Zur Epidemiologie psychischer Störungen im Kindes- und Jugendalter
Eine Bestandsaufnahme
Abstract
Zusammenfassung. In dieser Übersichtsarbeit werden ausgewählte Inhalte und internationale empirische Befunde zur Epidemiologie psychischer Störungen im Kindes- und Jugendalter dargestellt und diskutiert. Dabei wird vor allem auf die Häufigkeit psychischer Störungen eingegangen. Methodische Inkonsistenzen führen z. T. zu großen Unterschieden in den ermittelten Gesamtprävalenzraten. Gut konzipierte Studien liefern etwas einheitlichere Häufigkeiten, die oft zwischen 10 und 20 % liegen. Betroffene Kinder und Jugendliche nehmen nur selten professionelle Hilfe in Anspruch. Prävalenzschätzungen hängen u. a. deutlich von der Berücksichtigung psychosozialer Beeinträchtigungen sowie der Einbeziehung und Gewichtung unterschiedlicher Informationsquellen ab. Für zukünftige Studien ist eine Vereinheitlichung in der Definition und Identifikation von Fällen anzustreben.
Abstract. In this review, selected topics and international findings from epidemiological research on mental disorders in children and adolescents are presented and discussed. In particular prevalence estimates are reviewed, which show substantial variation due to inconsistencies in methods. Major population-based studies often found total rates ranging from 10 % to 20 %. Mental health service utilization of children and adolescents with mental disorders is generally low. Prevalence estimates are strongly influenced by the criteria used for case definition, such as the consideration of functional impairment or the combining of reports made by different informants. In the future more consistent research strategies are needed.
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