Prevalence of Child and Adolescent Psychiatric Disorders in Southeast Brazil

To describe the prevalence of DSM-IV disorders and the pattern of comorbidity in a population-based sample of 7- to 14-year-old Brazilian schoolchildren. Random sampling of schools (stratified into private, public rural, and public urban) was followed by random sampling of pupils from school lists....

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Veröffentlicht in:Journal of the American Academy of Child and Adolescent Psychiatry 2004-06, Vol.43 (6), p.727-734
Hauptverfasser: Fleitlich-Bilyk, Bacy, Goodman, Robert
Format: Artikel
Sprache:eng
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Zusammenfassung:To describe the prevalence of DSM-IV disorders and the pattern of comorbidity in a population-based sample of 7- to 14-year-old Brazilian schoolchildren. Random sampling of schools (stratified into private, public rural, and public urban) was followed by random sampling of pupils from school lists. In 2000–2001, a total of 1,251 children were assessed for DSM-IV diagnoses using the Development and Well-Being Assessment, a structured multiinformant assessment supplemented by verbatim reports reviewed by clinicians. The response rate was 83%. The overall prevalence of DSM-IV disorders was 12.7% (95% confidence interval = 9.8%–15.5%), with 3.5% of children being assigned as not otherwise specified rather than operationalized diagnoses. The overall prevalence of psychiatric disorder was significantly higher than in a British study with the same measures and diagnostic procedures (12.7% versus 9.7%, p = .02). Approximately one in eight schoolchildren in the study area in the southeast of Brazil have psychiatric disorders involving a level of distress or social impairment likely to warrant treatment. The gulf between need and provision is currently vast.
ISSN:0890-8567
1527-5418
DOI:10.1097/01.chi.0000120021.14101.ca