Epidemiology Study Of Mental Disorder Of Children And Adolescents In Liaoning Province

ObjectiveThe aim of the present study is to determine the epidemiology,risk factors associated with mental disorder in a population-based sample of 6-year-old to 17-year-old schoolchildren to provide with theoretical and practical foundation for governments.MethodsA cross-sectional study was applied random sample of schoolchildren(N=6700) drawn from four areas:Benxi,Panjin,Donggang and Qingyuan.Multi-informant, Strength and difficulty questionnaire and self-designed questionnaires were used to investigate mental disorder and risk factors.Logistic regression analysis was used to identify risk factors of mental disorder of adolescents.Results1.6358 school children and their parents and teachers were assessed with questionnaire,a total of 5864 children(88.30%)had full information of SDQ and their questionnaires were available.2.According to the symptom the prevalence was 23.07%,19.99%,14.62%, 22.10%,from parents,teachers,students and multi-informants.Whereas considerate to the symptom and impairment the prevalence fell to 6.68%,4.94%,4.66%,and 9.15%.3.In emotion disorder,the prevalence was higher from students than from parents, significantly than from teachers.In conduct disorder,the prevalence was higher from students than from teachers,significantly than from parents.In ADHD,the prevalence was lower from student than from teacher and parent.4.The prevalence of mental disorder of children and adolescents in Liaorting province was 9.15%.The prevalence of emotion disorder,conduct disorder,ADHA was 5.13%,5.77%and 0.76%.The prevalence was higher in city(9.80%)than in country(8.47%),significantly in boys(11.02%)than in girls(7.35%)and the prevalence increased with age.5.There were 9 factors correlated to emotion disorder,such as age group of 16-17 year,poor-health,poor-family,mental problem of father,mental problem of mother, emotion abuse,mother abuse test-nervous,low-score.There were 11 factors correlated to conduct disorder,such as,age group of 11-15 year,male,poor-health,different attitude to education of parent,divorce or separation of parent,mental problem of mother,emotion abuse,body abuse,feeling lonely at school,emotion abuse of teacher, low-score.There were 7 factors correlated to ADHD disorder,such as age group of 11-15 year,male,foster care,body abuse,mental problem of mother,emotion abuse of teacher,bully.Conclusions1.The symptom and impairment of SDQ was more important than the symptom only,the impairment can impact the prevalence of mental disorder directly,rather than symptom.2.Different informant lay particular emphasis on information for different mental disorder,so SDQ can estimate mental disorder reasonablely,avoiding low-estimate the prevalence.3.The prevalence of mental disorder of children and adolescents in Liaoning province was 9.15%,the prevalence was higher in city than in country,significantly in boys than in girls and increased with age.4.The effluence of the mental disorder was correlated to child and adolescent itself,home environment,childhood dys-career,school life and so on.It is must to be considering versatility factors to prevent the mental disorder.