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Psychiatric Disorders in a Paediatric Primary Care Clinic

Published online by Cambridge University Press:  02 January 2018

O. Gureje*
Affiliation:
Department of Psychiatry, University College Hospital, Ibadan
O. O. Omigbodun
Affiliation:
Department of Psychiatry, University College Hospital, Ibadan
R. Gater
Affiliation:
Department of Psychiatry, Withington Hospital
R. A. Acha
Affiliation:
Department of Psychiatry, University College Hospital, Ibadan
B. A. Ikuesan
Affiliation:
Department of Psychiatry, University College Hospital, Ibadan
J. Morris
Affiliation:
Department of Medical Statistics, Withington Hospital, West Didsbury, Manchester
*
Dr O. Gureje, Department of Psychiatry, University College Hospital, P.M.B. 6116, Ibadan, Nigeria

Abstract

Background

The proportion of children with psychiatric disorders treated in primary care is not known in most developing countries.

Method

In a two-stage epidemiological study, 990 children aged between 7 and 14 years were screened with the parents' version of the Rutter scale. Of these, a stratified sample of 227 was interviewed jointly with their mothers, using the children's version of the Schedule for Affective Disorders and Schizophrenia (K-SADS).

Results

We obtained a weighted prevalence of 19.6 ± 2.5% for the presence of one or more DSM-III-R disorders. Depressive disorders were present in 6.0%, anxiety-related disorders in 4.7%, and conduct disorders in 6.1%.

Conclusion

Psychiatric disorders in children are common in primary care. Doctors working at this level of care need the skills to detect and treat them.

Type
Short Papers
Copyright
Copyright © Royal College of Psychiatrists, 1994 

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References

American Psychiatric Association (1987) Diagnostic and Statistical Manual of Mental Disorders (3rd edn, revised) (DSM-III-R). Washington, DC: APA.Google Scholar
Chambers, W. J., Puig-Antich, J., Hirsch, M., et al (1985) The assessment of affective disorders in children and adolescents by semistructured interview: Test-retest reliability of the K-SADS-P. Archives of General Psychiatry, 42, 696702.Google Scholar
Costello, E. J., Costello, A. J., Edelbrook, C. S., et al (1988) Psychiatric disorders in pediatric primary care: prevalence and risk factors. Archives of General Psychiatry, 45, 11071116.Google Scholar
Costello, E. J., Edelbrook, C. S., Kalas, R., et al (1982) National Institute of Mental Health Diagnostic Interview Schedule for Children. Bethesda, MD: National Institute of Mental Health.Google Scholar
Garralda, M. E. & Bailey, D. (1986) Children with psychiatric disorders in primary care. Journal of Child Psychology and Psychiatry, 27, 611624.Google Scholar
Giel, R., Bishaw, M. & van Luijik, J. N. (1969) Behaviour disorders in Ethiopian children. Psychiatry, Neurology and Neurochirgurca, 72, 395.Google ScholarPubMed
Giel, R., Bishaw, , de Arango, M. V., Climent, C. E., et al (1981) Childhood mental disorders in primary care: results of observations in four developing countries. Pediatrics, 68, 677683.CrossRefGoogle ScholarPubMed
Goldberg, D. & Williams, P. (1988) A User's Guide to the General Health Questionnaire. NFER-Nelson.Google Scholar
nikapota, A. D. (1991) Child psychiatry in developing countries. British Journal of Psychiatry, 158, 743751.Google Scholar
Rutter, M., Tizard, J. & Whitmore, K. (eds) (1970) Education, Health and Behaviour. London: Longman.Google Scholar
Shaffer, D., Gould, M. S., Brasic, J., et al (1983) A Children's Global Assessment Scale (CGAS). Archives of General Psychiatry, 40, 12281231.Google Scholar
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