Bird H R, Canino G, Rubio-Stipec M, Gould M S, Ribera J, Sesman M, Woodbury M, Huertas-Goldman S, Pagan A, Sanchez-Lacay A
Department of Psychiatry, Columbia University College of Physicians and Surgeons, New York, NY 10032.
Arch Gen Psychiatry. 1988 Dec;45(12):1120-6. doi: 10.1001/archpsyc.1988.01800360068010.
A two-stage epidemiologic survey was carried out on a probability sample of the population aged 4 through 16 years in Puerto Rico. The survey used the Child Behavior Checklist as a screening instrument, and prevalence rates were estimated on the basis of clinical diagnoses and other measures provided by child psychiatrists during the second stage. Maladjustment was operationally defined through the use of combined measures, including DSM-III diagnosis and a scale of functional impairment. Data were provided on the demographic correlates of maladjustment and on the comorbidity of DSM-III diagnostic domains. The prevalence rates obtained vis-à-vis the availability of mental health services on the island reflected a major public health problem.
对波多黎各4至16岁的概率抽样人群进行了两阶段的流行病学调查。该调查使用儿童行为检查表作为筛查工具，并根据儿童精神科医生在第二阶段提供的临床诊断和其他测量方法来估计患病率。适应不良通过综合测量进行操作性定义，包括DSM-III诊断和功能损害量表。提供了关于适应不良的人口统计学相关因素以及DSM-III诊断领域共病的数据。相对于该岛心理健康服务的可及性所获得的患病率反映出一个重大的公共卫生问题。
