Article1994

Psychiatric Disorders in a Paediatric Primary Care Clinic

Oye Gureje · Olayinka Olusola Omigbodun · Richard A. Gater · R. A. Acha · Benson A. Ikuesan · Julie Morris

77 citations0/0 files storedThe British Journal of Psychiatry

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Child and Adolescent Psychosocial and Emotional Development Mental Health Treatment and Access Child and Adolescent Health

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.

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References

1988A user's guide to the General Health Questionnaire 1983A Children's Global Assessment Scale (CGAS)1985The Assessment of Affective Disorders in Children and Adolescents by Semistructured Interview 1988Psychiatric Disorders in Pediatric Primary Care 1981Childhood mental disorders in primary health care: results of observations in four developing countries. A report from the WHO collaborative Study on Strategies for Extending Mental Health Care.1981Childhood Mental Disorders in Primary Health Care: Results of Observations in Four Developing Countries 1986CHILDREN WITH PSYCHIATRIC DISORDERS IN PRIMARY CARE 1991Child Psychiatry in Developing Countries

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