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Epidemiology of psychiatric disorders in very young children in a Romanian pediatric setting

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Abstract

A growing literature demonstrates that early clinical intervention can reduce risks of adverse psychosocial outcomes. A first step necessary for developing early intervention services is to know the prevalence of clinical disorders, especially in systems that are rebuilding, such as Romania, where the mental health system was dismantled under Ceausescu. No epidemiologic studies have examined prevalence of psychiatric disorders in young children in Romania. The objective of this study was to determine the prevalence of psychiatric disorders in Romanian children 18–60 months in pediatric settings. Parents of 1,003 children 18–60 months in pediatric waiting rooms of two pediatric hospitals completed background information, the Child Behavior Checklist (CBCL). A subgroup over-sampled for high mental health problems were invited to participate in the Preschool Age Psychiatric Assessment. Rates of mental health problems were similar to the US norms on the CBCL. The weighted prevalence of psychiatric disorders in these children was 8.8%, with 5.4% with emotional disorders and 1.4% with behavioral disorders. Comorbidity occurred in nearly one-fourth of the children with a psychiatric disorder and children who met diagnostic criteria had more functional impairment than those without. Of children who met criteria for a psychiatric disorder, 10% of parents were concerned about their child’s emotional or behavioral health. This study provides prevalence rates of psychiatric disorders in young Romanian children, clinical characteristic of the children and families that can guide developing system of care. Cultural differences in parental report of emotional and behavioral problems warrant further examination.

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Acknowledgments

The authors express their appreciation to the families and staff at Dr. Victor Gomoiu Children’s Hospital and the Marie Curie Children’s Hospital. This study was funded by the Fundatia Tulane, Bucharest, Romania

Conflict of interest

None of the authors have competing interests related to this study.

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Authors and Affiliations

  1. Department of Psychiatry and Behavioral Sciences, Tulane University School of Medicine, 1440 Canal Street TB 52, New Orleans, LA, 70112, USA

    Mary Margaret Gleason & Charles H. Zeanah

  2. Victor Gomoiu Children’s Hospital, Bucharest, Romania

    Andrei Zamfirescu

  3. Duke University Medical Center, Durham, NC, USA

    Helen L. Egger

  4. Harvard Medical School, Boston, MA, USA

    Charles A. Nelson III

  5. University of Maryland, College Park, MD, USA

    Nathan A. Fox

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  1. Mary Margaret Gleason
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  2. Andrei Zamfirescu
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  3. Helen L. Egger
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  4. Charles A. Nelson III
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  5. Nathan A. Fox
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  6. Charles H. Zeanah
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Correspondence to Mary Margaret Gleason.

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Gleason, M.M., Zamfirescu, A., Egger, H.L. et al. Epidemiology of psychiatric disorders in very young children in a Romanian pediatric setting. Eur Child Adolesc Psychiatry 20, 527–535 (2011). https://doi.org/10.1007/s00787-011-0214-0

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