学龄前儿童精神障碍的患病率及其相关因素
Prevalence rates and correlates of psychiatric disorders among preschool children.
作者信息
Lavigne J V, Gibbons R D, Christoffel K K, Arend R, Rosenbaum D, Binns H, Dawson N, Sobel H, Isaacs C
机构信息
Department of Child and Adolescent Psychiatry, Children's Memorial Hospital (#10), Chicago, IL 60614, USA.
出版信息
J Am Acad Child Adolesc Psychiatry. 1996 Feb;35(2):204-14. doi: 10.1097/00004583-199602000-00014.
OBJECTIVE
To determine the prevalence and correlates of psychiatric disorders among preschool children in a primary care pediatric sample.
METHOD
In a two-stage design, 3,860 preschool children were screened; 510 received fuller evaluations.
RESULTS
For quantitative assessment of disorder (> or = 90th percentile), prevalence of behavior problems was 8.3%. "Probable" occurrence of an Axis I DSM-III-R disorder was 21.4% (9.1%, severe). Logistic regression analyses indicated significant demographic correlates for quantitative outcomes (older age, minority status, male sex, low socio-economic status, father absence, small family size) but not for DSM-III-R diagnoses. Maternal and family characteristics were generally not significant. Child correlates included activity level, timidity, persistence, and IQ.
CONCLUSIONS
Overall prevalence of disorder was consistent with rates for older children; correlates varied by approach used for classification.
目的
确定初级保健儿科样本中学龄前儿童精神障碍的患病率及其相关因素。
方法
采用两阶段设计，对3860名学龄前儿童进行筛查；510名儿童接受了更全面的评估。
结果
对于障碍的定量评估（≥第90百分位数），行为问题的患病率为8.3%。轴I DSM-III-R障碍“可能”出现的比例为21.4%（严重的为9.1%）。逻辑回归分析表明，定量结果存在显著的人口统计学相关因素（年龄较大、少数族裔身份、男性、社会经济地位低、父亲缺失、家庭规模小），但与DSM-III-R诊断无关。母亲和家庭特征一般不显著。与儿童相关的因素包括活动水平、胆小、坚持性和智商。
结论
障碍的总体患病率与大龄儿童的患病率一致；相关因素因分类方法而异。
Zotero 插件