伊朗西部哈马丹省儿童和青少年精神疾病的患病率

The Prevalence of Psychiatric Disorders in Children and Adolescents in Hamadan Province, West of Iran.

作者信息

Ahmadpanah Mohammad, Nazaribadie Marzieh, Mohammadi Mohammad Reza, Hooshyari Zahra, Alavi Seyyed Salman, Ghaleiha Ali, Jahangard Leila, Keshavarzi Amir, Farahmand Sabet Majid, Nabizadeh Safdar, Bagheri Nafiseh, Zaeri Omid Parvaneh, Arji Jale, Kokabi Heidarpoor Faeze, Jedi Ghader Donya, Abbasi Saba, Toluei Narges

机构信息

Research Center for Behavioral Disorders and Substance Abuse, Hamadan University of Medical Sciences, Hamadan, Iran.

Psychiatry and Psychology Research Center, Roozbeh Hospital, Tehran University of Medical Sciences, Tehran, Iran.

出版信息

J Res Health Sci. 2018 Dec 10;18(4):e00432.

PMID:30728318

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6941632/

Abstract

BACKGROUND

There are numerous reports regarding increasing childhood and adolescent mental health problems. The aim of this study was to determine the prevalence of psychiatric disorders in Hamadan Province, west of Iran from July 2016 to May 2017.

STUDY DESIGN

A cross-sectional study.

METHODS

The sample included 1025 Hamadan residents selected using multistage cluster sampling. Psychiatric disorders were assessed by semi-structured psychiatric interview Kiddie-Sads-Present and Lifetime Version (K-SADS-PL). The data were analyzed using the SPSS software. We used the multivariable logistic regression to predict the Odds Ratios (ORs).

RESULTS

The prevalence of total psychiatric disorder was 8.6%. Psychiatric disorders in boys were higher than girls (12.6% and 4.9%, respectively). The psychiatric disorders were most prevalent in 6-9 yr old age group (11%). The prevalence of behavioral disorder was 3.8% with attention deficit hyperactivity disorder (ADHD) as the most prevalent case (2.0%). The prevalence of anxiety disorder was 2.8% in which the highest prevalence belonged to separation anxiety disorder (SAD) (1.1%). The prevalence of neurodevelopment disorder was 1.5% with the highest prevalence of 1% observed in epilepsy. The prevalence of mood disorder was 1.1% with the depressive disorder as the most prevalent one (1.0%). The prevalence of enuresis was 2.7%. The most common comorbidities were anxiety and mood disorders 5(50.0%).

CONCLUSION

The prevalence of these disorders in Hamadan was less than the prevalence in other cities of Iran. These findings can be helpful for large-scale planning for children and adolescents.

摘要

背景

关于儿童和青少年心理健康问题日益增多的报道众多。本研究的目的是确定2016年7月至2017年5月伊朗西部哈马丹省精神障碍的患病率。

研究设计

一项横断面研究。

方法

样本包括采用多阶段整群抽样选取的1025名哈马丹居民。通过半结构化精神病学访谈儿童版情感障碍和精神分裂症问卷（Kiddie-Sads-Present and Lifetime Version，K-SADS-PL）评估精神障碍。使用SPSS软件分析数据。我们使用多变量逻辑回归来预测比值比（ORs）。

结果

精神障碍总患病率为8.6%。男孩的精神障碍患病率高于女孩（分别为12.6%和4.9%）。精神障碍在6至9岁年龄组最为普遍（11%）。行为障碍患病率为3.8%，其中注意力缺陷多动障碍（ADHD）最为常见（2.0%）。焦虑障碍患病率为2.8%，其中分离性焦虑障碍（SAD）患病率最高（1.1%）。神经发育障碍患病率为1.5%，癫痫患病率最高，为1%。情绪障碍患病率为1.1%，其中抑郁症最为普遍（1.0%）。遗尿症患病率为2.7%。最常见的共病是焦虑和情绪障碍，共5例（50.0%）。