Prevalence of child and adolescent mental disorders in Chile: a community epidemiological study
- PMID: 22646991
- DOI: 10.1111/j.1469-7610.2012.02566.x
Prevalence of child and adolescent mental disorders in Chile: a community epidemiological study
Abstract
Background: In Latin America, there is limited research on the prevalence of mental disorders in children and adolescents. This Chilean survey is the first national representative survey in the Latin American region to examine the prevalence of diagnostic and statistical manual-IV (DSM-IV) psychiatric disorders in the region in children and adolescents.
Methods: Subjects aged 4-18 were selected using a stratified multistage design. The diagnostic interview schedule for children version IV (DISC-IV) was used to obtain 12-month DSM-IV diagnoses of affective, anxiety, conduct and substance use disorders, and supplemented with questionnaires examining family risk factors, family income, and service utilization. The parent or the primary caretaker was interviewed for children, aged 4-11, using the DISC-IV; however, adolescents, aged 12-18, were directly interviewed.
Results: A sample of 1558 children and adolescents was evaluated. Using the most stringent DISC-IV impairment algorithm, the prevalence rate for any psychiatric disorders was 22.5% (19.3% for boys and 25.8% for girls). The prevalence rate was higher among the children, aged 4-11, in comparison with adolescents, aged 12-18 (27.8% and 16.5%, respectively). Less than half of the subjects in need of services sought some form of assistance. Nearly a quarter of those using services did not present with a psychiatric diagnosis in the past year. Comorbidity was found in 24.8% of those with a disorder, but only 6.3% had three or more diagnoses.
Conclusions: The prevalence of psychiatric disorders in Chile is high among children and adolescents. This study highlights the increasing need to reevaluate mental health services provided to children and adolescents in Latin America.
© 2012 The Authors. Journal of Child Psychology and Psychiatry © 2012 Association for Child and Adolescent Mental Health.
Similar articles
-
[Prevalence of mental health disorders among children and adolescents living in southern Chile].Rev Med Chil. 2010 Aug;138(8):965-73. Epub 2010 Nov 26. Rev Med Chil. 2010. PMID: 21140053 Spanish.
-
[Prevalence of psychiatric disorders among Chilean children and adolescents].Rev Med Chil. 2012 Apr;140(4):447-57. doi: 10.4067/S0034-98872012000400005. Rev Med Chil. 2012. PMID: 22854690 Spanish.
-
[Prevalence of depressive disorders in children and adolescents attending primary care. A survey with the Aquitaine Sentinelle Network].Encephale. 2003 Sep-Oct;29(5):391-400. Encephale. 2003. PMID: 14615688 French.
-
Prevalence of psychopathology in preschool-age children.J Child Adolesc Psychiatr Nurs. 2003 Oct-Dec;16(4):141-52. doi: 10.1111/j.1744-6171.2003.00141.x. J Child Adolesc Psychiatr Nurs. 2003. PMID: 14748450 Review.
-
[Psychiatric issues in chronic pain].Brain Nerve. 2012 Nov;64(11):1323-9. Brain Nerve. 2012. PMID: 23131744 Review. Japanese.
Cited by
-
Treatment Rates for Mental Disorders Among Children and Adolescents: A Systematic Review and Meta-Analysis.JAMA Netw Open. 2023 Oct 2;6(10):e2338174. doi: 10.1001/jamanetworkopen.2023.38174. JAMA Netw Open. 2023. PMID: 37851443 Free PMC article.
-
The efficacy of psychological treatments on adolescent psychopathology: a narrative review.Transl Pediatr. 2023 Jun 30;12(6):1225-1238. doi: 10.21037/tp-22-589. Epub 2023 Jun 8. Transl Pediatr. 2023. PMID: 37427061 Free PMC article. Review.
-
School-based cognitive-behavioural therapy for children and adolescents with social anxiety disorder and social anxiety symptoms: A systematic review.PLoS One. 2023 Mar 20;18(3):e0283329. doi: 10.1371/journal.pone.0283329. eCollection 2023. PLoS One. 2023. PMID: 36940221 Free PMC article.
-
What treatment outcomes matter in adolescent depression? A Q-study of priority profiles among mental health practitioners in the UK and Chile.Eur Child Adolesc Psychiatry. 2024 Jan;33(1):151-166. doi: 10.1007/s00787-023-02140-9. Epub 2023 Jan 31. Eur Child Adolesc Psychiatry. 2024. PMID: 36719524 Free PMC article.
-
Global child and adolescent mental health perspectives: bringing change locally, while thinking globally.Child Adolesc Psychiatry Ment Health. 2022 Nov 7;16(1):82. doi: 10.1186/s13034-022-00512-8. Child Adolesc Psychiatry Ment Health. 2022. PMID: 36345001 Free PMC article.
Publication types
MeSH terms
LinkOut - more resources
Full Text Sources
Medical
Miscellaneous