Author(s): FleitlichBilyk B, Goodman R
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Abstract OBJECTIVE: To describe the prevalence of DSM-IV disorders and the pattern of comorbidity in a population-based sample of 7- to 14-year-old Brazilian schoolchildren. METHOD: Random sampling of schools (stratified into private, public rural, and public urban) was followed by random sampling of pupils from school lists. In 2000-2001, a total of 1,251 children were assessed for DSM-IV diagnoses using the Development and Well-Being Assessment, a structured multiinformant assessment supplemented by verbatim reports reviewed by clinicians. RESULTS: The response rate was 83\%. The overall prevalence of DSM-IV disorders was 12.7\% (95\% confidence interval = 9.8\%-15.5\%), with 3.5\% of children being assigned as not otherwise specified rather than operationalized diagnoses. The overall prevalence of psychiatric disorder was significantly higher than in a British study with the same measures and diagnostic procedures (12.7\% versus 9.7\%, p =.02). CONCLUSIONS: Approximately one in eight schoolchildren in the study area in the southeast of Brazil have psychiatric disorders involving a level of distress or social impairment likely to warrant treatment. The gulf between need and provision is currently vast.
This article was published in J Am Acad Child Adolesc Psychiatry
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