Armoon Bahram, Ghadipasha Amir, Mohammadi Rasool, Lesage Alain, Harooni Javad, Griffiths Mark D
Social Determinants of Health Research Center, Saveh University of Medical Sciences, Saveh, Iran.
Firoozabadi Hospital, Iran University of Medical Science, Tehran, Iran.
Eur Child Adolesc Psychiatry. 2025 Feb;34(2):535-564. doi: 10.1007/s00787-024-02519-2. Epub 2024 Jul 12.
A meta-analysis was performed to identify the pooled prevalence of mental health disorders (MHDs) among runaway and homeless youth (RHY). Relevant studies published between December 1, 1985, and October 1, 2023, were identified in the PubMed, Scopus, Web of Science, and Cochrane Library databases. A preliminary screening of 11,266 papers resulted in the inclusion of 101 studies. The pooled-prevalence estimates were obtained using a random-effects model. The findings showed varying lifetime prevalence rates of MHDs: 47% (conduct disorders and psychological distress), 43% (depression), 34% (major depressive disorders), 33% (post-traumatic stress disorder), 27% (personality disorders), 25% (attention-deficit/hyperactivity disorder), 23% (bipolar disorders), 22% (anxiety), 21% (oppositional defiant disorders), 15% (anorexia), 15% (adjustment disorders), 14% (dysthymia), 11% (schizophrenia), 9% (obsessive-compulsive disorders), and 8% (gambling disorder). The current prevalence rates were: 31% (depression), 23% (major depressive disorder), 23% (anxiety), 21% (post-traumatic stress disorder), 16% (attention-deficit/hyperactivity disorder), 15% (bipolar disorder), 13% (personality disorders), 13% (oppositional defiant disorders), 8% (schizophrenia), and 6% (obsessive-compulsive disorders). Regular screening and the implementation of evidence-based treatments and the promotion of integration and coordination between mental health services for adolescent minors and young adults with other service systems are recommended.
进行了一项荟萃分析，以确定离家出走和无家可归青少年（RHY）中精神健康障碍（MHD）的合并患病率。在PubMed、Scopus、科学网和考克兰图书馆数据库中检索了1985年12月1日至2023年10月1日期间发表的相关研究。对11266篇论文进行初步筛选后，纳入了101项研究。使用随机效应模型获得合并患病率估计值。研究结果显示，MHD的终生患病率各不相同：47%（品行障碍和心理困扰）、43%（抑郁症）、34%（重度抑郁症）、33%（创伤后应激障碍）、27%（人格障碍）、25%（注意力缺陷多动障碍）、23%（双相情感障碍）、22%（焦虑症）、21%（对立违抗障碍）、15%（厌食症）、15%（适应障碍）、14%（心境恶劣障碍）、11%（精神分裂症）、9%（强迫症）和8%（赌博障碍）。当前患病率为：31%（抑郁症）、23%（重度抑郁症）、23%（焦虑症）、21%（创伤后应激障碍）、16%（注意力缺陷多动障碍）、15%（双相情感障碍）、13%（人格障碍）、13%（对立违抗障碍）、8%（精神分裂症）和6%（强迫症）。建议进行定期筛查，实施循证治疗，并促进为未成年青少年和年轻人提供的心理健康服务与其他服务系统之间的整合与协调。
