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Prevalence and Correlates of Psychiatric Disorders in a National Survey of Iranian Children and Adolescents Publisher



Mohammadi MR1 ; Ahmadi N2, 36 ; Khaleghi A1, 35 ; Mostafavi SA1 ; Kamali K3 ; Rahgozar M4 ; Ahmadi A1 ; Hooshyari Z1 ; Alavi SS1 ; Molavi P5 ; Sarraf N6 ; Hojjat SK7 ; Mohammadzadeh S8 ; Amiri S9 Show All Authors
Authors
  1. Mohammadi MR1
  2. Ahmadi N2, 36
  3. Khaleghi A1, 35
  4. Mostafavi SA1
  5. Kamali K3
  6. Rahgozar M4
  7. Ahmadi A1
  8. Hooshyari Z1
  9. Alavi SS1
  10. Molavi P5
  11. Sarraf N6
  12. Hojjat SK7
  13. Mohammadzadeh S8
  14. Amiri S9
  15. Arman S10
  16. Ghanizadeh A11
  17. Ahmadipour A12
  18. Ostovar R13
  19. Nazari H14
  20. Hosseini SH15
  21. Golbon A16
  22. Derakhshanpour F17
  23. Delpisheh A18
  24. Riahi F19
  25. Talepasand S20
  26. Mojahed A21
  27. Motlagh NH22
  28. Yazdi ASH23
  29. Ahmadpanah M24
  30. Dastjerdi R25
  31. Amirian H26
  32. Armani A27
  33. Safavi P28
  34. Kousha M29
  35. Alaghmand A30
  36. Shahrbabaki ME31
  37. Kiani A32
  38. Gharaei JM1
  39. Shakiba A1
  40. Zarafshan H1
  41. Salmanian M1
  42. Taylor E33
  43. Fombonne E34

Source: Iranian Journal of Psychiatry Published:2019


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. © 2019 Tehran University of Medical Sciences. All rights reserved.
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