Waddell Charlotte, Offord David R, Shepherd Cody A, Hua Josephine M, McEwan Kimberley
Mental Health Evaluation and Community Consultation Unit, Department of Psychiatry, Faculty of Medicine, University of British Columbia, 2250 Wesbrook Mall, Vancouver, BC V6T 1W6.
Can J Psychiatry. 2002 Nov;47(9):825-32. doi: 10.1177/070674370204700903.
Epidemiological studies have characterized the high burden of suffering that child psychiatric disorders cause--14% of children (1.1 million in Canada) have clinically important disorders at any given time. In this review, we summarize the recent research and discuss several unresolved scientific issues that must be addressed to make epidemiology more useful to policy-makers. We then discuss implications for policy-making to improve children's mental health outcomes. Overall, given the high prevalence rates, increasing clinical services alone will not suffice; rather, a multifaceted mix of strategies is required.
流行病学研究已经明确了儿童精神疾病所造成的沉重痛苦负担——在任何特定时期,14%的儿童(加拿大有110万)患有具有临床重要意义的疾病。在本综述中,我们总结了近期的研究,并讨论了几个尚未解决的科学问题,要使流行病学对政策制定者更有用,就必须解决这些问题。然后,我们讨论对政策制定的影响,以改善儿童的心理健康状况。总体而言,鉴于患病率很高,仅增加临床服务是不够的;相反,需要多种策略的综合运用。