Uncommon troubles in young people: prevalence estimates of selected psychiatric disorders in a nonreferred adolescent population.
A two-stage epidemiologic strategy was used to estimate the lifetime prevalence of selected DSM-III-defined psychiatric disorders in a county-wide secondary school population (N = 5596). Screening tests used in the first stage included items based on DSM-III criteria for eating disorders and panic disorder, as well as the Leyton Obsessional Inventory-Child Version and the Beck Depression Inventory. Based on interviews (n = 356) by clinicians in the second stage, the lifetime prevalence of anorexia nervosa was 0.2%; bulimia, 2.5%; panic disorder, 0.6%; obsessive-compulsive disorder, 1.9%; major depression, 4.0%; dysthymic disorder, 4.9%; and generalized anxiety disorder, 3.7%. While rates of mental health service utilization varied greatly by diagnosis, only 41% of students who were assigned both a diagnosis and a rating of impairment had received any kind of clinical attention.
Whitaker
A
A
Department of Psychiatry, Columbia University College of Physicians and Surgeons, New York, NY.
Johnson
J
J
Shaffer
D
D
Rapoport
J L
JL
Kalikow
K
K
Walsh
B T
BT
Davies
M
M
Braiman
S
S
Dolinsky
A
A
D000293:Adolescent; D000367:Age Factors; D001008:Anxiety Disorders / Q000175:diagnosis / Q000453:epidemiology; D003156:Community Mental Health Services / Q000706:statistics & numerical data; D001068:Feeding and Eating Disorders / Q000175:diagnosis / Q000453:epidemiology; D005260:Female; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000175:diagnosis* / Q000453:epidemiology; D009515:New Jersey; D010200:Panic; D010555:Personality Inventory; D015995:Prevalence; D011569:Psychiatric Status Rating Scales