湖南省儿童青少年精神障碍现状调查与防治模式研究

A epidemiological survey of mental disorders in children and adolescents in Hunan province:Prevalence and the model of interference.

应用临床流行病学方法，采用ＤＳＭ－Ⅲ－Ｒ标准，在湖南省城乡抽样调查８６４４名４～１６岁男女儿童青少年，发现精神障碍达３８种，总时点患病率为１４．８９％，发育性障碍、行为障碍、情绪障碍及躯体形式障碍等４大类精神障碍在城乡、男女与不同年龄阶段的分布有明显不同。调查发现患儿家庭的就医行为明显偏差，保健需求集中于学校心理卫生保健、家庭心理卫生教育与咨询和专科门诊等项目上。作者据此提出了儿少精神卫生的防治模式，并作了效益分析。文章就上述问题进行了讨论。

A epidemiological survey of mental health disorders was made for 8,864 children and adolescents 4-16 Year-old (male 4,596;female 4,048),sampled from Hunan province of China.DSM-Ⅲ-R criteria was used in clinical interview to make diagnosis and category.It was found that there were 38 kinds of diagnoses made and the total point prevalence was 14 89%.There was no difference of distributions of the developmental,behavioral,emotional and somatoform disorders between urban and countryside,between sexes,or among varying ages.In disordered children,the help seeking behaviors of their families were deviant and irrational severely.It is necessary for medical services to focus their attention on developing mental health facilities in schools and communities,for providing consultation to parents,therefore,to increase out-patients' presentation.The work model and errect of intervention on mental health problems in community were presented and discussed m this essay.