Bansal Pir Dutt, Barman Rajdip
Department of Psychiatry, Adesh Institute of Medical Sciences and Research, Bathinda, Punjab, India.
Int J Appl Basic Med Res. 2011 Jan;1(1):43-7. doi: 10.4103/2229-516X.81980.
Psychiatric problems in children are rising and reported cases represent only the tip of the iceberg; large number remains unreported in India. There is limited data on childhood mental disorders and mental health needs in Northern-India.
The main objective of this research was to study the extent and nature of psychiatric disorders in school children in a defined geographical area and to study their psychosocial correlates.
In this cross sectional study, Childhood Psychopathology Measurement Schedule (CPMS) was used to measure the magnitude of 982 students in the age group of 10-15 years from four randomly selected schools in a city of North India. Screening stage was followed by detailed evaluation stage in which children were diagnosed by ICD-10 criteria. Statistical analysis was done by percentage and Chi-square test.
The results showed that among 982 students, 199 (20.2%) had psychiatric morbidity. Most of them were in the age group of 13-14 yrs, from middle income group and were second in birth order. No significant sexual preference was found regarding distribution of the disorders. Specific phobia; other non organic sleep disorders like sleep talking, bruxism; tension headache found to be the most prevalent disorders followed by sleep terror, hyperkinetic disorder, pica, enuresis.
Epidemiological studies should be started early in childhood and carried longitudinally for development of preventive, promotional and curative programme in the community.
儿童精神问题呈上升趋势,报告的病例只是冰山一角;在印度,大量病例仍未报告。印度北部关于儿童精神障碍和心理健康需求的数据有限。
本研究的主要目的是调查特定地理区域内学童精神障碍的程度和性质,并研究其心理社会相关因素。
在这项横断面研究中,使用儿童精神病理学测量量表(CPMS)对印度北部一个城市中四所随机选取学校的982名10至15岁学生进行测量。筛查阶段之后是详细评估阶段,在此阶段根据国际疾病分类第10版(ICD - 10)标准对儿童进行诊断。采用百分比和卡方检验进行统计分析。
结果显示,在982名学生中,199名(20.2%)患有精神疾病。他们大多年龄在13 - 14岁,来自中等收入群体,出生顺序为第二。在疾病分布方面未发现明显的性别倾向。特定恐惧症;其他非器质性睡眠障碍,如梦呓、磨牙症;紧张性头痛被发现是最常见的疾病,其次是夜惊、多动障碍、异食癖、遗尿症。
应在儿童早期就开展流行病学研究,并进行纵向研究,以制定社区预防、促进和治疗方案。