Bener A, Ghuloum S, Dafeeah E E
Department of Medical Statistics & Epidemiology, Hamad General Hospital, Doha, Qatar.
Afr J Psychiatry (Johannesbg). 2011 May;14(2):140-5. doi: 10.4314/ajpsy.v14i2.6.
The aim of this study was to identify the most common phobias in children and adolescents and to determine the prevalence, age distribution, and socio-demographic correlates of phobias.
This was a prospective cross-sectional study conducted at public and private schools from July 2009 to February 2009. The questionnaire included socio-demographic information, extra-curricular activities and hobbies, behaviour at home and various phobic fears and it was distributed among children aged 6 to 18 years. Psychiatrists determined the definitive diagnosis for various phobias by checking and screening their symptoms.
Of the studied subjects, 44% were males and 56% were females. The overall prevalence of phobia in children and adolescents was 19.7%. Among children with phobia, females had higher rates of phobias (62.4% vs 37.6%) than males. Nearly half of total sufferers were in the 12-15 year age group (46.3%). Social phobia (12.7%) was the commonest phobia found followed by agoraphobia (8.6%). Secondary school children were highly afflicted with social phobia (14.9%), agoraphobia (11.7%) and specific phobia (9.6%), while preparatory students (8.3%) were more likely to have 'medical' phobia (fear of physical illness, medical tests and procedures). A significant difference was observed between the age groups in children with agoraphobia (p=0.002).
The overall prevalence of phobia in children and adolescents in Qatar was higher than rates found in other epidemiologic studies, with the most common phobias observed being social phobia, agoraphobia and specific phobia.
本研究旨在确定儿童和青少年中最常见的恐惧症,并确定恐惧症的患病率、年龄分布以及社会人口统计学相关因素。
这是一项于2009年7月至2009年2月在公立和私立学校开展的前瞻性横断面研究。问卷包括社会人口统计学信息、课外活动和爱好、在家中的行为以及各种恐惧症状,并分发给6至18岁的儿童。精神科医生通过检查和筛查症状来确定各种恐惧症的最终诊断。
在研究对象中,44%为男性,56%为女性。儿童和青少年中恐惧症的总体患病率为19.7%。在患有恐惧症的儿童中,女性的恐惧症发生率(62.4%对37.6%)高于男性。近一半的患者(46.3%)处于12 - 15岁年龄组。社交恐惧症(12.7%)是最常见的恐惧症,其次是广场恐惧症(8.6%)。中学生受社交恐惧症(14.9%)、广场恐惧症(11.7%)和特定恐惧症(9.6%)的影响较大,而预科学生(8.3%)更易患“医学”恐惧症(害怕身体疾病、医学检查和程序)。在患有广场恐惧症的儿童中,不同年龄组之间观察到显著差异(p = 0.002)。
卡塔尔儿童和青少年中恐惧症的总体患病率高于其他流行病学研究中的发现,最常见的恐惧症为社交恐惧症、广场恐惧症和特定恐惧症。