Comparing the prevalence of mental health problems in children 6-11 across Europe.

Comparing the prevalence of mental health problems in children 6-11 across Europe.
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比较欧洲6-11岁儿童心理健康问题的患病率。

DOI:
10.1007/s00127-016-1253-0
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发表时间:
2016-08
影响因子:
4.4
通讯作者:
Mihova Z
Mihova Z
中科院分区:
医学2区
文献类型:
--
作者:
Kovess-Masfety V;Husky MM;Keyes K;Hamilton A;Pez O;Bitfoi A;Carta MG;Goelitz D;Kuijpers R;Otten R;Koç C;Lesinskiene S;Mihova Z

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在世界范围内,大约八分之一的儿童或青少年患有精神障碍。本研究旨在确定七个欧洲国家(包括意大利、德国、荷兰、立陶宛、保加利亚、罗马尼亚和土耳其)6-11 岁儿童心理健康问题的跨国患病率。收集了 7682 名儿童的数据,这些儿童的家长或老师都完成了 SDQ。本研究为家长和教师 SDQ 分数提供了特定国家/地区的规范等级。总体而言,12.8% 的儿童可能患有任何疾病,比例从立陶宛的 15.5% 到意大利的 7.8% 不等,3.8% 的儿童可能患有情绪障碍,8.4% 的儿童可能患有行为障碍,2.0% 的儿童可能患有多动/注意力不集中。然而,在调整关键的社会人口统计学变量和父母心理困扰时,居住国并不能预测患任何疾病的几率。然而,对于特定的疾病,居住国确实会影响出现心理健康问题的几率。由于规范数据是国际水平上心理健康状况比较的关键,目前的数据极大地推进了未来研究的可能性。此外,研究结果强调了在对儿童心理健康进行国际比较时控制一些社会人口统计和父母变量的重要性。此外,研究结果表明,当地需要努力协助发现和预防父母的心理困扰。
Worldwide, approximately one in eight children or adolescents suffer from a mental disorder. The present study was designed to determine the cross-national prevalence of mental health problems in children aged 6–11 across seven European countries including Italy, Germany, the Netherlands, Lithuania, Bulgaria, Romania, and Turkey. Data were collected on 7682 children for whom either parent- or teacher SDQ were completed. The present study provides country-specific normative banding for both parent- and teacher SDQ scores. Overall, 12.8 % of children have any probable disorder, with rates ranging from 15.5 % in Lithuania to 7.8 % in Italy, 3.8 % of children have a probable emotional disorder, 8.4 % probable conduct disorder, and 2.0 % probable hyperactivity/inattention. However, when adjusting for key sociodemographic variables and parental psychological distress, country of residence did not predict the odds of having any disorder. For specific disorders, however, country of residence does have an effect on the odds of presenting with mental health problems. As normative data are key in the comparison of mental health status on an international level, the present data considerably advance the possibilities of future research. Furthermore, the findings underline the importance of controlling for a number of sociodemographic and parental variables when conducting international comparisons of child mental health. In addition, the findings suggest that efforts are needed locally to assist in the detection and prevention of parental psychological distress.