THE PREVALENCE OF MENTAL-DISORDERS IN SCHOOL-AGE-CHILDREN ATTENDING A GENERAL PEDIATRIC DEPARTMENT IN SOUTHERN INDIA

被引:15
作者
CHANDRA, R
SRINIVASAN, S
CHANDRASEKARAN, R
MAHADEVAN, S
机构
[1] JAWAHARLAL INST POSTGRAD MED EDUC & RES,DEPT PAEDIAT,PONDICHERRY 605006,INDIA
[2] JAWAHARLAL INST POSTGRAD MED EDUC & RES,DEPT PSYCHIAT,PONDICHERRY 605006,INDIA
关键词
PSYCHIATRIC MORBIDITY; CONVERSION DISORDER; CONDUCT DISORDER; SOMATOFORM DISORDER; CHILD PSYCHIATRY;
D O I
10.1111/j.1600-0447.1993.tb03355.x
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
This study was conducted over a period of 18 months in a medical college hospital in southern India. Of 313 children of age 5 and above referred for detailed psychiatric evaluation, 101 were found to have a mental disorder according to DSM-III-R criteria; the remaining had organic disorders. Children above 8 years (74%) registered higher morbidity. There was no sex difference in overall morbidity. Precipitating factors were discernible in half of these cases, of which school-related problems were found in the majority. Almost two-thirds had multiple stressors, of which chronic family and social adversity (39%) and learning disabilities (28%) were common. Mental disorders were significantly related to urban background, middle-class socioeconomic status and literate parents compared with age- and sex-matched controls. There was no significant relationship with the type of family and number of siblings. Conversion disorder (31%) was the commonest, followed by conduct disorders (16%). The symptoms, stressors, response to treatment and the transcultural aspects are also discussed.
引用
收藏
页码:192 / 196
页数:5
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