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PLoS One. 2014 Oct 31;9(10):e111223. doi: 10.1371/journal.pone.0111223. eCollection 2014.

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

Author information

1
Institute of Chronic Disease, Liaoning Provincial Center for Disease Control and Prevention, Shenyang city, China.
2
Department of Psychiatry, Dalian Medical University, Dalian city, China.
3
Department of Chronic Disease, Panjin Oil Field Center for Disease Control and Prevention, Panjin city, China.
4
Department of Psychiatry, Dalian Municipal Hospital of Psychiatric Disease, Dalian city, China.
5
Department of Chronic Disease, Donggang County Municipal Center for Disease Control and Prevention, Donggang county, Liaoning province, China.
6
Department of Chronic Disease, Benxi Municipal Center for Disease Control and Prevention, Benxi, China.
7
Department of Chronic Disease, Qingyuan County Center for Disease Control and Prevention, Qingyuan county, Liaoning province, Qingyuan, China.
8
Department of Chronic Disease, Zhangwu County Center for Disease Control and Prevention, Zhangwu county, Liaoning province, Zhangwu, China.
9
Department of Psychiatry, the 1st Attached Hospital of China Medical University, Shenyang city, China.
10
Department of Chronic Disease, Panjin Municipal Center for Disease Control and Prevention, Panjin 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.

PMID:
25360718
PMCID:
PMC4215989
DOI:
10.1371/journal.pone.0111223
[Indexed for MEDLINE]
Free PMC Article

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