Prevalence of mental health problems among children and adolescents in Germany: results of the BELLA study within the National Health Interview and Examination Survey
Prevalence of mental health problems among children and adolescents in Germany: results of the BELLA study within the National Health Interview and Examination Survey
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DOI：
10.1007/s00787-008-1003-2
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发表时间：
2008-12-01
影响因子：
6.4
通讯作者：
Doepfner, Manfred
中科院分区：
文献类型：
--
作者：
Ravens-Sieberer, Ulrike;Wille, Nora;Doepfner, Manfred
背景 在过去的几十年里，儿童和青少年心理健康状况的公共卫生相关性日益受到关注。然而，到目前为止，还没有德国代表性全国样本的详细流行病学数据。目的 本文报告了德国儿童和青少年一般和特定心理健康问题的患病率，并描述了症状和损害之间的联系以及治疗情况。方法心理健康模块（BELLA 研究）检查了国家儿童和青少年健康访谈和检查调查 (KiGGS) 中 2,863 个有 7-17 岁儿童的家庭的代表性子样本的心理健康问题。使用扩展版的优势和困难问卷（SDQ）来确定心理健康问题。采用进一步标准化筛查措施来筛查焦虑症（SCARED）、行为障碍（CBCL）、注意力缺陷/多动障碍（FBB-HKS、康纳斯量表）和抑郁症（CES-DC）。此外，还评估了药物滥用和自杀倾向。确定了与健康相关的生活质量（HRQoL）和医疗保健的使用。结果 总体而言，14.5% 的 7-17 岁儿童和青少年满足至少一种与损伤相关的特定心理健康问题的标准，或者存在由 SDQ 评分异常和存在损伤表明的整体心理健康问题。然而，相关儿童的合并症较高。 8.6% 的儿童和 6.6% 的青少年存在整体心理健康问题的症状。当以额外损伤为标准时，这一数字下降至 6.3% 和 4.9% 的患病率。无论疾病类型如何，据报告，只有不到一半的受影响儿童正在接受治疗。然而，对于那些患有心理健康问题的人来说，HRQoL 会受到很大的损害。结论 观察到的心理健康问题的患病率及其对健康和功能的巨大影响需要早期预防。这对于受影响的儿童和青少年的 HRQoL 大幅下降尤其重要。
Background Over the past decades the public health relevance of mental health conditions in children and adolescents has been of growing concern. However, so far no detailed epidemiological data has been available for a representative national sample in Germany. Objectives The present paper reports prevalence rates of general and specific mental health problems among children and adolescents in Germany and describes the link between symptoms and impairment as well as the treatment situation.Methods The mental health module (BELLA study) examines mental health problems in a representative sub-sample of 2,863 families with children aged 7-17 from the National Health Interview and Examination Survey among Children and Adolescents (KiGGS). Mental health problems were determined using the extended version of the strengths and difficulties questionnaire (SDQ). Further standardised screening measures were employed to screen for anxiety disorders ( SCARED), conduct disorder (CBCL), attention deficit-/hyperactivity disorder (FBB-HKS, Conners' Scale) and depressive disorders (CES-DC). Furthermore, substance abuse and suicidal tendencies were assessed. Health-related quality of life (HRQoL) and health care use were determined. Results Overall, 14.5% of the children and adolescents aged 7-17 fulfilled the criteria for at least one specific mental health problem associated with impairment, or had an overall mental health problem indicated by an abnormal SDQ score and present impairment. However, high comorbidity was found in the children concerned. Symptoms of overall mental health problems were present in 8.6% of the children and 6.6% of the adolescents. This number was reduced to prevalence rates of 6.3 and 4.9% when additional impairment was taken as a criterion. Irrespective of the type of disorder, fewer than half of the children affected were reported as receiving treatment. However, for those suffering from mental health problems, large impairments in HRQoL were observed. Conclusions The observed prevalence of mental health problems as well as their large impact on well-being and functioning calls for early prevention. This is especially important with regard to the large decrease in HRQoL in the children and adolescents affected.