimate was $9.9 billion for subthreshold mental disorders and $11.6 billion for clinical mental disorders (values in US$ purchasing power parity). Conclusions: This study provides evidence that child mental disorders have a great economic impact on society. There is an urgent need to plan an effective system of care with cost-effective programs of treatment and prevention to reduce economic burden.