Lahey B B, Flagg E W, Bird H R, Schwab-Stone M E, Canino G, Dulcan M K, Leaf P J, Davies M, Brogan D, Bourdon K, Horwitz S M, Rubio-Stipec M, Freeman D H, Lichtman J H, Shaffer D, Goodman S H, Narrow W E, Weissman M M, Kandel D B, Jensen P S, Richters J E, Regier D A
Department of Psychiatry, University of Chicago, IL 60637, USA.
J Am Acad Child Adolesc Psychiatry. 1996 Jul;35(7):855-64. doi: 10.1097/00004583-199607000-00011.
A collaborative study was conducted to develop methods for surveys of mental disorder and service utilization in unscreened population-based samples of children and adolescents.
Probability household samples of youths 9 through 17 years of age were selected at four sites and interviews were conducted with a total of 1,285 pairs of youths and their adult caretakers in their homes. Lay interviewers administered a computer-assisted version of the NIMH Diagnostic Interview Schedule for Children Version 2.3 and structured interviews to assess demographic variables, functional impairment, risk factors, service utilization, and barriers to service utilization.
More than 7,500 households were enumerated at four sites, with enumeration response rates above 99%. Across sites, 84% of eligible youth-caretaker pairs were interviewed for about 2 hours each. Ninety-five percent of both youths and caretakers found the interview to be acceptable enough to recommend to a friend.
These findings indicate that large-scale epidemiological surveys of mental disorders and mental health service use involving lengthy interviews in the homes of unscreened population-based samples of youths and their adult caretakers are acceptable to the community and can achieve good response rates. The other reports in this Special Section address the reliability and validity of the various survey instruments and other key findings.
开展一项合作研究，以开发针对未筛查的儿童和青少年人群样本进行精神障碍及服务利用情况调查的方法。
在四个地点选取9至17岁青少年的概率性家庭样本，共对1285对青少年及其成年照料者进行了家访。非专业访谈员采用计算机辅助版的美国国立精神卫生研究所儿童诊断访谈量表第二版3.0，并通过结构化访谈来评估人口统计学变量、功能损害、风险因素、服务利用情况及服务利用障碍。
在四个地点共普查了7500多户家庭，普查应答率超过99%。在各个地点，84%符合条件的青少年-照料者对接受了访谈，每次访谈约2小时。95%的青少年和照料者都认为该访谈足够可接受，足以推荐给朋友。
这些结果表明，在未筛查的青少年及其成年照料者人群样本家中进行涉及长时间访谈的精神障碍和心理健康服务利用情况的大规模流行病学调查，社区是可以接受的，并且能够获得较高的应答率。本特刊的其他报告探讨了各种调查工具的信度和效度以及其他关键结果。
