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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
Show Affiliations
Authors Affiliations
  1. 1. Psychiatry and Psychology Research Center, Tehran University of Medical Sciences, Tehran, Iran
  2. 2. Yazd Cardiovascular Research Center, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
  3. 3. Department of Public Health, School of Public Health, Zanjan University of Medical Sciences, Zanjan, Iran
  4. 4. Department of Biostatistics, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
  5. 5. Department of Psychiatry, Fatemi Hospital, Ardabil University of Medical Sciences, Ardabil, Iran
  6. 6. Department of Child and Adolescent Psychiatry, School of Medicine, Qazvin University of Medical Sciences, Qazvin, Iran
  7. 7. Addiction and Behavioral Sciences Research Center, North Khorasan University of Medical Sciences, Bojnurd, Iran
  8. 8. Department of Psychiatry, Neuroscience Research Center, Kurdistan University of Medical Sciences, Sanandaj, Iran
  9. 9. Research Center of Psychiatry and Behavioral Sciences, Tabriz University of Medical Sciences, Tabriz, Iran
  10. 10. Behavioral Sciences Research Center, Isfahan University of Medical Sciences, Isfahan, Iran
  11. 11. Department of Psychiatry, Hafez Hospital, Shiraz University of Medical Sciences, Shiraz, Iran
  12. 12. Department of Psychiatry, Booshehr University of Medical Sciences, Khalij-E Fars Hospital, Booshehr, Iran
  13. 13. Social Determinants of Health Research Center, Yasuj University of Medical Sciences, Yasuj, Iran
  14. 14. Department of Psychiatry, School of Medicine, Lorestan University of Medical Sciences, Khorram Abad, Iran
  15. 15. Psychiatry and Behavioral Sciences Research Center, Addiction Institute, Mazandaran University of Medical Sciences, Sari, Iran
  16. 16. Department of Psychiatry, Faculty of Medicine, Hormozgan University of Medical Sciences, Bandar Abbas, Iran
  17. 17. Golestan Psychiatric Research Center, Golestan University of Medical Sciences, Golestan, Iran
  18. 18. Department of Clinical Epidemiology, Faculty of Medicine, Psychosocial Injuries Research Center, Ilam University of Medical Sciences, Ilam, Iran
  19. 19. Department of Psychiatry, Golestan Educational Hospital, Faculty of Medicine, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
  20. 20. Semnan University, Semnan, Iran
  21. 21. Health Promotion Research Center, Department of Clinical Psychology, Zahedan University of Medical Sciences, Zahedan, Iran
  22. 22. Alborz University of Medical Sciences, Karaj, Iran
  23. 23. Psychiatry and Behavioral Sciences Research Center, Mashhad University of Medical Sciences, Mashhad, Iran
  24. 24. Research Center for Behavioral Disorders and Substance Abuse, Hamadan University of Medical Sciences, Hamadan, Iran
  25. 25. Birjand University of Medical Sciences, Birjand, Iran
  26. 26. Department of Psychiatry, School of Medicine, Kermanshah University of Medical Sciences, Kermanshah, Iran
  27. 27. Department of Psychiatry, Zanjan University of Medical Science, Zanjan, Iran
  28. 28. Clinical Research Development Unit, Hajar Hospital, Shahrekord University of Medical Sciences, Shahrekord, Iran
  29. 29. Department of Pediatric Psychiatry, Faculty of Medicine, Guilan University of Medical Sciences, Rasht, Iran
  30. 30. Department of Psychiatric, Arak University of Medical Science, Arak, Iran
  31. 31. Department of Psychiatry, Neuroscience Research Center, Institute of Neuropharmachology, Kerman University of Medical Sciences, Kerman, Iran
  32. 32. Urmia University of Medical Sciences, Urmia, Iran
  33. 33. Institute of Psychiatry, King’s College Hospital, London, United Kingdom
  34. 34. Department of Psychiatry, Oregon Health and Science University, Portland, United States
  35. 35. Psychiatry and Psychology Research Center, Roozbeh Hospital, Tehran University of Medical Sciences, Tehran, Iran
  36. 36. Yazd Cardiovascular Research Center, Shahid Sadoughi University of Medical Sciences, Yazd, Iran

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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