A CHILD PSYCHIATRY EPIDEMIOLOGIC STUDY IN PUERTO RICO

本调查建议进行两阶段程序， 儿童精神病病例的识别和分类， 波多黎各岛4-16岁年龄组的青少年。 的 建议假定数据收集期可以与 成人精神病流行病学研究（RMH #36230），计划在 1984年1月至6月，为了研究儿童 精神病理学和精神病理学的成年人在同一个家庭。 这项研究可以在另一个时间点进行，但没有这一点 功能和成本略高于正在提出的。 的 研究将利用卫生部的主抽样调查， 波多黎各。 这是一个分层的多阶段概率样本， 波多黎各非机构性平民的住房单元 瑞可 研究的第一阶段将使用一种筛选工具（ Achenbach和Edelbrock的儿童行为清单），目的是 对代表性样本（N= 1，200 - 1，500名儿童）进行病例发现。 的 第二阶段将获得直接的临床精神病诊断， 病例（估计N=120-180名儿童）以及阴性样本 病例（N=60），以测试筛选工具的充分性。 第二阶段将提供流行率和精神病学的衡量标准。 波多黎各儿童的诊断概况。 其他全球措施 在第二阶段，将通过以下方式获得自适应功能： 儿童总体评估量表（C-GAS）。 这将提供一个衡量 功能损害的严重程度。 预计本研究中获得的数据将有助于 规划精神卫生设施的范围和类型， 为波多黎各的儿童制定的，以及提供一个 流行病学数据库，以便在今后的调查中进行比较 在波多黎各和本土都有。

This investigation proposes to carry out a two-stage procedure for psychiatric case identification and classification of children and adolescents in the 4-16 age group in the island of Puerto Rico. The proposal assumes that the period of data collection can be coupled with the adult psychiatric epidemiology study (RMH #36230) which is scheduled to be January-June 1984, in order to study the relationship between child psychopathology and an adult with psychopathology in the same household. This study could be carried out at another point in time but without this feature and at a somewhat higher cost than what is being proposed. The study would utilize the Master Sample Survey of the Health Department of Puerto Rico. This is a stratified multistage probability sample of dwelling units covering the civilian non-institutional population of Puerto Rico. The first stage of the study would administer a screening instrument (The Child Behavior Checklist of Achenbach and Edelbrock) for the purposes of case finding to a representative sample (N=1,200-1,500 children). The second stage would obtain direct clinical psychiatric diagnoses on positive cases (estimated N=120-180 children) as well as on a sample of negative cases (N=60) in order to test the adequacy of the screening instrument. The second stage would provide measures of prevalence and a psychiatric diagnostic profile of Puerto Rican children. Additional global measures of adaptive functioning will be obtained in the second stage by means of the Children's Global Assessment Scale (C-GAS). This will provide a measure of severity of functional impairment. It is anticipated that the data obtained in this study will be useful for planning the scope and type of mental health facilities that need to be developed for Puerto Rico's children, as well as to provide an epidemiological data base for comparative purposes in future investigations in Puerto Rico as well as in the mainland.