Offord D R
Centre for Studies of Children at Risk, Chedoke-McMaster Hospitals and Faculty of Health Sciences, McMaster University, Hamilton, Ontario.
Can J Psychiatry. 1995 Aug;40(6):284-8.
The purpose of this paper is to present selected findings from child psychiatric epidemiology in areas of prevalence and correlates, and discuss issues in interpreting these data and their relevance.
Selected references were used.
Prevalence rates of 1 or more child psychiatric disorders in nonclinical community samples of children and adolescents vary between 17.6% and 22%. Issues in interpreting these data include: the boundary between normal and abnormal, boundary between disorders, disagreement among informants, and problems with instrumentation. Knowledge about the correlates of child psychiatric disorders is quite extensive, but information on causal factors is relatively sparse.
Findings in child psychiatric epidemiology are relevant to clinicians, and future emphasis in the field will be on prospective studies with multiple waves of data from different domains including the child, the family, the school, and the wider community.
本文旨在呈现儿童精神疾病流行病学在患病率及相关因素方面的部分研究结果，并讨论解读这些数据时的问题及其相关性。
使用了选定的参考文献。
儿童和青少年非临床社区样本中一种或多种儿童精神疾病的患病率在17.6%至22%之间。解读这些数据时存在的问题包括：正常与异常的界限、疾病之间的界限、信息提供者之间的分歧以及测量工具的问题。关于儿童精神疾病相关因素的知识相当广泛，但因果因素的信息相对较少。
儿童精神疾病流行病学的研究结果对临床医生具有重要意义，该领域未来的重点将是进行前瞻性研究，收集来自不同领域（包括儿童、家庭、学校和更广泛社区）的多轮数据。
