Prevalence and Treatment of Depression, Anxiety, and Conduct Problems in US Children.
Prevalence and Treatment of Depression, Anxiety, and Conduct Problems in US Children.
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DOI：
10.1016/j.jpeds.2018.09.021
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发表时间：
2019-03
期刊：
影响因子：
--
通讯作者：
Blumberg SJ
中科院分区：
文献类型：
--
作者：
Ghandour RM;Sherman LJ;Vladutiu CJ;Ali MM;Lynch SE;Bitsko RH;Blumberg SJ
使用最新的数据来估计目前诊断的抑郁症，焦虑问题和儿童行为或行为问题的患病率和相关性，以及相关心理健康治疗的接受情况。我们分析了2016年全国儿童健康调查（NSCH）的数据，以报告3-17岁儿童中每种疾病的全国代表性患病率估计值，并接受心理健康专业人员的治疗。父母/照顾者报告他们的孩子是否被诊断出患有3种疾病中的每一种，以及他们目前是否患有这种疾病。采用双变量分析，根据社会人口学和健康相关特征，检查疾病和治疗的患病率。使用多变量逻辑回归分析评估这些特征与当前疾病和治疗利用率的独立关联。在3-17岁的儿童中，7.1%的人目前有焦虑问题，7.4%的人目前有行为/行为问题，3.2%的人目前有抑郁症。每种疾病的患病率随着年龄的增长和儿童健康状况或父母/照顾者精神/情绪健康状况的恶化而升高;在其他特征与疾病可能性之间的关联中观察到特定条件的变化。近80%的抑郁症患者在前一年接受了治疗，相比之下，59.3%的焦虑症患者和53.5%的行为/行为问题患者接受了治疗。模型校正效应表明，病情严重程度和存在共病精神障碍与接受治疗有关。来自NSCH的最新全国代表性数据显示，抑郁，焦虑和行为/行为问题在美国儿童和青少年中普遍存在。治疗差距仍然存在，特别是在焦虑和行为/品行问题方面。
To use the latest data to estimate the prevalence and correlates of currently diagnosed depression, anxiety problems, and behavioral or conduct problems among children, and the receipt of related mental health treatment. We analyzed data from the 2016 National Survey of Children’s Health (NSCH) to report nationally representative prevalence estimates of each condition among children aged 3–17 years and receipt of treatment by a mental health professional. Parents/caregivers reported whether their children had ever been diagnosed with each of the 3 conditions and whether they currently have the condition. Bivariate analyses were used to examine the prevalence of conditions and treatment according to sociodemographic and health-related characteristics. The independent associations of these characteristics with both the current disorder and utilization of treatment were assessed using multivariable logistic regression. Among children aged 3–17 years, 7.1% had current anxiety problems, 7.4% had a current behavioral/ conduct problem, and 3.2% had current depression. The prevalence of each disorder was higher with older age and poorer child health or parent/caregiver mental/emotional health; condition-specific variations were observed in the association between other characteristics and the likelihood of disorder. Nearly 80% of those with depression received treatment in the previous year, compared with 59.3% of those with anxiety problems and 53.5% of those with behavioral/conduct problems. Model-adjusted effects indicated that condition severity and presence of a comorbid mental disorder were associated with treatment receipt. The latest nationally representative data from the NSCH show that depression, anxiety, and behavioral/ conduct problems are prevalent among US children and adolescents. Treatment gaps remain, particularly for anxiety and behavioral/conduct problems.
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DOI：
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发表时间：
2012-07-01
影响因子：
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发表时间：
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影响因子：
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