Walter R, Remschmidt H
Klinik und Poliklinik für Kinder- und Jugendpsychiatrie, Philipps-Universität Marburg.
Prax Kinderpsychol Kinderpsychiatr. 1994 Jul-Aug;43(6):223-9.
The article reports the results of an investigation of N = 1.969 school children (aged 6 to 17) of three rural communities, who had been assessed by a German version of the Child Behavior Checklist (Achenbach u. Edelbrock 1983). It was intended to determine the prevalence of clinical maladjustment and to investigate the effectiveness of selective factors in referring to child psychiatric facilities. The case definition was based on those items (behavior disorders), which were rated as in need for counseling or treatment by experts. After a statistical comparison with a sample of referred children the criterion was set up at two or more of such critical items. 12.7% of the school children fulfilled this condition, but most of them (87.6%) had not used institutional services. The rate of children and adolescents, who need psychotherapy was estimated lower (less than 10%). The readiness to refer clinical maladjusted children to child psychiatric facilities was influenced by age and socio economic status, but not by sex and foreign nationality.
该文章报告了对三个农村社区的1969名学童（6至17岁）进行调查的结果，这些学童通过德文版的儿童行为检查表（Achenbach和Edelbrock，1983年）进行了评估。目的是确定临床适应不良的患病率，并调查在转诊至儿童精神科机构方面选择因素的有效性。病例定义基于那些被专家评定为需要咨询或治疗的项目（行为障碍）。在与转诊儿童样本进行统计比较后，标准设定为两个或更多此类关键项目。12.7%的学童符合这一条件，但其中大多数（87.6%）未使用机构服务。需要心理治疗的儿童和青少年比例估计较低（不到10%）。将临床适应不良的儿童转诊至儿童精神科机构的意愿受年龄和社会经济地位影响，但不受性别和外国国籍影响。
