Prevalence and development of psychiatric disorders in childhood and adolescence

被引:2672
作者
Costello, EJ
Mustillo, S
Erkanli, A
Keeler, G
Angold, A
机构
[1] Duke Univ, Sch Med, Ctr Dev Epidemiol, Dept Psychiat & Behav Sci, Durham, NC 27710 USA
[2] Duke Univ, Sch Med, Dept Biostat & Bioinformat, Durham, NC 27710 USA
关键词
D O I
10.1001/archpsyc.60.8.837
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
Background: This longitudinal community study assessed the prevalence and development of psychiatric disorders from age 9 through 16 years and examined homotypic and heterotypic continuity. Methods: A representative population sample of 1420 children aged 9 to 13 years at intake were assessed annually for DSM-IV disorders until age 16 years. Results: Although 3-month prevalence of any disorder averaged 13.3% (95% confidence interval [CI], 11.7%-15.0%), during the study period 36.7% of participants (31% of girls and 42% of boys) had at least 1 psychiatric disorder. Some disorders (social anxiety, panic, depression, and substance abuse) increased in prevalence, whereas others, including separation anxiety disorder and attention-deficit/hyperactivity disorder (ADHD), decreased. Lagged analyses showed that children With a history of psychiatric disorder were 3 times more likely than those with no previous disorder to have a diagnosis at any subsequent wave (odds ratio, 3.7; 95% Cl, 2.9-4.9; P<.001). Risk from a previous diagnosis was high among both girls and boys, but it was significantly higher among girls. Continuity of the same disorder (homotypic) was significant for all disorders except specific phobias. Continuity from one diagnosis to another (heterotypic) was significant from depression to anxiety and anxiety to depression, from ADHD to oppositional defiant disorder, and from anxiety and conduct disorder to substance abuse. Almost all the heterotypic continuity was seen in girls. Conclusions: The risk of having at least 1 psychiatric disorder by age 16 years is much higher than point estimates would suggest. Concurrent comorbidity and homotypic and heterotypic continuity are more marked in girls than in boys.
引用
收藏
页码:837 / 844
页数:8
相关论文
共 58 条
[1]   BEHAVIORAL-PROBLEMS AND COMPETENCIES REPORTED BY PARENTS OF NORMAL AND DISTURBED-CHILDREN AGED 4 THROUGH 16 [J].
ACHENBACH, TM ;
EDELBROCK, CS .
MONOGRAPHS OF THE SOCIETY FOR RESEARCH IN CHILD DEVELOPMENT, 1981, 46 (01) :1-82
[2]  
ANDERSON JC, 1987, ARCH GEN PSYCHIAT, V44, P69
[3]   Toward establishing an empirical basis for the diagnosis of oppositional defiant disorder [J].
Angold, A ;
Costello, EJ .
JOURNAL OF THE AMERICAN ACADEMY OF CHILD AND ADOLESCENT PSYCHIATRY, 1996, 35 (09) :1205-1212
[4]   Psychiatric disorder, impairment, and service use in rural African American and white youth [J].
Angold, A ;
Erkanli, A ;
Farmer, EMZ ;
Fairbank, JA ;
Burns, BJ ;
Keeler, G ;
Costello, EJ .
ARCHIVES OF GENERAL PSYCHIATRY, 2002, 59 (10) :893-901
[5]   Precision, reliability and accuracy in the dating of symptom onsets in child and adolescent psychopathology [J].
Angold, A ;
Erkanli, A ;
Costello, EJ ;
Rutter, M .
JOURNAL OF CHILD PSYCHOLOGY AND PSYCHIATRY, 1996, 37 (06) :657-664
[6]  
ANGOLD A, 1995, PSYCHOL MED, V25, P739, DOI 10.1017/S003329170003498X
[7]   A TEST-RETEST RELIABILITY STUDY OF CHILD-REPORTED PSYCHIATRIC-SYMPTOMS AND DIAGNOSES USING THE CHILD AND ADOLESCENT PSYCHIATRIC-ASSESSMENT (CAPA-C) [J].
ANGOLD, A ;
COSTELLO, EJ .
PSYCHOLOGICAL MEDICINE, 1995, 25 (04) :755-762
[8]  
Angold A, 1999, DIAGNOSTIC ASSESSMENT IN CHILD AND ADOLESCENT PSYCHOPATHOLOGY, P34
[9]  
Angold A, 1999, J CHILD PSYCHOL PSYC, V40, P57, DOI 10.1111/1469-7610.00424
[10]  
[Anonymous], DIAGNOSTIC INTERVIEW