Brandenburg N A, Friedman R M, Silver S E
Department of Epidemiology and Policy Analysis, Florida Mental Health Institute, University of South Florida, Tampa 33612-3899.
J Am Acad Child Adolesc Psychiatry. 1990 Jan;29(1):76-83. doi: 10.1097/00004583-199001000-00013.
While sharing a new emphasis upon identifying discrete psychiatric disorders in children and adolescents, epidemiological field studies conducted during the past decade have used diverse methods of case ascertainment and definition. Half used the multimethod-multistage approach to ascertain cases. Severity rating scales and measures of pervasiveness, parent-child concordance, and global functional impairment were employed to enhance the specificity of case definition. The majority of overall prevalence estimates of moderate to severe disorder range from 14 to 20%. Those investigations that use multiple methods to define caseness show greatest promise in identifying true cases in community samples.
在共同强调识别儿童和青少年中离散的精神疾病的同时，过去十年进行的流行病学实地研究采用了多种病例确定和定义方法。一半研究采用多方法多阶段方法来确定病例。使用严重程度评定量表以及普遍性、亲子一致性和整体功能损害的测量方法来提高病例定义的特异性。中度至重度障碍的总体患病率估计大多在14%至20%之间。那些使用多种方法定义病例的调查在识别社区样本中的真正病例方面显示出最大的前景。
