TY - JOUR
T1 - Prevalence and correlates of psychiatric disorders in a national survey of Iranian children and adolescents
AU - Mohammadi, Mohammad Reza
AU - Ahmadi, Nastaran
AU - Khaleghi, Ali
AU - Mostafavi, Seyed Ali
AU - Kamali, Koorosh
AU - Rahgozar, Mehdi
AU - Ahmadi, Ameneh
AU - Hooshyari, Zahra
AU - Alavi, Seyyed Salman
AU - Molavi, Parviz
AU - Sarraf, Nasrin
AU - Hojjat, Seyed Kaveh
AU - Mohammadzadeh, Soleiman
AU - Amiri, Shahrokh
AU - Arman, Soroor
AU - Ghanizadeh, Ahmad
AU - Ahmadipour, Ahmad
AU - Ostovar, Rahim
AU - Nazari, Hedayat
AU - Hosseini, Seyed Hamzeh
AU - Golbon, Atieh
AU - Derakhshanpour, Firoozeh
AU - Delpisheh, Ali
AU - Riahi, Forough
AU - Talepasand, Siavash
AU - Mojahed, Azizollah
AU - Motlagh, Naser Hajian
AU - Yazdi, Aazam Sadat Heydari
AU - Ahmadpanah, Mohammad
AU - Dastjerdi, Reza
AU - Amirian, Houshang
AU - Armani, Alireza
AU - Safavi, Parvin
AU - Kousha, Maryam
AU - Alaghmand, Anita
AU - Shahrbabaki, Mahin Eslami
AU - Kiani, Arezou
AU - Gharaei, Javad Mahmoudi
AU - Shakiba, Alia
AU - Zarafshan, Hadi
AU - Salmanian, Maryam
AU - Taylor, Eric
AU - Fombonne, Eric
N1 - Funding Information:
We would like to thank the participants and their families. Also, we express our gratitude to the head, the staff, and the Neuroscience Committee of the National Institute for Medical Research Development (NIMAD) who supported this study financially (grant number 940906). Our especial thanks go to Dr. Bita Mesgarpour and Dr. Sofia Esalatmanesh for supporting this project.
Publisher Copyright:
© 2019 Tehran University of Medical Sciences. All rights reserved.
PY - 2019
Y1 - 2019
N2 - Objective: Considering the impact of rapid sociocultural, political, and economical changes on societies and families, population-based surveys of mental disorders in different communities are needed to describe the magnitude of mental health problems and their disabling effects at the individual, familial, and societal levels. Method: A population-based cross sectional survey (IRCAP project) of 30 532 children and adolescents between 6 and 18 years was conducted in all provinces of Iran using a multistage cluster sampling method. Data were collected by 250 clinical psychologists trained to use the validated Persian version of the semi-structured diagnostic interview Kiddie-Schedule for Affective Disorders and Schizophrenia-PL (K-SADS-PL). Results: In this national epidemiological survey, 6209 out of 30 532 (22.31%) were diagnosed with at least one psychiatric disorder. The anxiety disorders (14.13%) and behavioral disorders (8.3%) had the highest prevalence, while eating disorders (0.13%) and psychotic symptoms (0.26%) had the lowest. The prevalence of psychiatric disorders was significantly lower in girls (OR = 0.85; 95% CI: 0.80-0.90), in those living in the rural area (OR = 0.80; 95% CI: 0.73-0.87), in those aged 15-18 years (OR = 0.92; 95% CI: 0.86-0.99), as well as that was significantly higher in those who had a parent suffering from mental disorders (OR = 1.96; 95% CI: 1.63-2.36 for mother and OR = 1.33; 95% CI: 1.07-1.66 for father) or physical illness (OR = 1.26; 95% CI: 1.17-1.35 for mother and OR = 1.19; 95% CI: 1.10-1.28 for father). Conclusion: About one fifth of Iranian children and adolescents suffer from at least one psychiatric disorder. Therefore, we should give a greater priority to promoting mental health and public health, provide more accessible services and trainings, and reduce barriers to accessing existing services.
AB - Objective: Considering the impact of rapid sociocultural, political, and economical changes on societies and families, population-based surveys of mental disorders in different communities are needed to describe the magnitude of mental health problems and their disabling effects at the individual, familial, and societal levels. Method: A population-based cross sectional survey (IRCAP project) of 30 532 children and adolescents between 6 and 18 years was conducted in all provinces of Iran using a multistage cluster sampling method. Data were collected by 250 clinical psychologists trained to use the validated Persian version of the semi-structured diagnostic interview Kiddie-Schedule for Affective Disorders and Schizophrenia-PL (K-SADS-PL). Results: In this national epidemiological survey, 6209 out of 30 532 (22.31%) were diagnosed with at least one psychiatric disorder. The anxiety disorders (14.13%) and behavioral disorders (8.3%) had the highest prevalence, while eating disorders (0.13%) and psychotic symptoms (0.26%) had the lowest. The prevalence of psychiatric disorders was significantly lower in girls (OR = 0.85; 95% CI: 0.80-0.90), in those living in the rural area (OR = 0.80; 95% CI: 0.73-0.87), in those aged 15-18 years (OR = 0.92; 95% CI: 0.86-0.99), as well as that was significantly higher in those who had a parent suffering from mental disorders (OR = 1.96; 95% CI: 1.63-2.36 for mother and OR = 1.33; 95% CI: 1.07-1.66 for father) or physical illness (OR = 1.26; 95% CI: 1.17-1.35 for mother and OR = 1.19; 95% CI: 1.10-1.28 for father). Conclusion: About one fifth of Iranian children and adolescents suffer from at least one psychiatric disorder. Therefore, we should give a greater priority to promoting mental health and public health, provide more accessible services and trainings, and reduce barriers to accessing existing services.
KW - Child and adolescent
KW - Comorbidity
KW - Epidemiology
KW - Psychiatric disorders
KW - Risk factors
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U2 - 10.18502/ijps.v14i1.418
DO - 10.18502/ijps.v14i1.418
M3 - Article
AN - SCOPUS:85059466958
VL - 14
SP - 1
EP - 15
JO - Iranian Journal of Psychiatry
JF - Iranian Journal of Psychiatry
SN - 1735-4587
IS - 1
ER -