ERIC Number: EJ696276
Record Type: Journal
Publication Date: 2004-Jun-1
Reference Count: N/A
Prevalence of Child and Adolescent Psychiatric Disorders in Southeast Brazil.
Fleitlich-Bilyk, Back; Goodman, Robert
Journal of the American Academy of Child and Adolescent Psychiatry, v43 n6 p727 Jun 2004
Objective: To describe the prevalence of DSM-IV disorders and the pattern of comorbidity in a population-based sample of 7- to 14-year-old Brazilian schoolchildren. Method: Random sampling of schools (stratified into private, public rural, and public urban) was followed by random sampling of pupils from school lists. In 2000-2001, a total of 1,251 children were assessed for DSM-IV diagnoses using the Development and Well-Being Assessment, a structured multiinformant assessment supplemented by verbatim reports reviewed by clinicians. Results: The response rate was 83%. The overall prevalence of DSM-IV disorders was 12.7% (95% confidence interval = 9.8%-15.5%), with 3.5% of children being assigned as not otherwise specified rather than operationalized diagnoses. The overall prevalence of psychiatric disorder was significantly higher than in a British study with the same measures and diagnostic procedures (12.7% versus 9.7%, p = .02). Conclusions: Approximately one in eight schoolchildren in the study area in the southeast of Brazil have psychiatric disorders involving a level of distress or social impairment likely to warrant treatment. The gulf between need and provision is currently vast. J. Am. Acad. Child Adolesc. Psychiatry, 2004;43(6):727-734. Key Words: epidemiology, child psychiatry, prevalence, Brazil, Latin America.
Descriptors: Program Effectiveness, Foreign Countries, Psychiatry, Incidence, Epidemiology, Sampling, Sexual Abuse, Mental Disorders
Lippincott Williams & Wilkins, P.O. Box 1620, Hagerstown, MD 21741. Tel: 800-638-3030 (Toll Free); Fax: 301-223-2400.
Publication Type: Journal Articles
Education Level: N/A
Authoring Institution: N/A
Identifiers - Location: Brazil