Prevalence and correlates of mental disorders among adolescents in Italy: the PrISMA study

Background While in the last 5 years several studies have been conducted in Italy on the prevalence of mental disorders in adults, to date no epidemiological study has been targeted on mental disorders in adolescents. Method A two-phase study was conducted on 3,418 participants using the child behav...

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Veröffentlicht in:European child & adolescent psychiatry 2009-04, Vol.18 (4), p.217-226
Hauptverfasser: Frigerio, Alessandra, Rucci, Paola, Goodman, Robert, Ammaniti, Massimo, Carlet, Ombretta, Cavolina, Pina, De Girolamo, Giovanni, Lenti, Carlo, Lucarelli, Loredana, Mani, Elisa, Martinuzzi, Andrea, Micali, Nadia, Milone, Annarita, Morosini, Pierluigi, Muratori, Filippo, Nardocci, Franco, Pastore, Valentina, Polidori, Gabriella, Tullini, Andrea, Vanzin, Laura, Villa, Laura, Walder, Mauro, Zuddas, Alessandro, Molteni, Massimo
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container_end_page 226
container_issue 4
container_start_page 217
container_title European child & adolescent psychiatry
container_volume 18
creator Frigerio, Alessandra
Rucci, Paola
Goodman, Robert
Ammaniti, Massimo
Carlet, Ombretta
Cavolina, Pina
De Girolamo, Giovanni
Lenti, Carlo
Lucarelli, Loredana
Mani, Elisa
Martinuzzi, Andrea
Micali, Nadia
Milone, Annarita
Morosini, Pierluigi
Muratori, Filippo
Nardocci, Franco
Pastore, Valentina
Polidori, Gabriella
Tullini, Andrea
Vanzin, Laura
Villa, Laura
Walder, Mauro
Zuddas, Alessandro
Molteni, Massimo
description Background While in the last 5 years several studies have been conducted in Italy on the prevalence of mental disorders in adults, to date no epidemiological study has been targeted on mental disorders in adolescents. Method A two-phase study was conducted on 3,418 participants using the child behavior checklist/6–18 (CBCL) and the development and well-being assessment (DAWBA), a structured interview with verbatim reports reviewed by clinicians. Results The prevalence of CBCL caseness and DSM-IV disorders was 9.8% (CI 8.8–10.8%) and 8.2% (CI 4.2–12.3%), respectively. DSM-IV Emotional disorders were more frequently observed (6.5% CI 2.2–10.8%) than externalizing disorders (1.2% CI 0.2–2.3%). In girls, prevalence estimates increased significantly with age; furthermore, living with a single parent, low level of maternal education, and low family income were associated with a higher likelihood of suffering from emotional or behavioral problems. Conclusions Approximately one in ten adolescents has psychological problems. Teachers and clinicians should focus on boys and girls living with a single parent and/or in disadvantaged socioeconomic conditions.
doi_str_mv 10.1007/s00787-008-0720-x
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Method A two-phase study was conducted on 3,418 participants using the child behavior checklist/6–18 (CBCL) and the development and well-being assessment (DAWBA), a structured interview with verbatim reports reviewed by clinicians. Results The prevalence of CBCL caseness and DSM-IV disorders was 9.8% (CI 8.8–10.8%) and 8.2% (CI 4.2–12.3%), respectively. DSM-IV Emotional disorders were more frequently observed (6.5% CI 2.2–10.8%) than externalizing disorders (1.2% CI 0.2–2.3%). In girls, prevalence estimates increased significantly with age; furthermore, living with a single parent, low level of maternal education, and low family income were associated with a higher likelihood of suffering from emotional or behavioral problems. Conclusions Approximately one in ten adolescents has psychological problems. Teachers and clinicians should focus on boys and girls living with a single parent and/or in disadvantaged socioeconomic conditions.</description><identifier>ISSN: 1018-8827</identifier><identifier>EISSN: 1435-165X</identifier><identifier>DOI: 10.1007/s00787-008-0720-x</identifier><identifier>PMID: 19165539</identifier><identifier>CODEN: EAPSE9</identifier><language>eng</language><publisher>Darmstadt: Steinkopff-Verlag</publisher><subject>Adolescent ; Adolescents ; Adult and adolescent clinical studies ; Behavior ; Biological and medical sciences ; Child ; Child &amp; adolescent psychiatry ; Child and Adolescent Psychiatry ; Child development ; Children &amp; youth ; Diagnostic and Statistical Manual of Mental Disorders ; Estimates ; Family income ; Female ; Girls ; Humans ; Italy ; Italy - epidemiology ; Male ; Medical sciences ; Medicine ; Medicine &amp; Public Health ; Mental disorders ; Mental Disorders - diagnosis ; Mental Disorders - epidemiology ; Mental Disorders - psychology ; Mental health ; Miscellaneous ; Original Contribution ; Prevalence ; Psychiatric disorders ; Psychiatry ; Psychology. 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Method A two-phase study was conducted on 3,418 participants using the child behavior checklist/6–18 (CBCL) and the development and well-being assessment (DAWBA), a structured interview with verbatim reports reviewed by clinicians. Results The prevalence of CBCL caseness and DSM-IV disorders was 9.8% (CI 8.8–10.8%) and 8.2% (CI 4.2–12.3%), respectively. DSM-IV Emotional disorders were more frequently observed (6.5% CI 2.2–10.8%) than externalizing disorders (1.2% CI 0.2–2.3%). In girls, prevalence estimates increased significantly with age; furthermore, living with a single parent, low level of maternal education, and low family income were associated with a higher likelihood of suffering from emotional or behavioral problems. Conclusions Approximately one in ten adolescents has psychological problems. Teachers and clinicians should focus on boys and girls living with a single parent and/or in disadvantaged socioeconomic conditions.</description><subject>Adolescent</subject><subject>Adolescents</subject><subject>Adult and adolescent clinical studies</subject><subject>Behavior</subject><subject>Biological and medical sciences</subject><subject>Child</subject><subject>Child &amp; adolescent psychiatry</subject><subject>Child and Adolescent Psychiatry</subject><subject>Child development</subject><subject>Children &amp; youth</subject><subject>Diagnostic and Statistical Manual of Mental Disorders</subject><subject>Estimates</subject><subject>Family income</subject><subject>Female</subject><subject>Girls</subject><subject>Humans</subject><subject>Italy</subject><subject>Italy - epidemiology</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Medicine</subject><subject>Medicine &amp; Public Health</subject><subject>Mental disorders</subject><subject>Mental Disorders - diagnosis</subject><subject>Mental Disorders - epidemiology</subject><subject>Mental Disorders - psychology</subject><subject>Mental health</subject><subject>Miscellaneous</subject><subject>Original Contribution</subject><subject>Prevalence</subject><subject>Psychiatric disorders</subject><subject>Psychiatry</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychopathology</subject><subject>Psychopathology. Psychiatry</subject><subject>Schools</subject><subject>Severity of Illness Index</subject><subject>Single parents</subject><subject>Socioeconomic factors</subject><subject>Surveys and Questionnaires</subject><subject>Teachers</subject><subject>Teenagers</subject><subject>Urban areas</subject><issn>1018-8827</issn><issn>1435-165X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><sourceid>8G5</sourceid><sourceid>BENPR</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNp9kV1rFTEQhhdR7If-AG8kCCq9WJ187Cbr3aHU9sARCyqINyHdTNot2U1NdkvPv2-WPbQg1JskZJ555x3eonhD4RMFkJ9TPpQsAVQJkkF596zYp4JXJa2r38_zG6gqlWJyrzhI6RqAVg2wl8UebTJR8Wa_-HMe8dZ4HFokZrCkDTGiNyMmEhzpcRiNJ7ZLIVqMiZg-DJfE2OAxtbmYSDeQdWa2X8h4heQ8rn98W5E0Tnb7qnjhjE_4encfFr--nvw8Pis330_Xx6tN2Va8HkvZZE-iVrVsHLOgbMMZUodGcFYBOEutUtm5Qt5eNNKhY8haFFwJgRnnh8XRontlvL6JXW_iVgfT6bPVRs9_AEIqkOKWZvbjwt7E8HfCNOq-y4t4bwYMU9INKGCglMjkh_-StQSmGjZLvvsHvA5THPLGmlHBagGcZ4guUBtDShHdg1EKes5SL1lmr0rPWeq73PN2Jzxd9GgfO3bhZeD9DjCpNd5FM7RdeuAYZZILmB2yhUu5NFxifHT49PR7NtK0dg</recordid><startdate>20090401</startdate><enddate>20090401</enddate><creator>Frigerio, Alessandra</creator><creator>Rucci, Paola</creator><creator>Goodman, Robert</creator><creator>Ammaniti, Massimo</creator><creator>Carlet, Ombretta</creator><creator>Cavolina, Pina</creator><creator>De Girolamo, Giovanni</creator><creator>Lenti, Carlo</creator><creator>Lucarelli, Loredana</creator><creator>Mani, Elisa</creator><creator>Martinuzzi, Andrea</creator><creator>Micali, Nadia</creator><creator>Milone, Annarita</creator><creator>Morosini, Pierluigi</creator><creator>Muratori, Filippo</creator><creator>Nardocci, Franco</creator><creator>Pastore, Valentina</creator><creator>Polidori, Gabriella</creator><creator>Tullini, Andrea</creator><creator>Vanzin, Laura</creator><creator>Villa, Laura</creator><creator>Walder, Mauro</creator><creator>Zuddas, Alessandro</creator><creator>Molteni, Massimo</creator><general>Steinkopff-Verlag</general><general>Springer</general><general>Springer Nature B.V</general><general>Springer Verlag (Germany)</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>0-V</scope><scope>3V.</scope><scope>7QJ</scope><scope>7RV</scope><scope>7TK</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88G</scope><scope>88J</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ALSLI</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>HEHIP</scope><scope>K9-</scope><scope>K9.</scope><scope>KB0</scope><scope>M0R</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>M2O</scope><scope>M2R</scope><scope>M2S</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope><scope>1XC</scope><scope>VOOES</scope></search><sort><creationdate>20090401</creationdate><title>Prevalence and correlates of mental disorders among adolescents in Italy: the PrISMA study</title><author>Frigerio, Alessandra ; Rucci, Paola ; Goodman, Robert ; Ammaniti, Massimo ; Carlet, Ombretta ; Cavolina, Pina ; De Girolamo, Giovanni ; Lenti, Carlo ; Lucarelli, Loredana ; Mani, Elisa ; Martinuzzi, Andrea ; Micali, Nadia ; Milone, Annarita ; Morosini, Pierluigi ; Muratori, Filippo ; Nardocci, Franco ; Pastore, Valentina ; Polidori, Gabriella ; Tullini, Andrea ; Vanzin, Laura ; Villa, Laura ; Walder, Mauro ; Zuddas, Alessandro ; Molteni, Massimo</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c536t-79902468679f2d08d932e1fea432500fd1d880158e3cb97fef2e2ce43844e08d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Adolescent</topic><topic>Adolescents</topic><topic>Adult and adolescent clinical studies</topic><topic>Behavior</topic><topic>Biological and medical sciences</topic><topic>Child</topic><topic>Child &amp; adolescent psychiatry</topic><topic>Child and Adolescent Psychiatry</topic><topic>Child development</topic><topic>Children &amp; 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adolescent psychiatry</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Frigerio, Alessandra</au><au>Rucci, Paola</au><au>Goodman, Robert</au><au>Ammaniti, Massimo</au><au>Carlet, Ombretta</au><au>Cavolina, Pina</au><au>De Girolamo, Giovanni</au><au>Lenti, Carlo</au><au>Lucarelli, Loredana</au><au>Mani, Elisa</au><au>Martinuzzi, Andrea</au><au>Micali, Nadia</au><au>Milone, Annarita</au><au>Morosini, Pierluigi</au><au>Muratori, Filippo</au><au>Nardocci, Franco</au><au>Pastore, Valentina</au><au>Polidori, Gabriella</au><au>Tullini, Andrea</au><au>Vanzin, Laura</au><au>Villa, Laura</au><au>Walder, Mauro</au><au>Zuddas, Alessandro</au><au>Molteni, Massimo</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Prevalence and correlates of mental disorders among adolescents in Italy: the PrISMA study</atitle><jtitle>European child &amp; adolescent psychiatry</jtitle><stitle>Eur Child Adolesc Psychiatry</stitle><addtitle>Eur Child Adolesc Psychiatry</addtitle><date>2009-04-01</date><risdate>2009</risdate><volume>18</volume><issue>4</issue><spage>217</spage><epage>226</epage><pages>217-226</pages><issn>1018-8827</issn><eissn>1435-165X</eissn><coden>EAPSE9</coden><abstract>Background While in the last 5 years several studies have been conducted in Italy on the prevalence of mental disorders in adults, to date no epidemiological study has been targeted on mental disorders in adolescents. Method A two-phase study was conducted on 3,418 participants using the child behavior checklist/6–18 (CBCL) and the development and well-being assessment (DAWBA), a structured interview with verbatim reports reviewed by clinicians. Results The prevalence of CBCL caseness and DSM-IV disorders was 9.8% (CI 8.8–10.8%) and 8.2% (CI 4.2–12.3%), respectively. DSM-IV Emotional disorders were more frequently observed (6.5% CI 2.2–10.8%) than externalizing disorders (1.2% CI 0.2–2.3%). In girls, prevalence estimates increased significantly with age; furthermore, living with a single parent, low level of maternal education, and low family income were associated with a higher likelihood of suffering from emotional or behavioral problems. Conclusions Approximately one in ten adolescents has psychological problems. Teachers and clinicians should focus on boys and girls living with a single parent and/or in disadvantaged socioeconomic conditions.</abstract><cop>Darmstadt</cop><pub>Steinkopff-Verlag</pub><pmid>19165539</pmid><doi>10.1007/s00787-008-0720-x</doi><tpages>10</tpages><oa>free_for_read</oa></addata></record>
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ispartof European child & adolescent psychiatry, 2009-04, Vol.18 (4), p.217-226
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source Applied Social Sciences Index & Abstracts (ASSIA); MEDLINE; Springer Nature - Complete Springer Journals
subjects Adolescent
Adolescents
Adult and adolescent clinical studies
Behavior
Biological and medical sciences
Child
Child & adolescent psychiatry
Child and Adolescent Psychiatry
Child development
Children & youth
Diagnostic and Statistical Manual of Mental Disorders
Estimates
Family income
Female
Girls
Humans
Italy
Italy - epidemiology
Male
Medical sciences
Medicine
Medicine & Public Health
Mental disorders
Mental Disorders - diagnosis
Mental Disorders - epidemiology
Mental Disorders - psychology
Mental health
Miscellaneous
Original Contribution
Prevalence
Psychiatric disorders
Psychiatry
Psychology. Psychoanalysis. Psychiatry
Psychopathology
Psychopathology. Psychiatry
Schools
Severity of Illness Index
Single parents
Socioeconomic factors
Surveys and Questionnaires
Teachers
Teenagers
Urban areas
title Prevalence and correlates of mental disorders among adolescents in Italy: the PrISMA study
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