Salud mental infanto-juvenil en Chile y brechas de atención sanitarias

Background: Psychiatric disorders that appear during childhood or adolescence should be a public health priority. Aim: To report the results of a national representative survey in the Latin American region examinig the prevalence of DSM-IV psychiatric disorders in children and adolescents. Material...

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Autores principales: Vicente,Benjamín, Saldivia,Sandra, de la Barra,Flora, Melipillán,Roberto, Valdivia,Mario, Kohn,Robert
Lenguaje:Spanish / Castilian
Publicado: Sociedad Médica de Santiago 2012
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Acceso en línea:http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872012000400005
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spelling oai:scielo:S0034-988720120004000052013-11-06Salud mental infanto-juvenil en Chile y brechas de atención sanitariasVicente,BenjamínSaldivia,Sandrade la Barra,FloraMelipillán,RobertoValdivia,MarioKohn,Robert Adolescent Chile Epidemiology Mental disorders prevalence Background: Psychiatric disorders that appear during childhood or adolescence should be a public health priority. Aim: To report the results of a national representative survey in the Latin American region examinig the prevalence of DSM-IV psychiatric disorders in children and adolescents. Material and Methods: Subjects aged 4 to 18 years were selected using a stratified multistage design. The Diagnostic Interview Schedule for Children Version IV (DISC-IV) was used to obtain 12-month DSM-IV diagnoses, and was supplemented with questionnaires examining family riskfactors, socioeconomic status and service use. Results: A sample of1558 children and adolescents (51% males) was evaluated. Fifty three percent of the sample were children aged 4 to 11 years and the rest were adolescents aged 12 to 18 years. The prevalence rate for any psychiatric disorder without impairment was 38.3% (33.5% for boys and 43.3% for girls). The prevalence rate was higher among children as compared to adolescents (42.9% and 33.2%, respectively). A third of participants receiving a diagnosis sought some form of assistance. Nearly a quarter of those using services, did not have a psychiatric diagnosis in the past year. Comorbidity was found in 27% of those with a disorder, but only 7% had three or more diagnoses. Conclusions: The prevalence of psychiatric disorders in Chile is high among children and adolescents. This study highlights the increasing need to re-evaluate mental health services provided to children and adolescents in our country.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.140 n.4 20122012-04-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872012000400005es10.4067/S0034-98872012000400005
institution Scielo Chile
collection Scielo Chile
language Spanish / Castilian
topic Adolescent
Chile
Epidemiology
Mental disorders
prevalence
spellingShingle Adolescent
Chile
Epidemiology
Mental disorders
prevalence
Vicente,Benjamín
Saldivia,Sandra
de la Barra,Flora
Melipillán,Roberto
Valdivia,Mario
Kohn,Robert
Salud mental infanto-juvenil en Chile y brechas de atención sanitarias
description Background: Psychiatric disorders that appear during childhood or adolescence should be a public health priority. Aim: To report the results of a national representative survey in the Latin American region examinig the prevalence of DSM-IV psychiatric disorders in children and adolescents. Material and Methods: Subjects aged 4 to 18 years were selected using a stratified multistage design. The Diagnostic Interview Schedule for Children Version IV (DISC-IV) was used to obtain 12-month DSM-IV diagnoses, and was supplemented with questionnaires examining family riskfactors, socioeconomic status and service use. Results: A sample of1558 children and adolescents (51% males) was evaluated. Fifty three percent of the sample were children aged 4 to 11 years and the rest were adolescents aged 12 to 18 years. The prevalence rate for any psychiatric disorder without impairment was 38.3% (33.5% for boys and 43.3% for girls). The prevalence rate was higher among children as compared to adolescents (42.9% and 33.2%, respectively). A third of participants receiving a diagnosis sought some form of assistance. Nearly a quarter of those using services, did not have a psychiatric diagnosis in the past year. Comorbidity was found in 27% of those with a disorder, but only 7% had three or more diagnoses. Conclusions: The prevalence of psychiatric disorders in Chile is high among children and adolescents. This study highlights the increasing need to re-evaluate mental health services provided to children and adolescents in our country.
author Vicente,Benjamín
Saldivia,Sandra
de la Barra,Flora
Melipillán,Roberto
Valdivia,Mario
Kohn,Robert
author_facet Vicente,Benjamín
Saldivia,Sandra
de la Barra,Flora
Melipillán,Roberto
Valdivia,Mario
Kohn,Robert
author_sort Vicente,Benjamín
title Salud mental infanto-juvenil en Chile y brechas de atención sanitarias
title_short Salud mental infanto-juvenil en Chile y brechas de atención sanitarias
title_full Salud mental infanto-juvenil en Chile y brechas de atención sanitarias
title_fullStr Salud mental infanto-juvenil en Chile y brechas de atención sanitarias
title_full_unstemmed Salud mental infanto-juvenil en Chile y brechas de atención sanitarias
title_sort salud mental infanto-juvenil en chile y brechas de atención sanitarias
publisher Sociedad Médica de Santiago
publishDate 2012
url http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872012000400005
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