Lifetime Prevalence of Mental Disorders in U.S. Adolescents: Results from the National Comorbidity Survey Replication-Adolescent Supplement (NCS-A)
Kathleen R. Merikangas,Jian-Ping He,Marcy Burstein,Sonja A. Swanson,Shelli Avenevoli,Lihong Cui,Corina Benjet,Katholiki Georgiades,Joel Swendsen +8 more
TLDR
Estimates of the lifetime prevalence of DSM-IV mental disorders with and without severe impairment, their comorbidity across broad classes of disorder, and their sociodemographic correlates are presented to provide the first prevalence data on a broad range of mental disorders in a nationally representative sample of U.S. adolescents.Abstract:
Objective To present estimates of the lifetime prevalence of DSM-IV mental disorders with and without severe impairment, their comorbidity across broad classes of disorder, and their sociodemographic correlates. Method The National Comorbidity Survey–Adolescent Supplement NCS-A is a nationally representative face-to-face survey of 10,123 adolescents aged 13 to 18 years in the continental United States. DSM-IV mental disorders were assessed using a modified version of the fully structured World Health Organization Composite International Diagnostic Interview. Results Anxiety disorders were the most common condition (31.9%), followed by behavior disorders (19.1%), mood disorders (14.3%), and substance use disorders (11.4%), with approximately 40% of participants with one class of disorder also meeting criteria for another class of lifetime disorder. The overall prevalence of disorders with severe impairment and/or distress was 22.2% (11.2% with mood disorders, 8.3% with anxiety disorders, and 9.6% behavior disorders). The median age of onset for disorder classes was earliest for anxiety (6 years), followed by 11 years for behavior, 13 years for mood, and 15 years for substance use disorders. Conclusions These findings provide the first prevalence data on a broad range of mental disorders in a nationally representative sample of U.S. adolescents. Approximately one in every four to five youth in the U.S. meets criteria for a mental disorder with severe impairment across their lifetime. The likelihood that common mental disorders in adults first emerge in childhood and adolescence highlights the need for a transition from the common focus on treatment of U.S. youth to that of prevention and early intervention.read more
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Clinical risk factors for bipolar disorders: a systematic review of prospective studies.
Gianni L. Faedda,Gianni L. Faedda,Giulia Serra,Giulia Serra,Ciro Marangoni,Paola Salvatore,Paola Salvatore,Paola Salvatore,Gabriele Sani,Gustavo H. Vázquez,Gustavo H. Vázquez,Leonardo Tondo,Paolo Girardi,Ross J. Baldessarini,Ross J. Baldessarini,Athanasios Koukopoulos +15 more
TL;DR: Combining clinical risk factors with precursors and family-risk may improve early identification and timely and appropriate treatment of bipolar disorder, and their sensitivity, specificity and predictive value need to be assessed.
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Medication use in US youth with mental disorders.
TL;DR: These findings challenge recent concerns over widespread overmedication and misuse of psychotropic medications in US youth and highlight the need for greater recognition and appropriate treatment of youth with mental health disorders.
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Prevalence of child and adolescent mental disorders in Chile: a community epidemiological study
Benjamín Vicente,Sandra Saldivia,Flora de la Barra,Robert Kohn,Ronaldo Pihan,Mario Valdivia,Pedro Rioseco,Roberto Melipillán +7 more
TL;DR: The prevalence of psychiatric disorders in Chile is high and the increasing need to reevaluate mental health services provided to children and adolescents in Latin America is highlighted.
References
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Julia Kim-Cohen,Avshalom Caspi,Terrie E. Moffitt,HonaLee Harrington,Barry J. Milne,Richie Poulton +5 more
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