{"title":"关于欧洲儿童和青少年精神障碍患病率的系统回顾和荟萃分析。","authors":"Rosemarie Sacco, Nigel Camilleri, Judith Eberhardt, Katja Umla-Runge, Dorothy Newbury-Birch","doi":"10.1007/s00787-022-02131-2","DOIUrl":null,"url":null,"abstract":"<p><p>Most mental disorders appear by age 14, but in most cases, they remain undiagnosed and untreated well into adulthood. A scoping review showed an absence of systematic reviews that address prevalence rates of mental disorders among children and adolescents in Europe that are based on community studies conducted between 2015 and 2020. To estimate the updated pooled prevalence of Anxiety Disorder, Depressive Disorder, Attention Deficit Hyperactivity Disorder (ADHD), Conduct Disorder (CD), Oppositional Defiant Disorder (ODD), Autism Spectrum Disorder, Eating Disorders, Substance Use Disorders (SUD), among children and adolescents living in Europe, a search strategy was conducted using MEDLINE, Embase and Psych Info and studies were also identified from reference lists and gray literature. Eligible studies were evaluated for reliability, validity, and bias. Trends of prevalence rates for each mental disorder were calculated. Almost one in five young people in Europe were found to suffer from a mental disorder, with a pooled prevalence rate of 15.5%. Anxiety disorders had the highest pooled prevalence rate (7.9% (95% CI 5.1-11.8%, I<sup>2</sup>: 98.0%)), followed by ADHD (2.9% (95% CI 1.2-6.9%, I<sup>2</sup> = 94.3%)), ODD (1.9% (95% CI 1.0-3.7%, I<sup>2</sup> = 98.4%)), depressive disorder (1.7% (95% CI 1.0-2.9%, I<sup>2</sup> = 97.7%)), CD (1.5% (95% CI 0.6-3.8%, I<sup>2</sup> = 98.8%)) and ASD (1.4% (95% CI 0.4-5.4%, I<sup>2</sup> = 99.7%). No studies on SUD were identified. The mental health of children and adolescents may be improved by introducing routine screening, refining diagnostic sensitivity, raising awareness of mental disorders, minimizing stigma and socioeconomic inequality, as well as developing early intervention services. These facilitators of good mental health need to be prioritized, especially at a time of unprecedented risk factors for poor mental health.</p>","PeriodicalId":11856,"journal":{"name":"European Child & Adolescent Psychiatry","volume":null,"pages":null},"PeriodicalIF":6.0000,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9800241/pdf/","citationCount":"0","resultStr":"{\"title\":\"A systematic review and meta-analysis on the prevalence of mental disorders among children and adolescents in Europe.\",\"authors\":\"Rosemarie Sacco, Nigel Camilleri, Judith Eberhardt, Katja Umla-Runge, Dorothy Newbury-Birch\",\"doi\":\"10.1007/s00787-022-02131-2\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>Most mental disorders appear by age 14, but in most cases, they remain undiagnosed and untreated well into adulthood. 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Anxiety disorders had the highest pooled prevalence rate (7.9% (95% CI 5.1-11.8%, I<sup>2</sup>: 98.0%)), followed by ADHD (2.9% (95% CI 1.2-6.9%, I<sup>2</sup> = 94.3%)), ODD (1.9% (95% CI 1.0-3.7%, I<sup>2</sup> = 98.4%)), depressive disorder (1.7% (95% CI 1.0-2.9%, I<sup>2</sup> = 97.7%)), CD (1.5% (95% CI 0.6-3.8%, I<sup>2</sup> = 98.8%)) and ASD (1.4% (95% CI 0.4-5.4%, I<sup>2</sup> = 99.7%). No studies on SUD were identified. The mental health of children and adolescents may be improved by introducing routine screening, refining diagnostic sensitivity, raising awareness of mental disorders, minimizing stigma and socioeconomic inequality, as well as developing early intervention services. 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引用次数: 0
摘要
大多数精神障碍在 14 岁之前就已出现,但在大多数情况下,直到成年后仍未得到诊断和治疗。一项范围界定审查显示,目前缺乏针对欧洲儿童和青少年精神障碍患病率的系统性审查,这些审查基于 2015 年至 2020 年间开展的社区研究。为了估算焦虑症、抑郁症、注意力缺陷多动障碍 (ADHD)、行为障碍 (CD)、对立违抗障碍 (ODD)、自闭症谱系障碍、进食障碍、药物使用障碍 (SUD) 在欧洲儿童和青少年中的最新汇总患病率,我们使用 MEDLINE、Embase 和 Psych Info 进行了检索,并从参考文献列表和灰色文献中找到了相关研究。对符合条件的研究进行了可靠性、有效性和偏差评估。对每种精神障碍的患病率趋势进行了计算。在欧洲,几乎每五个年轻人中就有一人患有精神障碍,综合患病率为 15.5%。焦虑症的综合患病率最高(7.9% (95% CI 5.1-11.8%, I2: 98.0%)),其次是多动症(2.9% (95% CI 1.2-6.9%, I2 = 94.3%))、定向障碍(1.9% (95% CI 1.0-3.7%,I2 = 98.4%)、抑郁障碍(1.7%(95% CI 1.0-2.9%,I2 = 97.7%))、CD(1.5%(95% CI 0.6-3.8%,I2 = 98.8%))和 ASD(1.4%(95% CI 0.4-5.4%,I2 = 99.7%)。没有发现有关 SUD 的研究。通过引入常规筛查、提高诊断敏感性、提高对精神障碍的认识、尽量减少污名化和社会经济不平等,以及发展早期干预服务,可以改善儿童和青少年的心理健康。需要优先考虑这些促进良好心理健康的因素,尤其是在心理健康不良的风险因素前所未有的时候。
A systematic review and meta-analysis on the prevalence of mental disorders among children and adolescents in Europe.
Most mental disorders appear by age 14, but in most cases, they remain undiagnosed and untreated well into adulthood. A scoping review showed an absence of systematic reviews that address prevalence rates of mental disorders among children and adolescents in Europe that are based on community studies conducted between 2015 and 2020. To estimate the updated pooled prevalence of Anxiety Disorder, Depressive Disorder, Attention Deficit Hyperactivity Disorder (ADHD), Conduct Disorder (CD), Oppositional Defiant Disorder (ODD), Autism Spectrum Disorder, Eating Disorders, Substance Use Disorders (SUD), among children and adolescents living in Europe, a search strategy was conducted using MEDLINE, Embase and Psych Info and studies were also identified from reference lists and gray literature. Eligible studies were evaluated for reliability, validity, and bias. Trends of prevalence rates for each mental disorder were calculated. Almost one in five young people in Europe were found to suffer from a mental disorder, with a pooled prevalence rate of 15.5%. Anxiety disorders had the highest pooled prevalence rate (7.9% (95% CI 5.1-11.8%, I2: 98.0%)), followed by ADHD (2.9% (95% CI 1.2-6.9%, I2 = 94.3%)), ODD (1.9% (95% CI 1.0-3.7%, I2 = 98.4%)), depressive disorder (1.7% (95% CI 1.0-2.9%, I2 = 97.7%)), CD (1.5% (95% CI 0.6-3.8%, I2 = 98.8%)) and ASD (1.4% (95% CI 0.4-5.4%, I2 = 99.7%). No studies on SUD were identified. The mental health of children and adolescents may be improved by introducing routine screening, refining diagnostic sensitivity, raising awareness of mental disorders, minimizing stigma and socioeconomic inequality, as well as developing early intervention services. These facilitators of good mental health need to be prioritized, especially at a time of unprecedented risk factors for poor mental health.
期刊介绍:
European Child and Adolescent Psychiatry is Europe''s only peer-reviewed journal entirely devoted to child and adolescent psychiatry. It aims to further a broad understanding of psychopathology in children and adolescents. Empirical research is its foundation, and clinical relevance is its hallmark.
European Child and Adolescent Psychiatry welcomes in particular papers covering neuropsychiatry, cognitive neuroscience, genetics, neuroimaging, pharmacology, and related fields of interest. Contributions are encouraged from all around the world.