Petersen Dorthe Janne, Bilenberg Niels, Hoerder Kirsten, Gillberg Christopher
Dept. of Child and Adolescent Psychiatry, Odense University Hospital, 5000, Odense C, Denmark.
Eur Child Adolesc Psychiatry. 2006 Mar;15(2):71-8. doi: 10.1007/s00787-006-0488-9. Epub 2006 Feb 21.
The overall prevalence rates of general and specific child psychiatric disorders in Danish children are unknown. In this study, which aimed to estimate prevalence rates, a multi-method strategy using a two-step design was employed. The first step involved assessment with the Child Behaviour Checklist (CBCL). The second step consisted of assessment using the Schedule for Affective Disorders and Schizophrenia for School-Aged Children; Present and Lifetime version (K-SADS-PL), The Children's Global Assessment Scale (C-GAS), The Wechsler Intelligence Scale for Children (WISCIII), The Autism Spectrum Disorder Screening Questionnaire (ASSQ), and a checklist containing the diagnostic criteria for Pervasive Developmental Disorders (PDD). Non-respondents were assessed through teachers using a modified brief version of the K-SADS-PL. A total of 751 children were targeted. The overall estimated prevalence rate of child psychopathology was 11.8 % [95% confidence interval (CI): 8.8, 14.8]. Attention Deficit/ Hyperactivity Disorder (ADHD) was found to be the most common specific child psychiatric disorder. There was no difference in prevalence rates between respondents and non-respondents. The estimated prevalence rates were broadly comparable to prevalence rates found in other epidemiological studies. The teacher-based interview proved to be a valid instrument for the assessment of non-respondents.
丹麦儿童中常见和特定儿童精神疾病的总体患病率尚不清楚。在这项旨在估计患病率的研究中,采用了一种两步设计的多方法策略。第一步涉及使用儿童行为检查表(CBCL)进行评估。第二步包括使用学龄儿童情感障碍和精神分裂症量表;目前和终生版(K-SADS-PL)、儿童总体评估量表(C-GAS)、韦氏儿童智力量表(WISCIII)、自闭症谱系障碍筛查问卷(ASSQ)以及一份包含广泛性发育障碍(PDD)诊断标准的检查表进行评估。未回应者通过教师使用修改后的简短版K-SADS-PL进行评估。总共针对751名儿童。儿童精神病理学的总体估计患病率为11.8%[95%置信区间(CI):8.8,14.8]。注意缺陷/多动障碍(ADHD)被发现是最常见的特定儿童精神疾病。回应者和未回应者之间患病率没有差异。估计患病率与其他流行病学研究中发现的患病率大致相当。基于教师的访谈被证明是评估未回应者的有效工具。