Prevalence and correlates of psychiatric disorders in a national survey of Iranian children and adolescents

Mohammad Reza Mohammadi, Nastaran Ahmadi, Ali Khaleghi, Seyed Ali Mostafavi, Koorosh Kamali, Mehdi Rahgozar, Ameneh Ahmadi, Zahra Hooshyari, Seyyed Salman Alavi, Parviz Molavi, Nasrin Sarraf, Seyed Kaveh Hojjat, Soleiman Mohammadzadeh, Shahrokh Amiri, Soroor Arman, Ahmad Ghanizadeh, Ahmad Ahmadipour, Rahim Ostovar, Hedayat Nazari, Seyed Hamzeh HosseiniAtieh Golbon, Firoozeh Derakhshanpour, Ali Delpisheh, Forough Riahi, Siavash Talepasand, Azizollah Mojahed, Naser Hajian Motlagh, Aazam Sadat Heydari Yazdi, Mohammad Ahmadpanah, Reza Dastjerdi, Houshang Amirian, Alireza Armani, Parvin Safavi, Maryam Kousha, Anita Alaghmand, Mahin Eslami Shahrbabaki, Arezou Kiani, Javad Mahmoudi Gharaei, Alia Shakiba, Hadi Zarafshan, Maryam Salmanian, Eric Taylor, Eric Fombonne

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

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.

Original languageEnglish (US)
Pages (from-to)1-15
Number of pages15
JournalIranian Journal of Psychiatry
Volume14
Issue number1
StatePublished - Jan 1 2019

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Psychiatry
Mental Disorders
Fathers
Mental Health
Mothers
Iran
Anxiety Disorders
Mood Disorders
Population
Schizophrenia
Appointments and Schedules
Public Health
Cross-Sectional Studies
Interviews
Psychology
Surveys and Questionnaires
Feeding and Eating Disorders

Keywords

  • Child and adolescent
  • Comorbidity
  • Epidemiology
  • Psychiatric disorders
  • Risk factors

ASJC Scopus subject areas

  • Psychiatry and Mental health

Cite this

Mohammadi, M. R., Ahmadi, N., Khaleghi, A., Mostafavi, S. A., Kamali, K., Rahgozar, M., ... Fombonne, E. (2019). Prevalence and correlates of psychiatric disorders in a national survey of Iranian children and adolescents. Iranian Journal of Psychiatry, 14(1), 1-15.

Prevalence and correlates of psychiatric disorders in a national survey of Iranian children and adolescents. / Mohammadi, Mohammad Reza; Ahmadi, Nastaran; Khaleghi, Ali; Mostafavi, Seyed Ali; Kamali, Koorosh; Rahgozar, Mehdi; Ahmadi, Ameneh; Hooshyari, Zahra; Alavi, Seyyed Salman; Molavi, Parviz; Sarraf, Nasrin; Hojjat, Seyed Kaveh; Mohammadzadeh, Soleiman; Amiri, Shahrokh; Arman, Soroor; Ghanizadeh, Ahmad; Ahmadipour, Ahmad; Ostovar, Rahim; Nazari, Hedayat; Hosseini, Seyed Hamzeh; Golbon, Atieh; Derakhshanpour, Firoozeh; Delpisheh, Ali; Riahi, Forough; Talepasand, Siavash; Mojahed, Azizollah; Motlagh, Naser Hajian; Yazdi, Aazam Sadat Heydari; Ahmadpanah, Mohammad; Dastjerdi, Reza; Amirian, Houshang; Armani, Alireza; Safavi, Parvin; Kousha, Maryam; Alaghmand, Anita; Shahrbabaki, Mahin Eslami; Kiani, Arezou; Gharaei, Javad Mahmoudi; Shakiba, Alia; Zarafshan, Hadi; Salmanian, Maryam; Taylor, Eric; Fombonne, Eric.

In: Iranian Journal of Psychiatry, Vol. 14, No. 1, 01.01.2019, p. 1-15.

Research output: Contribution to journalArticle

Mohammadi, MR, Ahmadi, N, Khaleghi, A, Mostafavi, SA, Kamali, K, Rahgozar, M, Ahmadi, A, Hooshyari, Z, Alavi, SS, Molavi, P, Sarraf, N, Hojjat, SK, Mohammadzadeh, S, Amiri, S, Arman, S, Ghanizadeh, A, Ahmadipour, A, Ostovar, R, Nazari, H, Hosseini, SH, Golbon, A, Derakhshanpour, F, Delpisheh, A, Riahi, F, Talepasand, S, Mojahed, A, Motlagh, NH, Yazdi, ASH, Ahmadpanah, M, Dastjerdi, R, Amirian, H, Armani, A, Safavi, P, Kousha, M, Alaghmand, A, Shahrbabaki, ME, Kiani, A, Gharaei, JM, Shakiba, A, Zarafshan, H, Salmanian, M, Taylor, E & Fombonne, E 2019, 'Prevalence and correlates of psychiatric disorders in a national survey of Iranian children and adolescents', Iranian Journal of Psychiatry, vol. 14, no. 1, pp. 1-15.
Mohammadi MR, Ahmadi N, Khaleghi A, Mostafavi SA, Kamali K, Rahgozar M et al. Prevalence and correlates of psychiatric disorders in a national survey of Iranian children and adolescents. Iranian Journal of Psychiatry. 2019 Jan 1;14(1):1-15.
Mohammadi, Mohammad Reza ; Ahmadi, Nastaran ; Khaleghi, Ali ; Mostafavi, Seyed Ali ; Kamali, Koorosh ; Rahgozar, Mehdi ; Ahmadi, Ameneh ; Hooshyari, Zahra ; Alavi, Seyyed Salman ; Molavi, Parviz ; Sarraf, Nasrin ; Hojjat, Seyed Kaveh ; Mohammadzadeh, Soleiman ; Amiri, Shahrokh ; Arman, Soroor ; Ghanizadeh, Ahmad ; Ahmadipour, Ahmad ; Ostovar, Rahim ; Nazari, Hedayat ; Hosseini, Seyed Hamzeh ; Golbon, Atieh ; Derakhshanpour, Firoozeh ; Delpisheh, Ali ; Riahi, Forough ; Talepasand, Siavash ; Mojahed, Azizollah ; Motlagh, Naser Hajian ; Yazdi, Aazam Sadat Heydari ; Ahmadpanah, Mohammad ; Dastjerdi, Reza ; Amirian, Houshang ; Armani, Alireza ; Safavi, Parvin ; Kousha, Maryam ; Alaghmand, Anita ; Shahrbabaki, Mahin Eslami ; Kiani, Arezou ; Gharaei, Javad Mahmoudi ; Shakiba, Alia ; Zarafshan, Hadi ; Salmanian, Maryam ; Taylor, Eric ; Fombonne, Eric. / Prevalence and correlates of psychiatric disorders in a national survey of Iranian children and adolescents. In: Iranian Journal of Psychiatry. 2019 ; Vol. 14, No. 1. pp. 1-15.
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abstract = "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.",
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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

PY - 2019/1/1

Y1 - 2019/1/1

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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