儿科初级保健诊所中的精神障碍
Psychiatric disorders in a paediatric primary care clinic.
作者信息
Gureje O, Omigbodun O O, Gater R, Acha R A, Ikuesan B A, Morris J
机构信息
Department of Psychiatry, University College Hospital, Ibadan, Nigeria.
出版信息
Br J Psychiatry. 1994 Oct;165(4):527-30. doi: 10.1192/bjp.165.4.527.
BACKGROUND
The proportion of children with psychiatric disorders treated in primary care is not known in most developing countries.
METHOD
In a two-stage epidemiological study, 990 children aged between 7 and 14 years were screened with the parents' version of the Rutter scale. Of these, a stratified sample of 227 was interviewed jointly with their mothers, using the children's version of the Schedule for Affective Disorders and Schizophrenia (K-SADS).
RESULTS
We obtained a weighted prevalence of 19.6 +/- 2.5% for the presence of one or more DSM-III-R disorders. Depressive disorders were present in 6.0%, anxiety-related disorders in 4.7%, and conduct disorders in 6.1%.
CONCLUSION
Psychiatric disorders in children are common in primary care. Doctors working at this level of care need the skills to detect and treat them.
背景
在大多数发展中国家，初级保健机构中接受治疗的患有精神疾病的儿童比例尚不清楚。
方法
在一项两阶段的流行病学研究中，使用父母版的拉特量表对990名7至14岁的儿童进行了筛查。其中，从这些儿童中抽取了一个227人的分层样本，与他们的母亲一起使用儿童版的情感障碍和精神分裂症检查表（K-SADS）进行访谈。
结果
我们得出一种或多种DSM-III-R障碍的加权患病率为19.6±2.5%。抑郁症的患病率为6.0%，焦虑相关障碍的患病率为4.7%，品行障碍的患病率为6.1%。
结论
儿童精神疾病在初级保健中很常见。在此级别提供护理的医生需要具备检测和治疗这些疾病的技能。
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