A CHILD PSYCHIATRY EPIDEMIOLOGIC STUDY IN PUERTO RICO

这项调查建议进行两个阶段的程序，以 儿童和儿童精神病学病例识别和分类 波多黎各岛上4至16岁年龄组的青少年。这个 提案假设数据收集的时间段可以与 成人精神病流行病学研究(RMH#36230)，计划 1984年1月至6月，为了研究儿童与儿童之间的关系 精神病理科和同一家庭中有精神病理科的成年人。 这项研究可以在另一个时间点进行，但没有这个 它具有独特的功能，而且成本比提议的略高。这个 研究将利用卫生部的总抽样调查 波多黎各。这是一个分层的多阶段概率样本 涵盖波多黎各平民非机构人口的居住单元 里科。 研究的第一阶段将使用筛查仪器( Achenbach和Edelbrock的儿童行为检查表) 具有代表性的样本(N=1,200-1,500名儿童)的病例发现。这个 第二阶段将在阳性的情况下获得直接的临床精神诊断 病例(估计N=120-180名儿童)以及阴性样本 6例(N=60)，以检验筛查工具的充分性。 第二阶段将提供患病率和精神病学的测量 波多黎各儿童的诊断档案。额外的全球措施 自适应功能将在第二阶段通过以下方式获得 儿童全球评估量表(C-GAS)。这将在一定程度上提供 功能损害的严重程度。 预计这项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，需要 为波多黎各的儿童开发的，以及提供一个 流行病学数据库，用于未来调查中的比较目的 在波多黎各和大陆都是如此。

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.