Child and Adolescent Psychiatry Services, Department of Psychiatry, National Institute of Mental Health and Neuro Sciences (NIMHANS), Bangalore, India.
Curr Opin Psychiatry. 2010 Jul;23(4):330-6. doi: 10.1097/YCO.0b013e32833aa0c1.
Global epidemiological data indicate a significant burden of child and adolescent mental health (CAMH) problems. Collating similar data from Asian countries, the majority of which have vast needs but limited resources in CAMH, will help in improving the policy-making, service development and clinical practice.
A nonclinic-based English literature search for epidemiological studies in the past 12-18 months from 51 Asian countries showed the general prevalence of CAMH problems/disorders to be in the range of 10-20%. There was nonuniformity in the instruments used for these studies. The majority of studies did not utilize a second stage of detailed assessment for diagnostic confirmation. Many countries moved from general prevalence of mental health disorders to prevalence of specific mental health disorders. Socioeconomic status, academic achievement and abnormal psychosocial situations most commonly influence CAMH in this population.
This review highlights the challenges in CAMH epidemiological studies in Asia. Suggestions are made and implications are discussed regarding improving the methodology and bringing in uniformity in such future studies.
全球流行病学数据表明，儿童和青少年心理健康问题负担沉重。从亚洲国家收集类似数据，这些国家在儿童和青少年心理健康方面需求巨大，但资源有限，这将有助于改善政策制定、服务发展和临床实践。
过去 12-18 个月，对来自 51 个亚洲国家的非临床基础英文文献进行了流行病学研究的检索，结果显示儿童和青少年心理健康问题/障碍的一般患病率在 10-20%之间。这些研究使用的工具并不统一。大多数研究没有进行第二阶段的详细评估以确认诊断。许多国家已经从一般心理健康障碍的流行转向特定心理健康障碍的流行。社会经济地位、学业成绩和异常心理社会状况在该人群中最常影响儿童和青少年心理健康。
本综述强调了亚洲儿童和青少年心理健康流行病学研究中的挑战。针对改善此类未来研究的方法和统一性提出了建议并进行了讨论。
