Epidemiology of psychiatric disorders in very young children in a Romanian pediatric setting

A growing literature demonstrates that early clinical intervention can reduce risks of adverse psychosocial outcomes. A first step necessary for developing early intervention services is to know the prevalence of clinical disorders, especially in systems that are rebuilding, such as Romania, where t...

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Veröffentlicht in:European child & adolescent psychiatry 2011-10, Vol.20 (10), p.527-535, Article 527
Hauptverfasser: Gleason, Mary Margaret, Zamfirescu, Andrei, Egger, Helen L., Nelson, Charles A., Fox, Nathan A., Zeanah, Charles H.
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container_end_page 535
container_issue 10
container_start_page 527
container_title European child & adolescent psychiatry
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creator Gleason, Mary Margaret
Zamfirescu, Andrei
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Nelson, Charles A.
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description A growing literature demonstrates that early clinical intervention can reduce risks of adverse psychosocial outcomes. A first step necessary for developing early intervention services is to know the prevalence of clinical disorders, especially in systems that are rebuilding, such as Romania, where the mental health system was dismantled under Ceausescu. No epidemiologic studies have examined prevalence of psychiatric disorders in young children in Romania. The objective of this study was to determine the prevalence of psychiatric disorders in Romanian children 18–60 months in pediatric settings. Parents of 1,003 children 18–60 months in pediatric waiting rooms of two pediatric hospitals completed background information, the Child Behavior Checklist (CBCL). A subgroup over-sampled for high mental health problems were invited to participate in the Preschool Age Psychiatric Assessment. Rates of mental health problems were similar to the US norms on the CBCL. The weighted prevalence of psychiatric disorders in these children was 8.8%, with 5.4% with emotional disorders and 1.4% with behavioral disorders. Comorbidity occurred in nearly one-fourth of the children with a psychiatric disorder and children who met diagnostic criteria had more functional impairment than those without. Of children who met criteria for a psychiatric disorder, 10% of parents were concerned about their child’s emotional or behavioral health. This study provides prevalence rates of psychiatric disorders in young Romanian children, clinical characteristic of the children and families that can guide developing system of care. Cultural differences in parental report of emotional and behavioral problems warrant further examination.
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A first step necessary for developing early intervention services is to know the prevalence of clinical disorders, especially in systems that are rebuilding, such as Romania, where the mental health system was dismantled under Ceausescu. No epidemiologic studies have examined prevalence of psychiatric disorders in young children in Romania. The objective of this study was to determine the prevalence of psychiatric disorders in Romanian children 18–60 months in pediatric settings. Parents of 1,003 children 18–60 months in pediatric waiting rooms of two pediatric hospitals completed background information, the Child Behavior Checklist (CBCL). A subgroup over-sampled for high mental health problems were invited to participate in the Preschool Age Psychiatric Assessment. Rates of mental health problems were similar to the US norms on the CBCL. The weighted prevalence of psychiatric disorders in these children was 8.8%, with 5.4% with emotional disorders and 1.4% with behavioral disorders. Comorbidity occurred in nearly one-fourth of the children with a psychiatric disorder and children who met diagnostic criteria had more functional impairment than those without. Of children who met criteria for a psychiatric disorder, 10% of parents were concerned about their child’s emotional or behavioral health. This study provides prevalence rates of psychiatric disorders in young Romanian children, clinical characteristic of the children and families that can guide developing system of care. 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Comorbidity occurred in nearly one-fourth of the children with a psychiatric disorder and children who met diagnostic criteria had more functional impairment than those without. Of children who met criteria for a psychiatric disorder, 10% of parents were concerned about their child’s emotional or behavioral health. This study provides prevalence rates of psychiatric disorders in young Romanian children, clinical characteristic of the children and families that can guide developing system of care. 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source MEDLINE; Applied Social Sciences Index & Abstracts (ASSIA); SpringerLink Journals - AutoHoldings
subjects Behavior
Biological and medical sciences
Checklist
Chi-Square Distribution
Child and Adolescent Psychiatry
Child Behavior - psychology
Child Behavior Disorders - epidemiology
Child clinical studies
Child, Preschool
Children
Children & youth
Comorbidity
Educational Status
Epidemiology
Female
Hospitals
Humans
Infant
Male
Medical sciences
Medicine
Medicine & Public Health
Mental disorders
Mental Disorders - epidemiology
Mental health
Miscellaneous
Original Contribution
Paediatrics
Parents
Parents & parenting
Pediatrics
Preschool education
Prevalence
Psychiatric disorders
Psychiatric Status Rating Scales
Psychiatry
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Romania - epidemiology
Sex Factors
Young children
title Epidemiology of psychiatric disorders in very young children in a Romanian pediatric setting
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