| چکیده انگلیسی مقاله |
Objective: Considering the impact of rapid sociocultural, political, and economical changes on societies and families, population-based surveys of mental disorders in different communities are needed to describe the magnitude of mental health problems and their disabling effects at the individual, familial, and societal levels.
Method: A population-based cross sectional survey (IRCAP project) of 30 532 children and adolescents between 6 and 18 years was conducted in all provinces of Iran using a multistage cluster sampling method. Data were collected by 250 clinical psychologists trained to use the validated Persian version of the semi-structured diagnostic interview Kiddie-Schedule for Affective Disorders and Schizophrenia-PL (K-SADS-PL).
Results: In this national epidemiological survey, 6209 out of 30 532 (22.31%) were diagnosed with at least one psychiatric disorder. The anxiety disorders (14.13%) and behavioral disorders (8.3%) had the highest prevalence, while eating disorders (0.13%) and psychotic symptoms (0.26%) had the lowest. The prevalence of psychiatric disorders was significantly lower in girls (OR = 0.85; 95% CI: 0.80-0.90), in those living in the rural area (OR = 0.80; 95% CI: 0.73-0.87), in those aged 15-18 years (OR = 0.92; 95% CI: 0.86-0.99), as well as that was significantly higher in those who had a parent suffering from mental disorders (OR = 1.96; 95% CI: 1.63-2.36 for mother and OR = 1.33; 95% CI: 1.07-1.66 for father) or physical illness (OR = 1.26; 95% CI: 1.17-1.35 for mother and OR = 1.19; 95% CI: 1.10-1.28 for father).
Conclusion: About one fifth of Iranian children and adolescents suffer from at least one psychiatric disorder. Therefore, we should give a greater priority to promoting mental health and public health, provide more accessible services and trainings, and reduce barriers to accessing existing services. |
| نویسندگان مقاله |
| Mohammad Mohammadi
Psychiatry and Psychology Research Center, Tehran University of Medical Sciences, Tehran, Iran
| Nastaran Ahmadi
Yazd Cardiovascular Research Center, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
| Ali Khaleghi
Psychiatry and Psychology Research Center, Tehran University of Medical Sciences, Tehran, Iran.
| Koorosh Kamali
Department of Public Health, School of Public Health, Zanjan University of Medical Sciences, Zanjan, Iran
| Seyed Ali Mostafavi
Psychiatry and Psychology Research Center, Tehran University of Medical Sciences, Tehran, Iran
| Mehdi Rahgozar
Department of Biostatistics, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
| Ameneh Ahmadi
Psychiatry and Psychology Research Center, Tehran University of Medical Sciences, Tehran, Iran.
| Zahra Hooshyari
Psychiatry and Psychology Research Center, Tehran University of Medical Sciences, Tehran, Iran.
| Seyyed Salman Alavi
Psychiatry and Psychology Research Center, Tehran University of Medical Sciences, Tehran, Iran.
| Parviz Molavi
Department of Psychiatry, Fatemi Hospital, Ardabil University of Medical Science, Ardabil, Iran
| Nasrin Sarraf
Department of Child and Adolescent psychiatry, School of Medicine, Qazvin University of Medical Sciences, Qazvin, Iran
| Seyed Kaveh Hojjat
Addiction and Behavioral Sciences Research center, North Khorasan University of Medical Sciences, Bojnurd, Iran.
| Soleiman Mohammadzadeh
| Shahrokh Amiri
Research Center of Psychiatry and Behavioral Sciences, Tabriz University of Medical Sciences, Tabriz, Iran.
| Soroor Arman
Behavioral Sciences Research Center, Isfahan University of Medical Sciences, Isfahan, Iran.
| Ahmad Ghanizadeh
Department of Psychiatry, Hafez Hospital, Shiraz University of Medical Sciences, Shiraz, Iran.
| Ahmad Ahmadipour
Department of Psychiatry, Booshehr University of Medical Sciences, Khalij-E Fars Hospital, Booshehr, Iran.
| Rahim Ostova
Social Determinants of Health Research Center, Yasuj University of Medical Sciences, Yasuj, Iran.
| Hedayat Nazari
Department of Psychiatry, School of Medicine, Lorestan University of Medical Sciences, Khorram Abad, Iran.
| Seyed Hamzeh Hosseini
Psychiatry and Behavioral Sciences Research Center, Addiction Institute, Mazandaran University of Medical Sciences, Sari, Iran
| Atieh Golbon
Department of Psychiatry, Faculty of Medicine, Hormozgan University of Medical Sciences, Bandar Abbas, Iran.
| Firoozeh Derakhshanpour
Golestan Psychiatric Research Center, Golestan University of Medical Sciences. Golestan, Iran.
| Ali Delpisheh
Department of Clinical Epidemiology Faculty of Medicine, Psychosocial Injuries Research Center, Ilam University of Medical Sciences, Ilam, Iran.
| Forough Riahi
Department of Psychiatry, Golestan Educational Hospital, Faculty of Medicine, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
| Siavash Talepasand
Semnan University, Semnan, Iran.
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