[俄罗斯人群中幼儿心理和发育障碍风险筛查（2017 - 2019年）]

[Screening of the risk of mental and developmental disorders in children of early age in the Russian population (2017-2019)].

作者信息

Simashkova N V, Ivanov M V, Makushkin E V, Sharlay I A, Klyushnik T P, Kozlovskaya G V

机构信息

Mental Health Research Center, Moscow, Russia.

Serbsky Federal Medical Research Center of Psychiatry and Narcology, Moscow, Russia.

出版信息

Zh Nevrol Psikhiatr Im S S Korsakova. 2020;120(11):79-86. doi: 10.17116/jnevro202012011179.

DOI:10.17116/jnevro202012011179

PMID:33340302

Abstract

OBJECTIVE

Screening of children 18-48 months of age at risk of mental and developmental disorders in the general population.

MATERIAL AND METHODS

The survey was conducted by a continuous epidemiological method in primary health care institutions in the nine largest regions of Russia. For the period 2017-2019, 595 691 parents of children, aged 18-48 months, were surveyed.

RESULTS AND CONCLUSION

The prevalence risk rate for mental and developmental disorders was determined as 1.307:10 000. The prevalence rate for mental and behavioural disorders (ICD-10) was 151:10 000. The analysis of the structure of mental and behavioural disorders was carried out. An increase in cases of pervasive developmental disorders (item F84) was detected - autism spectrum disorders (ASD) with an increase in the age of children. The prevalence of ASD under the age of 48 months was found to be 18:10 000, compared with 2015-2016 - 5:10 000 under the age of 24 months.

摘要

目的

筛查普通人群中18至48个月大的有精神和发育障碍风险的儿童。

材料与方法

通过连续流行病学方法在俄罗斯九个最大地区的初级卫生保健机构中进行调查。在2017 - 2019年期间，对595691名18至48个月大儿童的父母进行了调查。

结果与结论

精神和发育障碍的患病风险率确定为1.307:10000。精神和行为障碍（ICD - 10）的患病率为151:10000。对精神和行为障碍的结构进行了分析。发现广泛性发育障碍（F84项）病例有所增加——自闭症谱系障碍（ASD）随着儿童年龄增长而增加。发现48个月以下儿童的ASD患病率为18:10000，而2015 - 2016年24个月以下儿童的患病率为5:10000。