To identify rates of psychiatric disorder in a representative sample of primary school children in a North of England city.
The study obtained multi-criterion screen data on a representative one-in-three sample of 7- and 8-year-old children in Newcastle upon Tyne. It also obtained psychiatric interview data for screen-positive and a proportion of screen negative children. In addition the clinically trained interviewers rated psychiatric impairment.
Estimated rates of disorder with impairment, calibrated to be equivalent to that of children attending local child psychiatric clinics, were 1.2% for emotional disorder, 5.6% for disruptive behaviour disorder and 6.7% for any disorder.
These findings are consistent with other contemporary studies using similar impairment criteria.
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Achenbach T (1991) Manual for the Teacher Report Form and 1991 Profile. Burlington VT: University of Vermont Department of Psychiatry
American Psychiatric Association (1987) Diagnostic and Statistical Manual of Mental Disorders, Third Edition, Revised, Washington DC
American Psychiatric Association (1994) Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Washington DC
Angold A, Costello E (1995) A testretest reliability study of child-reported psychiatric symptoms and diagnoses using the Child and Adolescent Psychiatric Assessment (CAPA-C). Psychol Med 25:755–762
Angold A, Erkanli A, Farmer E, Fairbank J, Burns B, Keeler G, Costello E (2002) Psychiatric disorder, impairment, and service use in rural African American and white youth. Arch Gen Psychiatry 59(10):893–901
Angold A, Prendergast M, Cox A, Harrington R, Simonoff E, Rutter M (1995) The Child and Adolescent Psychiatric Assessment (CAPA). Psychol Med 25:739–753
Bird H (1996) Epidemiology of childhood disorders in a cross-cultural context. J Child Psychol Psychiatry 37(1):35–50
Bird H, Canino G, Rubio-Stipec M, Ribera J (1987) Further measures of the psychometric properties of the Children’s Global Assessment Scale. Arch Gen Psychiatry 44:821–824
Bird H, Canino G, Rubio-Stipec M, Gould M, Ribera J, Sesman M, Woodbury M, Huertas S, Pagan A, Sanchez-Lacay A, Moscoso M (1988) Estimates of the prevalence of childhood maladjustment in a community survey in Puerto Rico. Arch Gen Psychiatry 45:1120–1126
Bird H, Davies M, Fisher P, Narrow W, Jensen P, Hoven C, Cohen P, Dulcan M (2000) How specific is specific impairment? J Am Acad Child & Adoles Psychiatry 39(9):1182–1189
Costello E, Angold A, Burns B, Erkanli A, Stangl D, Tweed D (1996) The Great Smoky Mountains Study of Youth: functional impairment and serious emotional disturbance. Arch Gen Psychiatry 53:1137–1143
Costello E, Angold A, Burns B, Stangl D, Tweed D, Erkanli A, Worthman C (1996) The Great Smoky Mountains Study of Youth: goals, design, methods and the prevalence of DSM-III-R disorders. Arch Gen Psychiatry 53:1129–1136
Costello E, Angold A, Keeler G (1999) Adolescent outcomes of childhood disorders: the consequences of severity and impairment. J Am Acad Child & Adoles Psychiatry 38(2):121–128
Dulcan M (1996) Introduction: epidemiology of child and adolescent mental disorders. J Am Acad Child Adoles Psychiatry 35(7):852–854
Esser G, Schmidt M, Woerner W (1990) Epidemiology and course of psychiatric disorders in school-age children—results of a longitudinal study. J Child Psychol and Psychiatry 31(2):243–263
Fombonne E (1994) The Chartres study: I. Prevalence of psychiatric disorder among French school-age children. Br J Psychiatry 164:69–79
Jeffers A, Fitzgerald M (1991) Irish Families Under Stress, Volume 2. Dublin: Eastern Health Board
Jensen P (2000) Commentary. J Am Acad Child Adoles Psychiatry 39:984–987
Kolvin I, Garside R, Nicol A, Leitch I, Macmillan A (1977) Screening school children for high risk of emotional and educational disorder. Br J Psychiatry 131:192–206
Kolvin I, Garside R, Nicol A, Macmillan A, Wolstenholme F, Leitch I (1981). Help Starts Here: The Maladjusted Child in the Ordinary School. London, Tavistock Publications
Macmillan A, Kolvin I, Garside R, Nicol A, Leitch I (1980) A multiple criterion screen for identifying school children with psychiatric disorder. Psychol Med 10:265–276
McArdle P, O’Brien G, Kolvin I (1995) Hyperactivity: prevalence and relationship with conduct disorder. J Child Psychol Psychiatry 36(2):279–305
McArdle P, OBrien G, Kolvin I (2002) Hyperactivity and conduct disorder: background factors. Ir J Psychol Med 19(2):42–47
McArdle P, Gillett T (1997) Psychiatric in-patient treatment for children and adolescents in the UK: criteria for admission. Isr J Psychiatry & Related Sci 34(3):195–199
McArdle P, Wiegersma A, Gilvarry E, McCarthy S, Blom M, Fitzgerald M, Brinkley A, Kolte B, Quensel S (2002) Family structure and function and youth drug use. Addiction 97:329–336
McArdle P, Wiegersma A, Gilvarry E, McCarthy S, Blom M, Fitzgerald M, Brinkley A, Kolte B, Quensel S (2000) International variations in drug use. Europ Add Res 6(4):163–169
Meltzer H, Gatward R, Goodman R, Fort T (2000) The Mental Health of Children and Adolescents in Great Britain. London: Stationary Office
Prosser J, McArdle P (1996) The changing mental health of children and adolescents: evidence for a deterioration? Psychol Med 26:715–725
Quinton D (1988) Urbanism and child mental health. J Child Psychol Psychiatry 29:11–20
Roberts R, Attkisson C, Rosenblatt A (1998) Prevalence of psychopathology among children and adolescents. Am J Psychiatry 155(6):715–725
Rutter M (1967) A children’s behaviour questionnaire for completion by teachers: preliminary findings. J Child Psychol Psychiatry 8:1–11
Rutter M (1989) Isle of Wight revisited: 25 years of child psychiatric epidemiology. J Am Acad Child Adoles Psychiatry 28(5):633–653
Rutter M, Tizard J, Whitmore K (1970) Education, Health and Behaviour. London: Longmans
Shaffer D, Fisher P, Dulcan M, Davies M, Piacentini J, Schwab-Stone M, Lahey B, Bourdon K, Jensen P, Bird H, Canino G, Regier D (1996) The NIMH Diagnostic Interview Schedule for Children Version 2.3 (DISC 2.3): description, acceptability, prevalence rates, and performance in the MECA study. J Am Acad Child Adoles Psychiatry 35(7):865–877
Shaffer D, Gould M, Brasic J (1983) A children’s global assessment scale (CGAS). Arch Gen Psychiatry 40:1228–1231
Taylor E, Sandberg S, Thorley G, Giles S (1991) The epidemiology of childhood hyperactivity. Maudsley Monographs number 33. Oxford University Press
Verhulst F, van der Ende J, Ferdinand R, Kasius M (1997) The prevalence of DSM-III-R diagnoses in a national sample of Dutch Adolescents. Arch Gen Psychiatry 54:329–336
Young D (1968) Manual for the Group Reading Test. London: University of London Press
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McArdle, P., Prosser, J. & Kolvin, I. Prevalence of psychiatric disorder: with and without psychosocial impairment. European Child & Adolescent Psychiatry 13, 347–353 (2004). https://doi.org/10.1007/s00787-004-0367-1
- psychiatric disorder