PSYCH OpenIR  > 中国科学院心理健康重点实验室
Prevalence of mental disorders in school children and adolescents in China: diagnostic data from detailed clinical assessments of 17,524 individuals
Li, Fenghua1; Cui, Yonghua2; Li, Ying2; Guo, Lanting3; Ke, Xiaoyan4; Liu, Jing5; Luo, Xuerong6; Zheng, Yi7; Leckman, James F.8
First AuthorLi, Fenghua
Contribution Rank1
Abstract

Background To date, no national-scale psychiatric epidemiological survey for children and adolescents has been conducted in China. In order to inform government officials and policymakers and to develop a comprehensive plan for service providers, there was a clear need to conduct an up-to-date systematic nationwide psychiatric epidemiological survey. Methods We conducted a two-stage large-scale psychiatric point prevalence survey. Multistage cluster stratified random sampling was used as the sampling strategy. Five provinces were selected by comprehensively considering geographical partition, economic development, and rural/urban factors. In Stage 1, the Child Behavior Checklist was used as the screening tool. In Stage 2, Mini-International Neuropsychiatric Interview for Children and Adolescents and a diagnostic process based on the Diagnostic and Statistical Manual were used to make the diagnoses. Sampling weights and poststratification weights were employed to match the population distributions. Exploratory analyses were also performed using socio-demographic factors. Prevalence in socio-demographic factor subgroups and overall were estimated. Rao-Scott adjusted chi-square tests were utilized to determine if between-group differences were present. Factor interactions were checked by logistic regression analyses. Results A total of 73,992 participants aged 6-16 years of age were selected in Stage 1. In Stage 2, 17,524 individuals were screened and diagnosed. The weighted prevalence of any disorder was 17.5% (95% CI: 17.2-18.0). Statistically significant differences in prevalence of any psychiatric disorder were observed between sexes [chi(2)(1, N = 71,929) = 223.0, p < .001], age groups [chi(2)(1, N = 71,929) = 18.6, p < .001] and developed vs. developing areas [chi(2)(1, N = 71,929) = 2,129.6, p < .001], while no difference was found between rural and urban areas [chi(2)(1, N = 71,929) = 1.4, p = .239]. Male, younger individuals, children, and adolescents from developed areas had higher prevalence of any psychiatric disorder. The prevalence of any psychiatric disorder was found to decrease with the age in the male group, while the female group increased with the age. Individuals diagnosed with attention-deficit hyperactivity disorder, oppositional defiant disorder, a tic disorder, conduct disorder, and major depression disorder had the highest rates of comorbidity. Conclusions The prevalence of any psychiatric disorder we found is the highest ever reported in China. These results urgently need to be addressed by public mental health service providers and policymakers in order to provide access to the necessary treatments and to reduce the long-term negative impact of these conditions on families and the society as a whole.

KeywordChina mental disorder prevalence children adolescents
2021-05-21
DOI10.1111/jcpp.13445
Source PublicationJOURNAL OF CHILD PSYCHOLOGY AND PSYCHIATRY
ISSN0021-9630
Pages13
Subtype实证研究
Indexed BySCI
Funding ProjectNational Commission of Health ; National Twelfth Five-Year Plan for Science and Technology Support of the Chinese Ministry of Science and Technology[2012BAI01B02] ; research on prevention and control of major chronic noncommunicable diseases in the Ministry of Science and Technology[2016YFC1306100] ; Ethics Committee of the Anding Hospital, Capital Medical University[2012BAI01B02]
PublisherWILEY
WOS KeywordATTENTION-DEFICIT/HYPERACTIVITY DISORDER ; PSYCHIATRIC-DISORDERS ; WORLDWIDE PREVALENCE ; GENDER-DIFFERENCES ; CONDUCT DISORDER ; HEALTH-SERVICES ; SEX-DIFFERENCES ; ADHD ; RISK ; EPIDEMIOLOGY
WOS Research AreaPsychology ; Psychiatry
WOS SubjectPsychology, Developmental ; Psychiatry ; Psychology
WOS IDWOS:000652601700001
WoS QuartileQ1
Citation statistics
Cited Times:1[WOS]   [WOS Record]     [Related Records in WOS]
Document Type期刊论文
Identifierhttp://ir.psych.ac.cn/handle/311026/39647
Collection中国科学院心理健康重点实验室
Corresponding AuthorZheng, Yi; Leckman, James F.
Affiliation1.Chinese Acad Sci, Inst Psychol, Key Lab Mental Hlth, Beijing, Peoples R China
2.Capital Med Univ, Beijing Childrens Hosp, Natl Ctr Childrens Hlth, Beijing, Peoples R China
3.Sichuan Univ, West China Hosp, Dept Psychiat, Chengdu, Peoples R China
4.Nanjing Brain Hosp, Nanjing, Peoples R China
5.Peking Univ, Hosp 6, Beijing, Peoples R China
6.Cent South Univ, Xiangya Hosp 2, Mental Hlth Inst, Changsha, Peoples R China
7.Capital Med Univ, Beijing Anding Hosp, Beijing, Peoples R China
8.Yale Univ, Sch Med, Child Study Ctr, New Haven, CT 06520 USA
First Author AffilicationKey Laboratory of Mental Health, CAS
Recommended Citation
GB/T 7714
Li, Fenghua,Cui, Yonghua,Li, Ying,et al. Prevalence of mental disorders in school children and adolescents in China: diagnostic data from detailed clinical assessments of 17,524 individuals[J]. JOURNAL OF CHILD PSYCHOLOGY AND PSYCHIATRY,2021:13.
APA Li, Fenghua.,Cui, Yonghua.,Li, Ying.,Guo, Lanting.,Ke, Xiaoyan.,...&Leckman, James F..(2021).Prevalence of mental disorders in school children and adolescents in China: diagnostic data from detailed clinical assessments of 17,524 individuals.JOURNAL OF CHILD PSYCHOLOGY AND PSYCHIATRY,13.
MLA Li, Fenghua,et al."Prevalence of mental disorders in school children and adolescents in China: diagnostic data from detailed clinical assessments of 17,524 individuals".JOURNAL OF CHILD PSYCHOLOGY AND PSYCHIATRY (2021):13.
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