A CHILD PSYCHIATRY EPIDEMIOLOGIC STUDY IN PUERTO RICO

波多黎各4岁儿童的精神流行病学调查 《穿越16年》于1986年5月完成。这项调查利用了 与上一次成人流行病学调查的抽样框架相同 一年前进行的人口普查。两者中的很大比例 Samples包括一个二元组，其诊断数据在 父母和孩子在同一个家庭。这为我们提供了一种独特的 学习亲子关系的机会 无序。 儿童研究遵循了两个阶段的设计，其中儿童行为 核对表被用作概率样本的筛选工具 代表整个岛屿的儿童人口， 随后对筛查的儿童进行深入的诊断评估 正片以及一定比例的负片。这一秒 阶段评估包括NIMH光盘的管理和编码。 可用的数据包括所有386名儿童的编码盘 第二阶段样本，以及引用大量 儿童精神病理学的可能危险因素。光盘数据出借 对连续诊断度量的经验性推导 可能比明确的诊断有更大的预测能力。 我们建议对尚未公布的现有数据进行分析 之前考虑过的。其中包括经验性的推导 通过因子分析对精神病理学的连续测量 盘数据，进一步研究父母和父母之间的关联 儿童精神障碍及其他精神病理学危险因素 通过使用多元回归和通径分析，以及一个 “干酪性”流行病学测量的方法学探讨 在社区里。这项研究的结果将具有科学性。 对流行病学领域的意义以及实际使用的意义， 因为它们将提供对定义诊断有用经验数据 儿童精神病理学的分类及危险因素识别 它将为临床精神病学和病因学的开发者提供信息 系统。

A psychiatric epidemiology survey of children in Puerto Rico aged 4 through 16 years was completed in May 1986. This survey utilized the same sampling frame as a previous epidemiologic survey of the adult population carried out one year before. A large proportion of the two samples includes a dyad for which diagnostic data is available on both a parent and a child in the same household. This affords a unique opportunity to study the relationship between parental and child disorder. The child study followed a two stage design in which the Child Behavior Checklist was used as a screening instrument on a probability sample representative of the child population of the entire island, with subsequent in depth diagnostic evaluation of the children who screened positive as well as a proportion of the negative screens. This second stage assessment included the administration and coding of the NIMH-DISC. The available data includes coded DISC's on all 386 children in the second stage sample, as well as variables that refer to a large number of possible risk factors of childhood psychopathology. The DISC data lends itself to the empirical derivation of continuous diagnostic measures that are likely to have greater predictive power than categorical diagnoses. We propose to carry out analyses on the existing data that had not been previously contemplated. These include the empirical derivation of continuous measures of psychopathology through factor analysis of the DISC data, further study of the association between parental and childhood disorder as well as of other risk factors of psychopathology through the use of multiple regression and path analysis, and a methodologic exploration of the epidemiologic measurement of "caseness" in the community. The results of this research will be of scientific significance to the field of epidemiology, as well as of practical use, since they will provide empirical data useful in defining diagnostic categories and identifying risk factors of childhood psychopathology which will inform clinical psychiatry and the developers of nosological systems.