印度儿童和青少年常见精神障碍的患病率和诊断工具的可预测性:一项系统综述和荟萃分析

G. Radhika, R. Sankar, R. Rajendran
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引用次数: 2

摘要

这项系统综述的目的是检查常见精神障碍(CMD)的合并患病率,并评估筛查工具在印度儿童和青少年人群中检测CMD的可预测性。数据来源包括截至2020年的MEDLINE、PubMed、PyschEXTRA和PyschINFO,以及根据系统评价和荟萃分析首选报告项目指南搜索参考文献列表中确定的其他研究,以检查工具的诊断效用,系统评价和荟萃分析指南(PRISMA)首选报告项目后括号内的PRISMA。只有涉及印度抑郁和焦虑程度独立的儿童和青少年的研究才被纳入。随机效应荟萃分析用于计算抑郁症患病率的汇总估计。20项研究符合系统审查的所有纳入和排除标准。分析表明,在全国不同地区使用了几种工具来测量CMD,如贝克抑郁量表(BDI)、儿童抑郁评定量表修订版(CDRS-R)和抑郁-焦虑-压力量表。抑郁症的合并患病率为19%(95%置信区间(CI)=12.57–27.12),焦虑症为15%(95%CI=4.67–30.90),任何抑郁障碍为11%(95%CI=4.37–19.77)。BDI的敏感性最高(61%),CDRS-R的特异性最高(75%)。鉴于研究的高度异质性,没有足够的证据表明任何工具都能准确筛查CMD,并且可能低估了真实的患病率。
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Prevalence and diagnostic tools predictability of common mental disorders among Indian children and adolescent population: A systematic review and meta-analysis
The objective of this systematic review was to examine the pooled prevalence of common mental disorder (CMD) and to evaluate the predictability of screening instruments to detect CMD in the children and adolescent population in India. Data sources included the MEDLINE, PubMed, PyschEXTRA, and PyschINFO up to 2020, with additional studies identified from a search of reference lists to examine the diagnostic utility of tools carried out in accordance with the Preferred Reporting Items for Systematic Review and Meta-Analyses guidelines, PRISMA within parentheses after the Preferred Reporting Items for Systematic Review and Meta-Analyses guidelines (PRISMA). Only studies involving children and adolescents with an independent measure of depression and anxiety in India were included. Random effects meta-analyses were employed to calculate a pooled estimate of depression prevalence. Twenty studies met all inclusion and exclusion criteria for the systematic review. The analysis showed that several tools were used in different regions of the nation to measure CMD such as the beck depression inventory (BDI), Children's Depression Rating Scale-Revised (CDRS-R), and Depression Anxiety Stress Scale. The pooled prevalence of depression was 19% (95% confidence interval (CI) = 12.57–27.12), 15% (95% CI = 4.67–30.90) for anxiety, and 11% (95% CI = 4.37–19.77) for any depressive disorder. In terms of BDI had the highest sensitivity (61%) while CDRS-R had the highest specificity (75%). Given the high heterogeneity of the studies, there is insufficient evidence that any tool accurately screens for CMD and likely to underestimate the true prevalence.
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