Senol Vesile, Unalan Demet, Akca Raziye Peksen, Basturk Mustafa
1 Health Services Vocational College, Erciyes University, Kayseri, Turkey.
2 Develi Hüseyin Şahin Vocational School, Erciyes University, Kayseri, Turkey.
J Int Med Res. 2018 Jan;46(1):122-134. doi: 10.1177/0300060517712865. Epub 2017 Jul 21.
Objectives This study aimed to determine the prevalence of attention-deficit/hyperactivity disorder (ADHD), oppositional defiant disorder (ODD), and conduct disorder (CD), and their influencing factors on primary school-age children. Methods This cross-sectional study was conducted among 2045 students, 7-15 years old, who were randomly selected from seven schools in Kayseri, Turkey, in 2012. Participants were stratified by socioeconomic status. Data were collected using the Turgay DSM-IV-Based Child and Adolescent Behavioural Disorders Screening and Rating Scale (T-DSM-IV-S). For statistical analyses, the t-test and analysis of variance were used. Results Rates of disruptive behaviour disorders (DBDs) among children were as follows: ADHD, 6.2%; CD, 14.4%; and ODD, 6.7%. The prevalence of ADHD was higher in boys and children whose mothers were homemakers and from poorly-educated and low-income families, compared with their peers. CD was more prevalent among boys and children 13-15 years old, whose parents had low income levels and were separated. ODD was higher in boys and children whose mothers were homemakers. Conclusions Our findings suggest that the overall prevalence of DBDs in our study area is 27.4%, which is similar to the pooled worldwide prevalence. Adverse family factors are closely associated with the prevalence of DBDs.
目的 本研究旨在确定注意力缺陷/多动障碍(ADHD)、对立违抗障碍(ODD)和品行障碍(CD)在小学学龄儿童中的患病率及其影响因素。方法 这项横断面研究于2012年在土耳其开塞利的7所学校中随机选取的2045名7至15岁的学生中进行。参与者按社会经济地位分层。使用基于图尔盖DSM-IV的儿童和青少年行为障碍筛查与评定量表(T-DSM-IV-S)收集数据。统计分析采用t检验和方差分析。结果 儿童中破坏性行为障碍(DBDs)的发生率如下:ADHD为6.2%;CD为14.4%;ODD为6.7%。与同龄人相比,ADHD在男孩以及母亲为家庭主妇、来自受教育程度低和低收入家庭的儿童中患病率更高。CD在男孩以及13至15岁、父母收入水平低且分居的儿童中更为普遍。ODD在男孩以及母亲为家庭主妇的儿童中更高。结论 我们的研究结果表明,我们研究区域内DBDs的总体患病率为27.4%,与全球汇总患病率相似。不良家庭因素与DBDs的患病率密切相关。