Psychiatric disorders in a paediatric primary care clinic

Br J Psychiatry. 1994 Oct;165(4):527-30. doi: 10.1192/bjp.165.4.527.

Abstract

Background: The proportion of children with psychiatric disorders treated in primary care is not known in most developing countries.

Method: In a two-stage epidemiological study, 990 children aged between 7 and 14 years were screened with the parents' version of the Rutter scale. Of these, a stratified sample of 227 was interviewed jointly with their mothers, using the children's version of the Schedule for Affective Disorders and Schizophrenia (K-SADS).

Results: We obtained a weighted prevalence of 19.6 +/- 2.5% for the presence of one or more DSM-III-R disorders. Depressive disorders were present in 6.0%, anxiety-related disorders in 4.7%, and conduct disorders in 6.1%.

Conclusion: Psychiatric disorders in children are common in primary care. Doctors working at this level of care need the skills to detect and treat them.

MeSH terms

  • Adolescent
  • Age Factors
  • Child
  • Female
  • Humans
  • Male
  • Mental Disorders / diagnosis
  • Mental Disorders / epidemiology*
  • Nigeria / epidemiology
  • Pediatrics* / statistics & numerical data
  • Prevalence
  • Primary Health Care* / statistics & numerical data
  • Psychiatric Status Rating Scales
  • Sampling Studies