Johnson Sarah E, Lawrence David, Perales Francisco, Baxter Janeen, Zubrick Stephen R
ARC Centre of Excellence for Children and Families over the Life Course, Telethon Kids Institute, The University of Western Australia, 100 Roberts Road, Subiaco, WA, 6008, Australia.
Graduate School of Education, The University of Western Australia, Crawley, Perth, WA, 6009, Australia.
Community Ment Health J. 2018 Aug;54(6):884-897. doi: 10.1007/s10597-017-0217-5. Epub 2017 Dec 30.
This paper provides Australian population-level estimates of the prevalence of parental self-reported lifetime mental disorders and past 12 month mental disorders in their children. It leverages unique data from the 2013-2014 Australian Child and Adolescent Survey of Mental Health and Wellbeing (Young Minds Matter) (n = 6310). Mental disorders were assessed in 4-17 year-olds using the Diagnostic Interview Schedule for Children Version IV. Primary carer (PC) and secondary carer mental health was based on PC-reported lifetime diagnoses. Over one-third of 4-17 year-olds had a PC with a lifetime diagnosis. The prevalence of all disorders was significantly higher amongst these children than children whose PC reported no diagnoses, and highest when the PC had comorbid and more severe disorders. Assessing mental health needs at a family level is important to identify children who are particularly vulnerable to developing mental disorders, to develop targeted interventions, and to understand the intergenerational transmission of risk.
本文提供了澳大利亚人群层面关于父母自我报告的终生精神障碍患病率及其子女过去12个月精神障碍患病率的估计数据。它利用了2013 - 2014年澳大利亚儿童和青少年心理健康与幸福调查（“关注青少年心灵”）（n = 6310）中的独特数据。使用儿童诊断访谈量表第四版对4至17岁儿童的精神障碍进行评估。主要照料者（PC）和次要照料者的心理健康状况基于主要照料者报告的终生诊断情况。超过三分之一的4至17岁儿童的主要照料者有终生诊断。在这些儿童中，所有障碍的患病率显著高于其主要照料者报告无诊断的儿童，且当主要照料者患有共病且病情更严重时患病率最高。在家庭层面评估心理健康需求对于识别特别容易患精神障碍的儿童、制定有针对性的干预措施以及理解风险的代际传递非常重要。
