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Prevalence of psychiatric disorders among children and adolescents in northeast China.

Xiaoli Y, Chao J, Wen P, Wenming X, Fang L, Ning L, Huijuan M, Jun N, Ming L, Xiaoxia A, Chuanyou Y, Zenguo F, Lili L, Lianzheng Y, Lijuan T, Guowei P - PLoS ONE (2014)

Bottom Line: Of the 805 children with a psychiatric disorder, 15.2% had two or more comorbid disorders.Approximately one in ten Chinese school children has psychiatric disorders involving a level of distress or social impairment likely to warrant treatment.Prevention, early identification and treatment of these disorders are urgently needed and pose a serious challenge in China.

View Article: PubMed Central - PubMed

Affiliation: Institute of Chronic Disease, Liaoning Provincial Center for Disease Control and Prevention, Shenyang city, China.

ABSTRACT

Background: To describe the prevalence of DSM-IV disorders and comorbidity in a large school-based sample of 6-17 year old children and adolescents in northeast China.

Methods: A two-phase cross-sectional study was conducted on 9,806 children. During the screening phase, 8848 children (90.23%) and their mothers and teachers were interviewed using the Strengths and Difficulties Questionnaire (SDQ). During the diagnostic phase, 1129 children with a positive SDQ and 804 randomly selected children with a negative SDQ (11%), and their mothers and teachers, were interviewed using the Development and Well-Being Assessment (DAWBA).

Results: The overall prevalence of DSM-IV disorders was 9.49% (95% CI = 8.10-11.10%). Anxiety disorders were the most common (6.06%, 95% CI = 4.92-7.40), followed by depression (1.32%, 95% CI = 0.91-1.92%), oppositional defiant disorder (1.21%, 95%CI = 0.77-1.87) and attention-deficit hyperactivity disorder (0.84%, 95% CI = 0.52-1.36%). Of the 805 children with a psychiatric disorder, 15.2% had two or more comorbid disorders.

Conclusions: Approximately one in ten Chinese school children has psychiatric disorders involving a level of distress or social impairment likely to warrant treatment. Prevention, early identification and treatment of these disorders are urgently needed and pose a serious challenge in China.

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Comorbidity (%) among the 805 children with a psychiatric disorder.
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pone-0111223-g002: Comorbidity (%) among the 805 children with a psychiatric disorder.

Mentions: Of the 805 children with any DSM-IV psychiatric disorder, 683 (84.8%) had just one type of disorder (anxiety, depression, ADHD, oppositional-conduct disorder, or less common disorder), 117 (14.5%) had two types of disorder, only 3 (0.4%) and 2 (0.2%) had three and four types. Figure 2 illustrates the comorbidity between anxiety disorders, depressive disorders, and disruptive disorders. Children with depression were most likely to have a comorbid diagnosis (36.4%), followed by children with a disruptive disorder (23.5%), while children with an anxiety disorder have the lowest rate (13.7%).


Prevalence of psychiatric disorders among children and adolescents in northeast China.

Xiaoli Y, Chao J, Wen P, Wenming X, Fang L, Ning L, Huijuan M, Jun N, Ming L, Xiaoxia A, Chuanyou Y, Zenguo F, Lili L, Lianzheng Y, Lijuan T, Guowei P - PLoS ONE (2014)

Comorbidity (%) among the 805 children with a psychiatric disorder.
© Copyright Policy
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4215989&req=5

pone-0111223-g002: Comorbidity (%) among the 805 children with a psychiatric disorder.
Mentions: Of the 805 children with any DSM-IV psychiatric disorder, 683 (84.8%) had just one type of disorder (anxiety, depression, ADHD, oppositional-conduct disorder, or less common disorder), 117 (14.5%) had two types of disorder, only 3 (0.4%) and 2 (0.2%) had three and four types. Figure 2 illustrates the comorbidity between anxiety disorders, depressive disorders, and disruptive disorders. Children with depression were most likely to have a comorbid diagnosis (36.4%), followed by children with a disruptive disorder (23.5%), while children with an anxiety disorder have the lowest rate (13.7%).

Bottom Line: Of the 805 children with a psychiatric disorder, 15.2% had two or more comorbid disorders.Approximately one in ten Chinese school children has psychiatric disorders involving a level of distress or social impairment likely to warrant treatment.Prevention, early identification and treatment of these disorders are urgently needed and pose a serious challenge in China.

View Article: PubMed Central - PubMed

Affiliation: Institute of Chronic Disease, Liaoning Provincial Center for Disease Control and Prevention, Shenyang city, China.

ABSTRACT

Background: To describe the prevalence of DSM-IV disorders and comorbidity in a large school-based sample of 6-17 year old children and adolescents in northeast China.

Methods: A two-phase cross-sectional study was conducted on 9,806 children. During the screening phase, 8848 children (90.23%) and their mothers and teachers were interviewed using the Strengths and Difficulties Questionnaire (SDQ). During the diagnostic phase, 1129 children with a positive SDQ and 804 randomly selected children with a negative SDQ (11%), and their mothers and teachers, were interviewed using the Development and Well-Being Assessment (DAWBA).

Results: The overall prevalence of DSM-IV disorders was 9.49% (95% CI = 8.10-11.10%). Anxiety disorders were the most common (6.06%, 95% CI = 4.92-7.40), followed by depression (1.32%, 95% CI = 0.91-1.92%), oppositional defiant disorder (1.21%, 95%CI = 0.77-1.87) and attention-deficit hyperactivity disorder (0.84%, 95% CI = 0.52-1.36%). Of the 805 children with a psychiatric disorder, 15.2% had two or more comorbid disorders.

Conclusions: Approximately one in ten Chinese school children has psychiatric disorders involving a level of distress or social impairment likely to warrant treatment. Prevention, early identification and treatment of these disorders are urgently needed and pose a serious challenge in China.

Show MeSH
Related in: MedlinePlus