Journal of the American Academy of Child & Adolescent Psychiatry
New researchPrevalence of DSM-IV Disorder in a Representative, Healthy Birth Cohort at School Entry: Sociodemographic Risks and Social Adaptation
Section snippets
Participants
Children were selected from birth records (N = 8,404) provided by the State of Connecticut Department of Public Health for births at Yale-New Haven Hospital from July 1995 to September 1997 (Figure 1). Eligible children were born healthy in the New Haven–Meriden Standard Metropolitan Statistical Area of the 1990 Census. Children who were likely to have developmental delays because of low birthweight (<2,200 g), prematurity (<36 weeks), low APGAR scores (defined as both 1- and 5-minute scores
Prevalence of DISC Disorders
Rates of DISC disorder varied depending on whether impairment criteria were employed (Table 3). When impairment was not required for diagnosis, 32.0% of children met criteria for “any” disorder, 14.3% had one or more externalizing disorders, and 22.5% had one or more internalizing disorders. Without requiring impairment, the most common disorder was Specific Phobia (20.0%), and the majority of children who met criteria for this disorder (69.7%) did not have any other disorder. When impairment
Discussion
Prevalence rates for psychopathology in these young, school-aged children ascertained from birth records in a Northeastern urban and suburban SMSA are consistent with previous estimates of preschool children,12, 14, 16, 19 older children, and adolescents11, 15, 17, 18 and suggest that as children transition to formal schooling, approximately one in five (21.6%) will have a psychiatric disorder with impairment and may benefit from services. The estimated prevalence of psychiatric disorder was
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Cited by (0)
Support for this research came from a grant to the first author from the National Institute of Mental Health (R01MH55278), the MRSA/MCHB LEND project (HERSA/MCHB T73MC00020l; Dr. David Helm, PI), and the Mental Health/Developmental Disabilities at Children's Hospital Boston (National Institute of Mental Health/National Institutes of HealthR25 MH0171286; Dr. Kerim Munir, PI).
This article is discussed in an editorial by Neil W. Boris, M.D., on page 635.
Disclosure: Drs. Carter and Briggs-Gowan receive royalties from the sale of the Infant Toddler Social and Emotional Assessment from Pearson Assessment. Drs. Wagmiller and Horwitz and Ms. Gray and McCarthy report no biomedical financial interests or potential conflicts of interest.