Safavi Parvin, Ganji Forouzan, Bidad Atenasadat
Assistant Professor, Department of Psychiatry, Shahrekord University of Medical Sciences , Shahrekord, Iran .
Associate Professor, Department of of Community Medicine, Shahrekord University of Medical Sciences , Shahrekord, Iran .
J Clin Diagn Res. 2016 Apr;10(4):LC25-8. doi: 10.7860/JCDR/2016/14481.7671. Epub 2016 Apr 1.
In view of the complications of Attention-Deficit Hyperactivity Disorder (ADHD) and significance of its treatment, the present study was aimed to investigate the prevalence of ADHD among elementary school students of Shahrekord and to assess the obstacles preventing patients from accessing mental health services.
In this cross-sectional study, 631 eligible students were selected from elementary school students in Shahrekord County, Iran. Multi-stage stratified random sampling was adopted. Demographic data were gathered and Child Symptom Inventory-4 for parents and teachers was filled out for each student. The students with suspected ADHD were identified, and examined for the association among mental health help-seeking steps. Obstacles to mental health help-seeking were assessed.
ADHD prevalence was derived 17.3% and higher among male students (p=0.025). ADHD prevalence was associated with parents' education and occupation. The evaluation and diagnosis rates were significantly associated with gender (p=0.002 and 0.005, respectively). The most prevalent obstacles facing access to mental health services were those relevant to feeling no need (86%), negative expectations of treatment (78%) and mental health system (64%).
ADHD was highly prevalent among elementary school students. Identifying the patients and examining the existing obstacles of access to mental health system seems necessary.
鉴于注意力缺陷多动障碍（ADHD）的并发症及其治疗的重要性，本研究旨在调查设拉子小学学生中ADHD的患病率，并评估阻碍患者获得心理健康服务的障碍。
在这项横断面研究中，从伊朗设拉子县的小学生中选取了631名符合条件的学生。采用多阶段分层随机抽样。收集人口统计学数据，并为每个学生填写家长和教师用的儿童症状量表-4。识别疑似ADHD的学生，并检查心理健康求助步骤之间的关联。评估心理健康求助的障碍。
ADHD患病率为17.3%，男生患病率更高（p=0.025）。ADHD患病率与父母的教育程度和职业有关。评估和诊断率与性别显著相关（分别为p=0.002和0.005）。获得心理健康服务面临的最普遍障碍是觉得不需要（86%）、对治疗的负面期望（78%）和心理健康系统（64%）。
ADHD在小学生中非常普遍。识别患者并检查获得心理健康系统的现有障碍似乎很有必要。
