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Prevalence of DSM-5 mental disorders in a nationally representative sample of children in Taiwan: methodology and main findings
AIMS: There has been a lack of prevalence estimates of DSM-5 mental disorders in child populations at the national level worldwide. This study estimated the lifetime and 6-month prevalence of mental disorders according to the DSM-5 diagnostic criteria in Taiwanese children. METHODS: Taiwan's Na...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Cambridge University Press
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8061245/ https://www.ncbi.nlm.nih.gov/pubmed/30696515 http://dx.doi.org/10.1017/S2045796018000793 |
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author | Chen, Yi-Lung Chen, Wei J. Lin, Kuan-Chia Shen, Lih-Jong Gau, Susan Shur-Fen |
author_facet | Chen, Yi-Lung Chen, Wei J. Lin, Kuan-Chia Shen, Lih-Jong Gau, Susan Shur-Fen |
author_sort | Chen, Yi-Lung |
collection | PubMed |
description | AIMS: There has been a lack of prevalence estimates of DSM-5 mental disorders in child populations at the national level worldwide. This study estimated the lifetime and 6-month prevalence of mental disorders according to the DSM-5 diagnostic criteria in Taiwanese children. METHODS: Taiwan's National Epidemiological Study of Child Mental Disorders used the stratified cluster sampling to select 69 schools in Taiwan resulting in a nationally representative sample of 4816 children in grades 3 (n = 1352), 5 (n = 1297) and 7 (n = 2167). All the participants underwent face-to-face psychiatric interviews using the Kiddie-Schedule for Affective Disorders and Schizophrenia-Epidemiological version, modified for the DSM-5, and they and their parents completed questionnaires. The inverse probability censoring weighting (IPCW)-adjusted prevalence was reported to minimise non-response bias. RESULTS: The IPCW-adjusted prevalence rates of mental disorders decreased by 0.1–0.5% than raw weighted prevalence. The IPCW-adjusted weighted lifetime and 6-month prevalence rates for overall mental disorders were 31.6 and 25.0%, respectively. The most prevalent mental disorders (lifetime, 6-month) were anxiety disorders (15.2, 12.0%) and attention-deficit hyperactivity disorder (10.1, 8.7%), followed by sleep disorders, tic disorders, oppositional defiant disorder and autism spectrum disorder. The prevalence rates of new DSM-5 mental disorders, avoidant/restrictive food intake disorder and disruptive mood dysregulation disorder were low (<1%). CONCLUSIONS: Our findings, similar to the DSM-IV prevalence rates reported in Western countries, indicate that DSM-5 mental disorders are common in the Taiwanese child population and suggest the need for public awareness, early detection and prevention. |
format | Online Article Text |
id | pubmed-8061245 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Cambridge University Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-80612452021-05-04 Prevalence of DSM-5 mental disorders in a nationally representative sample of children in Taiwan: methodology and main findings Chen, Yi-Lung Chen, Wei J. Lin, Kuan-Chia Shen, Lih-Jong Gau, Susan Shur-Fen Epidemiol Psychiatr Sci Original Articles AIMS: There has been a lack of prevalence estimates of DSM-5 mental disorders in child populations at the national level worldwide. This study estimated the lifetime and 6-month prevalence of mental disorders according to the DSM-5 diagnostic criteria in Taiwanese children. METHODS: Taiwan's National Epidemiological Study of Child Mental Disorders used the stratified cluster sampling to select 69 schools in Taiwan resulting in a nationally representative sample of 4816 children in grades 3 (n = 1352), 5 (n = 1297) and 7 (n = 2167). All the participants underwent face-to-face psychiatric interviews using the Kiddie-Schedule for Affective Disorders and Schizophrenia-Epidemiological version, modified for the DSM-5, and they and their parents completed questionnaires. The inverse probability censoring weighting (IPCW)-adjusted prevalence was reported to minimise non-response bias. RESULTS: The IPCW-adjusted prevalence rates of mental disorders decreased by 0.1–0.5% than raw weighted prevalence. The IPCW-adjusted weighted lifetime and 6-month prevalence rates for overall mental disorders were 31.6 and 25.0%, respectively. The most prevalent mental disorders (lifetime, 6-month) were anxiety disorders (15.2, 12.0%) and attention-deficit hyperactivity disorder (10.1, 8.7%), followed by sleep disorders, tic disorders, oppositional defiant disorder and autism spectrum disorder. The prevalence rates of new DSM-5 mental disorders, avoidant/restrictive food intake disorder and disruptive mood dysregulation disorder were low (<1%). CONCLUSIONS: Our findings, similar to the DSM-IV prevalence rates reported in Western countries, indicate that DSM-5 mental disorders are common in the Taiwanese child population and suggest the need for public awareness, early detection and prevention. Cambridge University Press 2019-01-30 /pmc/articles/PMC8061245/ /pubmed/30696515 http://dx.doi.org/10.1017/S2045796018000793 Text en © The Author(s) 2019 https://creativecommons.org/licenses/by/4.0/This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Articles Chen, Yi-Lung Chen, Wei J. Lin, Kuan-Chia Shen, Lih-Jong Gau, Susan Shur-Fen Prevalence of DSM-5 mental disorders in a nationally representative sample of children in Taiwan: methodology and main findings |
title | Prevalence of DSM-5 mental disorders in a nationally representative sample of children in Taiwan: methodology and main findings |
title_full | Prevalence of DSM-5 mental disorders in a nationally representative sample of children in Taiwan: methodology and main findings |
title_fullStr | Prevalence of DSM-5 mental disorders in a nationally representative sample of children in Taiwan: methodology and main findings |
title_full_unstemmed | Prevalence of DSM-5 mental disorders in a nationally representative sample of children in Taiwan: methodology and main findings |
title_short | Prevalence of DSM-5 mental disorders in a nationally representative sample of children in Taiwan: methodology and main findings |
title_sort | prevalence of dsm-5 mental disorders in a nationally representative sample of children in taiwan: methodology and main findings |
topic | Original Articles |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8061245/ https://www.ncbi.nlm.nih.gov/pubmed/30696515 http://dx.doi.org/10.1017/S2045796018000793 |
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