Prevalence and correlates of mental disorders in Israeli adolescents: results from a national mental health survey.
BACKGROUND
The development of epidemiological instruments has enabled the assessment of mental disorders in youth in countries that plan policy according to evidence-based principles. The Israel Survey of Mental Health among Adolescents (ISMEHA) was conducted in 2004-2005 in a representative sample of 957 adolescents aged 14-17 and their mothers.


METHODS
The aims of this study were to estimate prevalence rates of internalizing and externalizing mental disorders and their socio-demographic and health correlates. Disorders were ascertained with the Development and Well-Being Assessment inventory and verified by child psychiatrists.


RESULTS
The prevalence rates were 11.7%, 8.1% and 4.8% for any disorder, internalizing disorders and externalizing disorders, respectively. Distinct risk factors were associated with the different types of disorders: internalizing disorders were associated with female gender, chronic medical conditions and being cared for by a welfare agency. Risk factors for externalizing disorders were male gender, having divorced or single parents, being an only child or having only one sibling. Learning disability was associated with both types of disorders.


CONCLUSIONS
The risk and protective factors related to internalizing and externalizing disorders are interpreted within the framework of family composition in this multicultural society.
Farbstein
Ilana
I
Mental Health Services, Ministry of Health, Jerusalem, Israel.
Mansbach-Kleinfeld
Ivonne
I
Levinson
Daphna
D
Goodman
Robert
R
Levav
Itzhak
I
Vograft
Itzik
I
Kanaaneh
Rasim
R
Ponizovsky
Alexander M
AM
Brent
David A
DA
Apter
Alan
A
D000293:Adolescent; D018912:Arabs / Q000523:psychology; D016001:Confidence Intervals; D004243:Divorce / Q000523:psychology; D005191:Family Characteristics; D006306:Health Surveys; D006801:Humans; D007557:Israel / Q000453:epidemiology; D007585:Jews / Q000523:psychology; D016015:Logistic Models; D001523:Mental Disorders / Q000453:epidemiology* / Q000209:etiology; D008603:Mental Health / Q000706:statistics & numerical data*; D016017:Odds Ratio; D009863:Only Child / Q000523:psychology; D015995:Prevalence; D011569:Psychiatric Status Rating Scales; D012307:Risk Factors; D012737:Sex Factors; D015406:Single Parent / Q000523:psychology; D012959:Socioeconomic Factors