Fombonne E
Institute of Psychiatry/MRC Child Psychiatry Unit, London, UK.
Eur Arch Psychiatry Clin Neurosci. 1998;248(1):14-21. doi: 10.1007/s004060050013.
The evidence for an increased incidence of rates of psychosocial disorders including depression, suicide, delinquency, eating disorders, and drug and alcohol abuse is summarized. Findings from prospective studies, family genetic studies, community surveys, repeated cross-sectional surveys, and data from mortality and police statistics suggest that the increase over time of several of these disorders is supported by epidemiological evidence, particularly for suicide, delinquency, addictive behaviors, and depression. Several studies also indicate that an earlier age of onset for these disorders is seen in the most recent birth cohorts, with most of these disorders having their onset in adolescent years. The implications of these findings for child psychiatric treatment and services are discussed.
本文总结了心理社会障碍发病率上升的证据,这些障碍包括抑郁症、自杀、犯罪、饮食失调以及药物和酒精滥用。前瞻性研究、家庭遗传学研究、社区调查、重复横断面调查的结果,以及死亡率和警方统计数据表明,流行病学证据支持这些障碍中的几种随着时间推移而增加,特别是自杀、犯罪、成瘾行为和抑郁症。几项研究还表明,在最近出生的队列中,这些障碍的发病年龄更早,其中大多数障碍在青少年时期发病。本文讨论了这些发现对儿童精神科治疗和服务的影响。