Mental Health Services, Ministry of Health, Jerusalem, Israel.
J Child Psychol Psychiatry. 2010 May;51(5):630-9. doi: 10.1111/j.1469-7610.2009.02188.x. Epub 2009 Oct 27.
The development of epidemiological instruments has enabled the assessment of mental disorders in youth in countries that plan policy according to evidence-based principles. The Israel Survey of Mental Health among Adolescents (ISMEHA) was conducted in 2004-2005 in a representative sample of 957 adolescents aged 14-17 and their mothers.
The aims of this study were to estimate prevalence rates of internalizing and externalizing mental disorders and their socio-demographic and health correlates. Disorders were ascertained with the Development and Well-Being Assessment inventory and verified by child psychiatrists.
The prevalence rates were 11.7%, 8.1% and 4.8% for any disorder, internalizing disorders and externalizing disorders, respectively. Distinct risk factors were associated with the different types of disorders: internalizing disorders were associated with female gender, chronic medical conditions and being cared for by a welfare agency. Risk factors for externalizing disorders were male gender, having divorced or single parents, being an only child or having only one sibling. Learning disability was associated with both types of disorders.
The risk and protective factors related to internalizing and externalizing disorders are interpreted within the framework of family composition in this multicultural society.
流行病学工具的发展使各国能够根据循证原则评估青年的精神障碍。2004-2005 年，在一个具有代表性的 957 名 14-17 岁青少年及其母亲样本中进行了以色列青少年心理健康调查（ISMEHA）。
本研究旨在估计内在和外在精神障碍的流行率及其社会人口学和健康相关性。采用发展与幸福感评估量表确定障碍，并由儿童精神科医生进行验证。
任何障碍、内在障碍和外在障碍的流行率分别为 11.7%、8.1%和 4.8%。不同类型的障碍与不同的风险因素相关：内在障碍与女性性别、慢性疾病和由福利机构照顾有关。外在障碍的风险因素是男性性别、父母离异或单身、独生子女或只有一个兄弟姐妹。学习障碍与这两种障碍都有关。
在这个多元文化社会中，内在和外在障碍的风险和保护因素是根据家庭构成来解释的。
