Mullick Mohammad S I, Islam Monirul
Department of Psychiatry, Bangabandhu Sheikh Mujib Medical University (BSSMMU), Dhaka, Bangladesh.
Department of Psychiatry, Bangabandhu Sheikh Mujib Medical University (BSSMMU), Dhaka, Bangladesh.
Asian J Psychiatr. 2020 Dec;54:102368. doi: 10.1016/j.ajp.2020.102368. Epub 2020 Sep 1.
Preschool period is the most important stage of life when major development occurs that lays the foundation of later life. Nearly similar ranges of psychiatric disorders start during preschool age and they continue to childhood and adolescence. Early intervention can reduce risks of adverse psychosocial outcome and longitudinal continuity of disorders. Detailed assessment of psychiatric disorders among this population is increasingly of high importance. Present study was aimed to determine the prevalence of psychiatric disorders among 3-4 year olds and to find out possible baseline correlates. This was a quantitative, cross-sectional and descriptive study carried out from March to May 2018 in 160 random urban community samples of Dhaka city. Of these, 86 were boys and 74 were girls. Household Questionnaire and validated parent version of Bangla Strengths and Difficulties Questionnaire (SDQ) for screening psychopathology had been applied to the consented parents or caregivers of the respondents. Mean age of the subjects was 3.63 ± 0.49 years. Overall, predictive prevalence of psychiatric disorder was 11.9 %. Among them, 4.4 % was emotional disorder, 5.6 % was conduct disorder and 1.9 % was hyperactivity. Prevalence of predictive psychiatric disorders was roughly similar in 3 and 4 years age. Girls had an excess of emotional disorder and boys had more behavioral disorder. Comorbidity was found at a higher rate with significant overlapping among the broad types of psychiatric disorders. This study supports the other findings of psychiatric disorders among the preschool children that would ultimately help in applying suitable screening procedures and subsequent management of psychiatric conditions.
学龄前阶段是人生中最重要的阶段，此时会发生重大发育，为日后的生活奠定基础。几乎相似范围的精神障碍始于学龄前阶段，并持续到儿童期和青少年期。早期干预可以降低不良心理社会后果的风险以及障碍的纵向持续性。对这一人群中的精神障碍进行详细评估变得越来越重要。本研究旨在确定3至4岁儿童中精神障碍的患病率，并找出可能的基线相关因素。这是一项定量、横断面描述性研究，于2018年3月至5月在达卡市的160个随机城市社区样本中进行。其中，86名是男孩，74名是女孩。已将家庭问卷和经过验证的孟加拉语优势与困难问卷（SDQ）家长版应用于受访者同意参与的家长或照顾者，以筛查精神病理学问题。受试者的平均年龄为3.63±0.49岁。总体而言，精神障碍的预测患病率为11.9%。其中，4.4%为情绪障碍，5.6%为品行障碍，1.9%为多动障碍。3岁和4岁儿童的预测精神障碍患病率大致相似。女孩情绪障碍较多，男孩行为障碍较多。在广泛的精神障碍类型中，共病率较高，且有明显重叠。本研究支持了学龄前儿童精神障碍的其他研究结果，这最终将有助于应用合适的筛查程序以及随后对精神疾病的管理。
