a Department of Psychiatry , University of Sao Paulo Medical School , Sao Paulo , Brazil.
b Department of Psychiatry , Federal University of Rio Grande do Sul , Porto Alegre , Brazil.
J Ment Health. 2018 Dec;27(6):588-594. doi: 10.1080/09638237.2018.1466041. Epub 2018 Apr 28.
Mental disorders are common health problems associated with serious impairment and economic impact.
To estimate the costs of clinical and subthreshold mental disorders in a sample of Brazilian children.
The High Risk Cohort Study is a community study conducted in two major Brazilian cities. Subjects were 6-14 years old children being registered at school. From an initial pool of 9937 children, two subgroups were further investigated using a random-selection (n = 958) and high-risk group selection procedure (n = 1554), resulting in a sample of 2512 subjects. Mental disorder assessment was made using the Development and Well-Being Assessment. Costs for each child were estimated from the following components: mental health and social services use, school problems and parental loss of productivity.
Child subthreshold and clinical mental disorders showed lifetime mean total cost of $1750.9 and $3141.2, respectively. National lifetime cost estimate was $9.9 billion for subthreshold mental disorders and $11.6 billion for clinical mental disorders (values in US$ purchasing power parity).
This study provides evidence that child mental disorders have a great economic impact on society. There is an urgent need to plan an effective system of care with cost-effective programs of treatment and prevention to reduce economic burden.
精神障碍是常见的健康问题，会导致严重的身体损伤和经济影响。
评估巴西儿童样本中临床和亚临床精神障碍的成本。
高危队列研究是在巴西两个主要城市进行的社区研究。研究对象为 6-14 岁在校儿童。从最初的 9937 名儿童中，通过随机选择（n=958）和高风险组选择程序（n=1554）进一步调查了两个亚组，最终确定了 2512 名儿童的样本。使用发展和健康评估量表对精神障碍进行评估。从以下几个方面估计每个儿童的成本：精神卫生和社会服务的使用、学校问题和父母生产力的损失。
儿童亚临床和临床精神障碍的终身总成本分别为 1750.9 美元和 3141.2 美元。国家终生的亚临床精神障碍的成本估计为 99 亿美元，临床精神障碍的成本估计为 116 亿美元（以美元的购买力平价计算）。
这项研究提供了证据表明儿童精神障碍对社会有重大的经济影响。迫切需要规划一个有效的医疗系统，制定具有成本效益的治疗和预防方案，以减轻经济负担。
