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Testing the 8-syndrome structure of the child behavior checklist in 30 societies.在30个社会中测试儿童行为检查表的八综合征结构。
J Clin Child Adolesc Psychol. 2007 Jul-Sep;36(3):405-17. doi: 10.1080/15374410701444363.
2
Practice parameter for the assessment and treatment of children and adolescents with attention-deficit/hyperactivity disorder.注意缺陷/多动障碍儿童和青少年评估与治疗的实践参数
J Am Acad Child Adolesc Psychiatry. 2007 Jul;46(7):894-921. doi: 10.1097/chi.0b013e318054e724.
3
Longitudinal development of antisocial behaviors in young and early adolescent Puerto Rican children at two sites.波多黎各两个地区年幼及青少年早期儿童反社会行为的纵向发展情况。
J Am Acad Child Adolesc Psychiatry. 2007 Jan;46(1):5-14. doi: 10.1097/01.chi.0000242243.23044.ac.
4
A study of disruptive behavior disorders in Puerto Rican youth: II. Baseline prevalence, comorbidity, and correlates in two sites.波多黎各青少年破坏性行为障碍的研究:II. 两个地点的基线患病率、共病情况及相关因素
J Am Acad Child Adolesc Psychiatry. 2006 Sep;45(9):1042-1053. doi: 10.1097/01.chi.0000227879.65651.cf.
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A study of disruptive behavior disorders in Puerto Rican youth: I. Background, design, and survey methods.波多黎各青少年破坏性行为障碍的研究:I. 背景、设计与调查方法
J Am Acad Child Adolesc Psychiatry. 2006 Sep;45(9):1032-1041. doi: 10.1097/01.chi.0000227878.58027.3d.
6
Gender disparities in mental health service use of Puerto Rican children and adolescents.波多黎各儿童和青少年在心理健康服务使用方面的性别差异。
J Child Psychol Psychiatry. 2006 Aug;47(8):840-8. doi: 10.1111/j.1469-7610.2006.01623.x.
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Mental health in the United States. Prevalence of diagnosis and medication treatment for attention-deficit/hyperactivity disorder--United States, 2003.美国的心理健康状况。注意缺陷多动障碍的诊断和药物治疗患病率——美国,2003年
MMWR Morb Mortal Wkly Rep. 2005 Sep 2;54(34):842-7.
8
Understanding caregivers' help-seeking for Latino children's mental health care use.了解照顾者为拉丁裔儿童寻求心理健康护理服务的情况。
Med Care. 2004 May;42(5):447-55. doi: 10.1097/01.mlr.0000124248.64190.56.
9
National Institute of Mental Health Multimodal Treatment Study of ADHD follow-up: 24-month outcomes of treatment strategies for attention-deficit/hyperactivity disorder.美国国立精神卫生研究所多动症多模式治疗研究随访:注意缺陷多动障碍治疗策略的24个月结果
Pediatrics. 2004 Apr;113(4):754-61. doi: 10.1542/peds.113.4.754.
10
The DSM-IV rates of child and adolescent disorders in Puerto Rico: prevalence, correlates, service use, and the effects of impairment.波多黎各儿童及青少年精神障碍的《精神疾病诊断与统计手册第四版》发病率:患病率、相关因素、服务利用情况及功能损害的影响
Arch Gen Psychiatry. 2004 Jan;61(1):85-93. doi: 10.1001/archpsyc.61.1.85.

波多黎各青少年在两种环境下针对注意力缺陷多动障碍的纵向心理健康服务与药物使用情况。

Longitudinal mental health service and medication use for ADHD among Puerto Rican youth in two contexts.

作者信息

Bird Hector R, Shrout Patrick E, Duarte Cristiane S, Shen Sa, Bauermeister José J, Canino Glorisa

机构信息

Department of Psychiatry, Columbia University, USA.

出版信息

J Am Acad Child Adolesc Psychiatry. 2008 Aug;47(8):879-89. doi: 10.1097/CHI.0b013e318179963c.

DOI:10.1097/CHI.0b013e318179963c
PMID:18596555
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2602965/
Abstract

OBJECTIVE

The study describes prevalence and rates of services and medication use and associated factors over time among Puerto Rican youths with attention-deficit/hyperactivity disorder (ADHD).

METHOD

Longitudinal data are obtained on Puerto Rican children ages 5 through 13 years in the south Bronx in New York (n = 1,138) and two metropolitan areas in Puerto Rico (n = 1,353). The Diagnostic Interview Schedule for Children-IV is the diagnostic tool. Five composite measures of risk factors: negative family influences, ineffective structuring, environmental risks, child risks, and maternal acceptance are constructed to relate services and medication use to risk variables.

RESULTS

ADHD prevalence is similar in Puerto Rico and the south Bronx. Overall mental health services, medication, and psychostimulant use is lower in Puerto Rico across three time points. Most participants never received treatment at any time point. More environmental risks, negative child traits, and low maternal warmth are associated with more services, even after adjusting for comorbidity. When risk variables are controlled, the effects of ADHD on services use decrease. Previous treatment is a strong predictor of subsequent treatment.

CONCLUSIONS

Rates of services and medication use are lower in Puerto Rico. Context seems to be more important than ethnicity in predicting mental health services and medication use among Puerto Rican children with ADHD. Other psychiatric diagnoses and general risk variables are important correlates of services and medication use.

摘要

目的

本研究描述了患有注意力缺陷多动障碍(ADHD)的波多黎各青少年随时间推移的服务和药物使用患病率、使用率及相关因素。

方法

获取了纽约布朗克斯南部5至13岁波多黎各儿童(n = 1138)以及波多黎各两个大都市地区(n = 1353)的纵向数据。儿童诊断访谈量表第四版是诊断工具。构建了五个风险因素综合指标:家庭负面影响、无效结构、环境风险、儿童风险和母亲接纳度,以关联服务和药物使用与风险变量。

结果

波多黎各和布朗克斯南部的ADHD患病率相似。在三个时间点上,波多黎各的整体心理健康服务、药物和精神兴奋剂使用率较低。大多数参与者在任何时间点都未接受过治疗。即使在调整合并症后,更多的环境风险、儿童负面特质和母亲低温暖度与更多的服务相关。当控制风险变量时,ADHD对服务使用的影响会降低。先前的治疗是后续治疗的有力预测因素。

结论

波多黎各的服务和药物使用率较低。在预测患有ADHD的波多黎各儿童的心理健康服务和药物使用方面,背景似乎比种族更重要。其他精神疾病诊断和一般风险变量是服务和药物使用的重要相关因素。