Abstract
This study was designed to assess the prevalence of psychiatric disorders and the impact of impairment criteria on rates of diagnoses in a representative sample of elementary school children from a country in a region. We sampled 419 primary school children by using a one-stage design in Izmir, Turkey. The response rate was 99.5 % and 417 cases were assessed using the Schedule for Affective Disorders and Schizophrenia for School-Age Children Present and Lifetime Version and a scale to assess the impairment criterion. The results showed that 36.7 % of the sample met DSM-IV criteria independent of impairment and that 14.1 % of the population had one or more DSM-IV disorders when a measure of impairment specific to each diagnosis was considered. The most prevalent disorders were attention-deficit/hyperactivity disorder and anxiety disorders. This study provided the first estimates of the prevalence of specific DSM-IV-defined psychiatric disorders in Turkish population of children.
Similar content being viewed by others
References
Ford T, Goodman R, Meltzer H (2003) The British child and adolescent mental health survey 1999: the prevalence of DSM-IV disorders. J Am Acad Child Adolesc Psychiatry 42:1203–1211
Polanczyk G, Jensen P (2008) Epidemiologic considerations in attention deficit hyperactivity disorder: a review and update. Child Adolesc Psychiatr Clin N Am 17:245–260
Eapen V, Jakka ME, Abou-Saleh MT (2003) Children with psychiatric disorders: the A1 Ain community psychiatric survey. Can J Psychiatry 48:402–407
Brauner CB, Stephens CB (2006) Estimating the prevalence of early childhood serious emotional/behavioral disorders: challenges and recommendations. Public Health Rep 121:303–310
Romano E, Tremblay RE, Vitaro F, Zoccolillo M, Pagani L (2001) Prevalence of psychiatric diagnoses and the role of perceived impairment: findings from an adolescent community sample. J Child Psychol Psychiatry 42:451–461
McArdle P, Prosser J, Kolvin I (2004) Prevalence of psychiatric disorder: with and without psychosocial impairment. Eur Child Adolesc Psychiatry 13:347–353
Canino G, Shrout PE, Rubio-Stipec M, Bird HR, Bravo M, Ramirez R et al (2004) The DSM-IV rates of child and adolescent disorders in Puerto Rico: prevalence, correlates, service use, and the effects of impairment. Arch Gen Psychiatry 61:85–93
Leung PW, Hung SF, Ho TP, Lee CC, Liu WS, Tang CP et al (2008) Prevalence of DSM-IV disorders in Chinese adolescents and the effects of an impairment criterion: a pilot community study in Hong Kong. Eur Child Adolesc Psychiatry 17:452–461
Vicente B, Saldivia S, de la Barra F, Kohn R, Pihan R, Valdivia M et al (2012) Prevalence of child and adolescent mental disorders in Chile: a community epidemiological study. J Child Psychol Psychiatry 53:1026–1035
Vicente B, de la Barra F, Saldivia S, Kohn R, Rioseco P, Melipillan R (2011) Prevalence of child and adolescent psychiatric disorders in Santiago, Chile: a community epidemiological study. Soc Psychiatry Psychiatr Epidemiol 47:1099–1109
Roberts RE, Roberts CR, Xing Y (2007) Rates of DSM-IV psychiatric disorders among adolescents in a large metropolitan area. J Psychiatr Res 41:959–967
Motti-Stefanidi F, Tsiantis J, Richardson SC (1993) Epidemiology of behavioural and emotional problems of primary schoolchildren in Greece. Eur Child Adolesc Psychiatry 2:111–118
Roussos A, Karantanos G, Richardson C, Hartman C, Karajiannis D, Kyprianos S et al (1999) Achenbach’s Child Behavior Checklist and Teacher’s Report Form in a normative sample of Grek children 6–12 years old. Eur Child Adolesc Psychiatry 8:165–172
Minaei A (2005) Manual of ASEBA school-age forms for Iranian children. Research Institute for Tehran: Exceptional Children
Erol N, Kilic C, Ulusoy M, Kececi M, Simsek Z (1997) Mental health profiles in Turkey: a preliminary report. Aydogdu, Ankara, pp 12–33
Simşek Z, Erol N, Oztop D, Ozer Ozcan O (2008) Epidemiology of emotional and behavioral problems in children and adolescents reared in orphanages: a national comparative study. Turk Psikiyatr Derg 19:235–246
Ercan ES, Kandulu R, Uslu E, Ardic UA, Yazici KU, Basay BK et al (2013) Prevalence and diagnostic stability of ADHD and ODD in Turkish children: a 4-year longitudinal study. Child Adolesc Psychiatry Ment Health 7:30
Kaufman J, Birmaher B, Brent D, Rao U, Flynn C, Moreci P et al (1997) Schedule for affective disorders and schizophrenia for school-age children-present and lifetime version (KSADS-PL): initial reliability and validity data. J Am Acad Child Adolesc Psychiatry 36:980–988
Gökler B, Ünal F, Pehlivantürk B, Çengel Kültür E, Akdemir D, Taner Y (2004) Okul Çağı Çocukları İçin Duygulanım Bozuklukları ve Şizofreni Görüşme Çizelgesi-Şimdi ve Yaşam Boyu Şekli-Türkçe Uyarlamasının Geçerlik ve Güvenirliği. Çocuk ve Gençlik Ruh Sağlığı Dergisi 11:109–116
Brotman MA, Schmajuk M, Rich BA, Dickstein DP, Guyer AE, Costello EJ et al (2006) Prevalence, clinical correlates, and longitudinal course of severe mood dysregulation in children. Biol Psychiatry 60:991–997
Cho SC, Kim BN, Kim JW, Rohde LA, Hwang JW, Chungh DS et al (2009) Full syndrome and subthreshold attention-deficit/hyperactivity disorder in a Korean community sample: comorbidity and temperament findings. Eur Child Adolesc Psychiatry 18:447–457
Leckman JF, Sholomskas D, Thompson WD, Belanger A, Weissman MM (1982) Best estimate of lifetime psychiatric diagnosis: a methodological study. Arch Gen Psychiatry 39:879–883
Costello EJ, Mustillo S, Keller G, Angold A (2004) Prevalence of psychiatric disorders in childhood and adolescence. In: Levin BL, Petrila J, Hennessy KD (eds) Mental health services: a public health perspective. Oxford University Press, New York, pp 111–1282
Roberts RE, Attkisson CC, Rosenblatt A (1998) Prevalence of psychopathology among children and adolescents. Am J Psychiatry 155:715–725
Lahey BB, Miller TL, Gordon RA, Riley AW (1999) Developmental epidemiology of the disruptive behavior disorders. In: Quay HC, Hogan AE (eds) Handbook of disruptive behavior disorders, vol 99. Kluwer, New York, pp 23–48
Roberts RE, Roberts CR, Xing Y (2006) Prevalence of youth-reported DSM-IV psychiatric disorders among African, European, and Mexican American adolescents. J Am Acad Child Adolesc Psychiatry 45:1329–1337
Shaffer D, Fisher P, Dulcan MK, Davies M, Piacentini J, Schwab-Stone ME et al (1996) The NIMH diagnostic interview schedule for children version 2.3 (DISC-2.3): description, acceptability, prevalence rates, and performance in the MECA study: methods for the epidemiology of child and adolescent mental disorders study. J Am Acad Child Adolesc Psychiatry 35:865–877
Costello EJ, Angold A, Burns BJ, Stangl DK, Tweed DL, Erkanli A et al (1996) The Great Smoky Mountains Study of youth. Goals, design, methods, and the prevalence of DSM-III-R disorders. Arch Gen Psychiatry 53:1129–1136
Narrow WE, Regier DA, Goodman SH, Rae DS, Roper MT, Bourdon KH et al (1998) A comparison of federal definitions of severe mental illness among children and adolescents in four communities. Psychiatr Serv 49:1601–1608
Cartwright-Hatton S, McNicol K, Doubleday E (2006) Anxiety in a neglected population: prevalence of anxiety disorders in pre-adolescent children. Clin Psychol Rev 26:817–833
Polanczyk G, de Lima MS, Horta BL, Biederman J, Rohde LA (2007) The worldwide prevalence of ADHD: a systematic review and metaregression analysis. Am J Psychiatry 164:942–948
Skounti M, Philalithis A, Galanakis E (2007) Variations in prevalence of attention deficit hyperactivity disorder worldwide. Eur J Pediatr 166:117–123
Merikangas KR, Nakamura EF, Kessler RC (2009) Epidemiology of mental disorders in children and adolescents. Dialogues Clin Neurosci 11:7–20
Costello EJ, Egger H, Angold A (2005) 10-year research update review: the epidemiology of child and adolescent psychiatric disorders: I. Methods and public health burden. J Am Acad Child Adolesc Psychiatry 44:972–986
Canino G, Polanczyk G, Bauermeister JJ, Rohde LA, Frick PJ (2010) Does the prevalence of CD and ODD vary across cultures? Soc Psychiatry Psychiatr Epidemiol 45:695–704
Gureje O, Omigbodun OO (1995) Children with mental disorders in primary care: functional status and risk factors. Acta Psychiatr Scand 92:310–314
Eapen V, Al-Gazali L, Bin-Othman S, Abou-Saleh MT (1998) Mental health problems among schoolchildren in United Arab Emirates: prevalence and risk factors. J Am Acad Child Adolesc Psychiatry 37:880–886
Ghubash R, Hamdi E, Bebbington P (1992) The Dubai community psychiatric survey: I. Prevalence and socio-demographic correlates. Soc Psychiatry Psychiatr Epidemiol 27:53–61
Centers for Diseases Control and Prevention (CDC) (2005) Mental health in the United States. Prevalance of diagnosis and medication treatment for attention-deficit/hyperactivity disorder-United States, 2003. MMWR Morb Mortal Wkly Rep 54:842–847
Loeber R, Burke J, Pardini DA (2009) Perspectives on oppositional defiant disorder, conduct disorder, and psychopathic features. J Child Psychol Psychiatry 50:133–142
August GJ, Realmuto GM, Joyce T, Hektner JM (1999) Persistence and desistance of oppositional defiant disorder in a community sample of children with ADHD. J Am Acad Child Adolesc Psychiatry 38:1262–1270
Maughan B, Rowe R, Messer J, Goodman R, Meltzer H (2004) Conduct disorder and oppositional defiant disorder in a national sample: developmental epidemiology. J Child Psychol Psychiatry 45:609–621
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Ercan, E.S., Bilaç, Ö., Uysal Özaslan, T. et al. Prevalence of Psychiatric Disorders Among Turkish Children: The Effects of Impairment and Sociodemographic Correlates. Child Psychiatry Hum Dev 47, 35–42 (2016). https://doi.org/10.1007/s10578-015-0541-3
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10578-015-0541-3