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
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 -