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Social Psychiatry and Psychiatric Epidemiology

Published in:

01-01-2014 | Original Paper

Prevalence of DSM-IV disorders, comorbidity and impairment in 3-year-old Spanish preschoolers

Authors: Lourdes Ezpeleta, Núria de la Osa, Josep M. Doménech

Published in: Social Psychiatry and Psychiatric Epidemiology | Issue 1/2014

Abstract

Purpose

The goal is to examine the prevalence, comorbidity and impairment of DSM-IV disorders in 3-year-old children from the Spanish general population.

Method

A sample of 1,341 3-year-old preschoolers were randomly selected and screened for a double-phase design. In total, 622 families were assessed with a diagnostic semi-structured interview and functional impairment measures.

Results

Prevalence of any diagnosis was 29.9 %, the most prevalent disorders being primary insomnia (11.7 %) and oppositional defiant disorder (ODD) (6.9 %). There were no sex differences in the prevalence. One-third of the families had sought professional help for the child’s symptoms, and 9.4 % received treatment (4.4 % psychological and 2.1 % pharmacological). After controlling for other comorbidities, ADHD was significantly associated with ODD, CD, insomnia and social phobia; ODD was associated with CD, separation anxiety, specific phobia and major depression. Diagnostic categories were associated with impairment, family burden, seeking professional help and receiving treatment. A diagnosis was more frequent in children of low socioeconomic status, born outside Spain, from one-parent families, with younger parents and with parents of lower educational level.

Conclusions

Psychopathology, comorbidity and associated factors are very frequent from age three, suggesting a need for efforts of detection, prevention and treatment in the different societies.

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Title: Prevalence of DSM-IV disorders, comorbidity and impairment in 3-year-old Spanish preschoolers
Authors: Lourdes Ezpeleta
Núria de la Osa
Josep M. Doménech
Publication date: 01-01-2014
Publisher: Springer Berlin Heidelberg
Published in: Social Psychiatry and Psychiatric Epidemiology / Issue 1/2014
Print ISSN: 0933-7954
Electronic ISSN: 1433-9285
DOI: https://doi.org/10.1007/s00127-013-0683-1

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Prevalence of DSM-IV disorders, comorbidity and impairment in 3-year-old Spanish preschoolers

Abstract

Purpose

Method

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Method

Results

Conclusions

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