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Published in: BMC Public Health 1/2018

Open Access 01-12-2018 | Research article

Epidemiological study of child and adolescent psychiatric disorders in Lithuania

Authors: Sigita Lesinskiene, Sigita Girdzijauskiene, Grazina Gintiliene, Dovile Butkiene, Dainius Puras, Robert Goodman, Einar Heiervang

Published in: BMC Public Health | Issue 1/2018

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Abstract

Background

From the public health perspective, epidemiological data of child mental health and psychosocial correlates were necessary and very lacking in Lithuanian society that has been undergoing rapid socio-economic change since the past decades. Together with determining the prevalence rates of disorders and assessing the needs for the services, this study has also shifted attention from the highly selective samples of children attending children and adolescent mental health services towards less severe cases of psychopathology as well as different attitudes of parents and teachers. The aim of the first epidemiological study in Lithuania was to identify the prevalence of psychiatric disorders in the community sample of children.

Methods

Child psychiatric disorders were investigated in a representative sample of 3309 children aged 7–16 years (1162 7–10-year-olds and 2147 11–16-year-olds), using a two-phase design with the Lithuanian version of the Strengths and Difficulties Questionnaire (SDQ) in the first screening phase, and the Development and Well-Being Assessment (DAWBA) in the second diagnostic phase.

Results

The estimated point prevalence of ICD-10 psychiatric disorders was 13.1% for the total sample (14.0% for the child sample and 12.1% for adolescent sample). The most common groups of disorders were Conduct disorders 6.6% (7.1% for child sample and 6.0% for adolescent sample), Anxiety disorders 5.0% (5.9% for child sample and 6.0% for adolescent sample), with Hyperkinesis being less common 2.0% (2.7% for child sample and 1.2% for adolescent sample). Potential risk factors were related to individual characteristics of the child (gender, poor general health, and stressful life experiences), and the family (single parenthood, foster care, unfavourable family climate, disciplining difficulties, worries related to TV or computer use).

Conclusions

The overall prevalence of youth psychiatric disorders was relatively high in this representative Lithuanian sample compared to Western European countries. The SDQ and DAWBA measures appear useful for the further research and clinical practice in this society.
Literature
4.
go back to reference Laskytė A, Žemaitienė N. The types of deliberate self-harm and its prevalence among Lithuanian teenagers. Medicina. 2009;45(2):132–9. (in Lithuanian)PubMed Laskytė A, Žemaitienė N. The types of deliberate self-harm and its prevalence among Lithuanian teenagers. Medicina. 2009;45(2):132–9. (in Lithuanian)PubMed
6.
go back to reference Kessler RC, Avenevoli S, Costello EJ, Georgiades K, Green JG, Gruber MJ, He J, Koretz D, McLaughlin KA, Petukhova M, Sampson NA, Zaslavsky AM, Merikangas K. Prevalence, persistence, and sociodemographic correlates of DSM-IV disorders in the National Comorbidity Survey Replication Adolescent Supplement. Arch Gen Psychiatry. 2012;69(4):372–80. https://doi.org/10.1001/archgenpsychiatry.2011.160.CrossRefPubMed Kessler RC, Avenevoli S, Costello EJ, Georgiades K, Green JG, Gruber MJ, He J, Koretz D, McLaughlin KA, Petukhova M, Sampson NA, Zaslavsky AM, Merikangas K. Prevalence, persistence, and sociodemographic correlates of DSM-IV disorders in the National Comorbidity Survey Replication Adolescent Supplement. Arch Gen Psychiatry. 2012;69(4):372–80. https://​doi.​org/​10.​1001/​archgenpsychiatr​y.​2011.​160.CrossRefPubMed
7.
go back to reference Lawrence D, Johnson S, Hafekost J, Boterhoven De Haan K, Sawyer M, Ainley J, Zubrick S. The mental health of children and adolescents. Report on the second Australian child and adolescent survey of mental health and wellbeing. Canberra: Department of Health; 2015. Lawrence D, Johnson S, Hafekost J, Boterhoven De Haan K, Sawyer M, Ainley J, Zubrick S. The mental health of children and adolescents. Report on the second Australian child and adolescent survey of mental health and wellbeing. Canberra: Department of Health; 2015.
8.
go back to reference Alyahri A, Goodman R. The prevalence of DSM-IV psychiatric disorders among 7–10 year old Yemeni schoolchildren. Soc Psychiatry Psychiatr Epidemiol. 2008;43(3):224–30.CrossRefPubMed Alyahri A, Goodman R. The prevalence of DSM-IV psychiatric disorders among 7–10 year old Yemeni schoolchildren. Soc Psychiatry Psychiatr Epidemiol. 2008;43(3):224–30.CrossRefPubMed
12.
13.
go back to reference Goodman R. The strengths and difficulties questionnaire: a research note. J Child Psychol Psychiatry. 1997;38:581–6.CrossRefPubMed Goodman R. The strengths and difficulties questionnaire: a research note. J Child Psychol Psychiatry. 1997;38:581–6.CrossRefPubMed
14.
go back to reference Goodman R. The extended version of the strengths and difficulties questionnaire as a guide to child psychiatric caseness and consequent burden. J Child Psychol Psychiatry. 1999;40:791–801.CrossRefPubMed Goodman R. The extended version of the strengths and difficulties questionnaire as a guide to child psychiatric caseness and consequent burden. J Child Psychol Psychiatry. 1999;40:791–801.CrossRefPubMed
16.
go back to reference Gintiliene G, Girdzijauskiene S, Cerniauskaite D, Lesinskiene S, Povilaitis R, Puras D. A standardized Lithuanian version of ‘strengths and difficulties questionnaire’ (SDQ) for school-aged children. Psychology. 2004;29:88–105. (in Lithuanian) Gintiliene G, Girdzijauskiene S, Cerniauskaite D, Lesinskiene S, Povilaitis R, Puras D. A standardized Lithuanian version of ‘strengths and difficulties questionnaire’ (SDQ) for school-aged children. Psychology. 2004;29:88–105. (in Lithuanian)
18.
go back to reference Goodman R, Ford T, Simmons H, Gatward R, Meltzer H. The development and well-being assessment: description and initial validation of an integrated assessment of child and adolescent psychopathology. J Child Psychol Psychiatry. 2006;41:645–55.CrossRef Goodman R, Ford T, Simmons H, Gatward R, Meltzer H. The development and well-being assessment: description and initial validation of an integrated assessment of child and adolescent psychopathology. J Child Psychol Psychiatry. 2006;41:645–55.CrossRef
21.
go back to reference Goodman R, Slobodskaya H, Knyazev G. Russian child mental health: a cross-sectional study of prevalence and risk factors. Eur Child Adolesc Psychiatry. 2005;14:28–33.CrossRefPubMed Goodman R, Slobodskaya H, Knyazev G. Russian child mental health: a cross-sectional study of prevalence and risk factors. Eur Child Adolesc Psychiatry. 2005;14:28–33.CrossRefPubMed
22.
go back to reference Sanjay J, Samir AA, Hilal AK, Magdi M, Asya AR. Prevalence and age-of-onset distributions of DSM IV mental disorders and their severity among school going Omani adolescents and youths: WMH-CIDI findings. J Child Psychol Psychiatry. 2009;3:1–11. https://doi.org/10.1186/1753-2000-3-1. Sanjay J, Samir AA, Hilal AK, Magdi M, Asya AR. Prevalence and age-of-onset distributions of DSM IV mental disorders and their severity among school going Omani adolescents and youths: WMH-CIDI findings. J Child Psychol Psychiatry. 2009;3:1–11. https://​doi.​org/​10.​1186/​1753-2000-3-1.
24.
go back to reference Ford T, Goodman R, Meltzer H. The British child and adolescent mental health survey 1999: the prevalence of DSM-IV disorders. J Am Acad Child Adolesc Psychiatry. 2003;42:1203–11.CrossRefPubMed Ford T, Goodman R, Meltzer H. The British child and adolescent mental health survey 1999: the prevalence of DSM-IV disorders. J Am Acad Child Adolesc Psychiatry. 2003;42:1203–11.CrossRefPubMed
27.
go back to reference Mullick M, Goodman R. Questionnaire for mental health problems in Bangladeshi children: a preliminary study. Soc Psychiatry Psychiatr Epidemiol. 2001;36:94–9.CrossRefPubMed Mullick M, Goodman R. Questionnaire for mental health problems in Bangladeshi children: a preliminary study. Soc Psychiatry Psychiatr Epidemiol. 2001;36:94–9.CrossRefPubMed
28.
go back to reference Goodman A, Heiervang E, Fleitlich-Bilyk B, Alyahri A, Patel V, Mullick MS, Slobodskaya H, Dos Santos DN, Goodman R. Cross-national differences in questionnaires do not necessarily reflect comparable differences in disorder prevalence. Soc Psychiatry Psychiatr Epidemiol. 2012;47(8):1321–31. https://doi.org/10.1007/s00127-011-0440-2.CrossRefPubMed Goodman A, Heiervang E, Fleitlich-Bilyk B, Alyahri A, Patel V, Mullick MS, Slobodskaya H, Dos Santos DN, Goodman R. Cross-national differences in questionnaires do not necessarily reflect comparable differences in disorder prevalence. Soc Psychiatry Psychiatr Epidemiol. 2012;47(8):1321–31. https://​doi.​org/​10.​1007/​s00127-011-0440-2.CrossRefPubMed
30.
go back to reference Hysing M, Elgen I, Gillberg C, Lie SA, Lundervold AJ. Chronic physical illness and mental health in children. Results from a large-scale population study. J Child Psychol Psychiatry. 2007;48:785–92.CrossRefPubMed Hysing M, Elgen I, Gillberg C, Lie SA, Lundervold AJ. Chronic physical illness and mental health in children. Results from a large-scale population study. J Child Psychol Psychiatry. 2007;48:785–92.CrossRefPubMed
31.
go back to reference Jané-Llopis E. Braddick F (Eds). Mental health in youth and education. Consensus paper. European Communities: Luxembourg; 2008. Jané-Llopis E. Braddick F (Eds). Mental health in youth and education. Consensus paper. European Communities: Luxembourg; 2008.
36.
go back to reference Merikangas KR, He JP, Burstein M, Swanson SA, Avenevoli S, Cui L, Benjet C, Georgiades K, Swendsen J. Lifetime prevalence of mental disorders in U.S. adolescents: results from the National Comorbidity Survey Replication-Adolescent Supplement (NCS-A). J Am Acad Child Psychiatry. 2010;9(10):980–9. https://doi.org/10.1016/j.jaac.2010.05.017.CrossRef Merikangas KR, He JP, Burstein M, Swanson SA, Avenevoli S, Cui L, Benjet C, Georgiades K, Swendsen J. Lifetime prevalence of mental disorders in U.S. adolescents: results from the National Comorbidity Survey Replication-Adolescent Supplement (NCS-A). J Am Acad Child Psychiatry. 2010;9(10):980–9. https://​doi.​org/​10.​1016/​j.​jaac.​2010.​05.​017.CrossRef
37.
go back to reference Vostanis P, Graves A, Meltzer H, Goodman R, Jenkins R, Brugha T. Relationship between parental psychopathology, parenting strategies and child mental health-findings from the GB national study. Soc Psychiatry Psychiatr Epidemiol. 2006;41(7):509–14.CrossRefPubMed Vostanis P, Graves A, Meltzer H, Goodman R, Jenkins R, Brugha T. Relationship between parental psychopathology, parenting strategies and child mental health-findings from the GB national study. Soc Psychiatry Psychiatr Epidemiol. 2006;41(7):509–14.CrossRefPubMed
Metadata
Title
Epidemiological study of child and adolescent psychiatric disorders in Lithuania
Authors
Sigita Lesinskiene
Sigita Girdzijauskiene
Grazina Gintiliene
Dovile Butkiene
Dainius Puras
Robert Goodman
Einar Heiervang
Publication date
01-12-2018
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2018
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/s12889-018-5436-3

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