title: Uncommon troubles in young people: prevalence estimates of selected psychiatric disorders in a nonreferred adolescent population.
abstract: 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.
authors.affiliation: Department of Psychiatry, Columbia University College of Physicians and Surgeons, New York, NY.
authors.forename: A
authors.initials: A
authors.lastname: Whitaker
authors.forename: J
authors.initials: J
authors.lastname: Johnson
authors.forename: D
authors.initials: D
authors.lastname: Shaffer
authors.forename: J L
authors.initials: JL
authors.lastname: Rapoport
authors.forename: K
authors.initials: K
authors.lastname: Kalikow
authors.forename: B T
authors.initials: BT
authors.lastname: Walsh
authors.forename: M
authors.initials: M
authors.lastname: Davies
authors.forename: S
authors.initials: S
authors.lastname: Braiman
authors.forename: A
authors.initials: A
authors.lastname: Dolinsky
mesh_terms: 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