A CHILD PSYCHIATRY EPIDEMIOLOGIC STUDY IN PUERTO RICO

对波多黎各4岁儿童的精神病学调查 1986年5月完成了16年。 这项调查利用了 与先前成人流行病学调查相同的抽样框架 一年前进行的人口普查。 两者中的很大一部分 样本包括一个二元体，其诊断数据在两个 父母和孩子在同一个家庭。 这提供了一个独特的 研究父母与子女关系的机会 disorder. 儿童研究遵循两个阶段的设计，其中儿童行为 检查表被用作概率样本的筛选工具 代表全岛儿童人口， 随后对接受筛查的儿童进行深入的诊断评估 正面和负面屏幕的比例。 该第二 阶段评估包括NIMH-DISC的管理和编码。 现有数据包括所有386名儿童的编码DISC。 第二阶段样本，以及涉及大量 儿童精神病理学的可能危险因素。 DISC数据提供了 本身的经验推导的连续诊断措施， 可能比分类诊断有更大的预测能力。 我们建议对现有的数据进行分析，这些数据尚未得到 以前考虑过的。 其中包括经验推导 通过因素分析的精神病理学的连续措施， DISC数据，进一步研究父母和 儿童疾病以及其他精神病理学风险因素 通过使用多元回归和路径分析， “病例性”流行病学测量的方法学探讨 在社区 这项研究的结果将是科学的 对流行病学领域的重要性，以及实际用途， 因为它们将提供有助于确定诊断 儿童期精神病理学的分类和危险因素的识别 这将为临床精神病学和疾病分类学的发展提供信息， 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.