Articles

‎ Psychiatric Disorders in Iranian Children and Adolescents

Abstract

Objective: The aim of the present study was to investigate the epidemiology of psychiatric disorders in ‎children and adolescents in five provinces of Iran: Tehran, Shiraz, Isfahan, Tabriz and Mashhad.‎
Method: In the present study, we selected 9,636 children and adolescents aged 6-18 years through ‎multistage cluster random sampling method from Tehran, Shiraz, Isfahan, Tabriz and Mashhad. ‎We instructed the clinical psychologists to complete the Strengths and Difficulties Questionnaire ‎‎(SDQ) for the participants, and those who received a high score on SDQ, completed the Persian ‎version of Kiddie-SADS-Present and Lifetime Version (K-SADS-PL). We used descriptive ‎analysis and 95% confidence interval to investigate the relationship between scores of the K-‎SADS questionnaire and demographic factors‏. ‏We used one-way ANOVA to test the significant ‎differences among the disorders according to sex, age and province of residence.‎‎
Results: Based on the results, oppositional defiant disorder (ODD) (4.45%) had the highest prevalence of psychiatric ‎disorders in the five provinces and substance abuse and alcohol abuse (0%) had the lowest ‎prevalence. In addition, attention deficit hyperactivity disorder (ADHD) had the most ‎prevalence in boys (5.03%) and ODD had the most prevalence in ‎girls (4.05%). Among the three age groups, 6 to 9 year olds had the highest rates of ADHD ‎‎(5.69%); 10 to 14 and 15 to 18 year olds had the highest rates of ODD (4.32% and 4.37% ‎respectively). Among the five provinces, Tehran and Mashhad allocated the highest rates of ODD; Isfahan and Shiraz had the highest rates of ADHD; and Tabriz had the highest rates of social phobia.‎
Conclusion: The current study revealed that the overall frequency of psychiatric disorders based on Kiddie-‎SADS-Present and Lifetime Version (K-SADS-PL) was higher than a similar study. Moreover, in ‎this study, among the five provinces, Tehran and Mashhad allocated the highest rates of ODD; Isfahan and Shiraz had the highest rates of ADHD; and Tabriz had the highest rates of social phobia. Therefore, these percentage ‎of psychiatric disorders in Iran lead us toward a greater use of consultation and mental health ‎services‏.

‎1.‎ Kieling C, Baker-Henningham H, Belfer M, ‎Conti G, Ertem I, Omigbodun O, et al. Child ‎and adolescent mental health worldwide: ‎evidence for action. Lancet 2011; 378: 1515-‎‎1525.‎

‎2.‎ Davies S, Heyman I, Goodman R. A ‎population survey of mental health problems ‎in children with epilepsy. Dev Med Child ‎Neurol 2003; 45: 292-295.‎

‎3.‎ Bilenberg N, Petersen DJ, Hoerder K , ‎Gillberg C. The prevalence of child-‎psychiatric disorders among 8-9-year-old ‎children in Danish mainstream schools. Acta ‎Psychiatr Scand 2005; 111: 59-67.‎

‎4.‎ Ford T, Goodman R, Meltzer H. The British ‎Child and Adolescent Mental Health Survey ‎‎1999: the prevalence of DSM-IV disorders. J ‎Am Acad Child Adolesc Psychiatry 2003; 42: ‎‎1203-1211.‎

‎5.‎ Goodman R, Renfrew D, Mullick M. Predicting ‎type of psychiatric disorder from Strengths ‎and Difficulties Questionnaire (SDQ) scores ‎in child mental health clinics in London and ‎Dhaka. Eur Child Adolesc Psychiatry‏ ‏‎2000; 9: ‎‎129-134.‎

‎6.‎ Goodman R, Neves dos Santos D, Robatto ‎Nunes AP, Pereira de Miranda D, Fleitlich-‎Bilyk B , Almeida Filho N. The Ilha de Mare ‎study: a survey of child mental health ‎problems in a predominantly African-‎Brazilian rural community.‎‏ ‏Soc Psychiatry ‎Psychiatr Epidemiol‏ ‏‎2005; 40: 11-17.‎

‎7.‎ Goodman R, Slobodskaya H , Knyazev G. ‎Russian child mental health--a cross-‎sectional study of prevalence and risk factors. ‎Eur Child Adolesc Psychiatry 2005; 14: 28-33.‎

‎8.‎ Heiervang E, Stormark KM, Lundervold AJ, ‎Heimann M, Goodman R, Posserud MB, et al. ‎Psychiatric disorders in Norwegian 8- to 10-‎year-olds: an epidemiological survey of ‎prevalence, risk factors, and service use. J ‎Am Acad Child Adolesc Psychiatry 2007; 46: ‎‎438-447.‎

‎9.‎ Mullick MS, Goodman R. The prevalence of ‎psychiatric disorders among 5-10 year olds in ‎rural, urban and slum areas in Bangladesh: ‎an exploratory study. Soc Psychiatry Psychiatr ‎Epidemiol 2005; 40: 663-671.‎

‎10.‎ Alavi A, Mohammadi MR, Joshaghani N, ‎Mahmoudi-Gharaei J. Frequency of ‎Psychological Disorders amongst Children in ‎Urban Areas of Tehran. Iran J Psychiatry ‎‎2010; 5: 55-59.‎

‎11.‎ Meltzer H, Gatward R, Goodman R, Ford T. ‎Mental health of children and adolescents in ‎Great Britain. Int Rev Psychiatry 2003; 15: ‎‎185-187.‎

‎12.‎ Mohammadi MR, Davidian H, Noorbala AA, ‎Malekafzali H, NaghaviHR, PouretemadHR,et ‎al. An epidemiological survey of psychiatric ‎disorders in Iran. Clin Pract Epidemol Ment ‎Health 2005; 1: 16.‎

‎13.‎ Ghanizadeh A, Mohammadi MR, ‎Yazdanshenas A. Psychometric properties of ‎the Farsi translation of the kiddie schedule for ‎affective disorders and schizophrenia-present ‎and lifetime version. BMC Psychiatry 2006; 6.‎

‎14.‎ Niclasen J, Teasdale TW, Andersen AMN, ‎Skovgaard AM, Elberling H, Obel C. ‎Psychometric Properties of the Danish ‎Strength and Difficulties Questionnaire: The ‎SDQ Assessed for More than 70,000 Raters in ‎Four Different Cohorts. Plos One 2012; 7.‎

‎15.‎ Goodman R, Meltzer H, Bailey V. Strengths ‎and Difficulties Questionnaire (SDQ): a pilot ‎study on the validity of the self-report. Int Rev ‎Psychiatry; 2003.15:173-177. ‎

‎16.‎ Wiegersma PA, Stellinga-Boelen AA, ‎Reijneveld SA. Psychosocial problems in ‎asylum seekers' children: the parent, child, ‎and teacher perspective using the Strength ‎and Difficulties Questionnaire. J NervMent ‎Dis 2011; 199: 85-90.‎

‎17.‎ Ghanizadeh A, Izadpanah A, Abdollahi G. ‎Scale Validation of the Strengths and ‎Difficulties Questionnaire in Iranian Children. ‎Iran J Psychiatry 2007; 2: 65-71. ‎

‎18.‎ Tehrani-Doost M, Shahrivar Z, Pakbaz B, ‎Rezaie A, Ahmadi F. Normative data and ‎psychometric properties of the parent and ‎teacher versions of the strengths and ‎difficulties questionnaire (SDQ) in an Iranian ‎community sample. J Res Med Sci 2009; 14: ‎‎69-77.‎

‎19.‎ Kaufman J, Birmaher B, Brent D, Rao U, ‎Flynn C, et al. Schedule forAffective ‎Disorders and Schizophrenia for School-Age ‎Children-Present andLifetime Version (K-‎SADS-PL): initial reliability and validity data. J ‎Am Acad Child Psychiatry 1997; 36: 980–988.‎

‎20.‎ Kaufman, J.; Birmaher, B.; Brent, D.; Rao, U.; ‎Ryan, N. The Schedule for Affective Disorders ‎andSchizophrenia for School-Age Children. ‎Pittsburgh: University of Pittsburgh Medical ‎Center; 1996.‎

‎21.‎ Ghanizadeh A. ADHD, bruxism, and ‎psychiatric disorders: does bruxism increase ‎the chance of a comorbid psychiatric disorder ‎in children with ADHD and their parents? ‎Sleep Breath. 2008; 12: 375 – 380.‎

‎22.‎ Polanczyk G.V., Eizirik M., Aranovich V., ‎Denardin D., L da Silva T., V da Conceição T., ‎et al. Interrater agreement for the schedule for ‎affective disorders and schizophrenia ‎epidemiological version for school-age ‎children (K-SADS-E). Rev Bras Psiquiatr ‎‎2003; 25: 87-90.‎

‎23.‎ Belfer ML. Child and adolescent mental ‎disorders: the magnitude of the problem ‎across the globe. J Child Psychol Psychiatry. ‎‎2008; 49:226-36.‎

‎24.‎ Meltzer H, Gatward R, Goodman R, Ford T. ‎The mental health of children and ‎adolescents in Great Britain. London (United ‎Kingdom): Social Survey division of the Office ‎for National Statistics on behalf of the ‎Department of health, the Scottish health ‎Executive and the National Assembly for ‎Wales; 1999.‎

‎25.‎ Arman S, Keypour M, Maracy MR, Attari A. ‎Epidemiological Study of Youth Mental Health ‎Using Strengths and Difficulties ‎Questionnaire (SDQ). Iran Red Crescent Med ‎J 2012; 14: 371-375‎

‎26.‎ Sawyer MG, Arney FM, Baghurst PA, Clark JJ, ‎Graetz BW, Kosky RJ, et al. The mental health ‎of young people in Australia: key findings ‎from the child and adolescent component of ‎the national survey of mental health and well-‎being. Aust N Z J Psychiatry 2001; 35:806-‎‎814.‎

‎27.‎ Almqvist F, Puura K, Kumpulainen K, ‎Tuompo-Johansson E, Henttonen I, Huikko E, ‎et al. Psychiatric disorders in 8-9-year-old ‎children based on a diagnostic interview with ‎the parents. Eur Child Adolesc Psychiatry ‎‎1999; 8 Suppl 4: 17-28.‎

‎28.‎ Abiodun OA. Emotional illness in a paediatric ‎population in Nigeria. East Afr Med J 1992; ‎‎69: 557-559.‎

‎29.‎ Pearce J. Child health surveillance for ‎psychiatric disorder: practical guidelines. Arch ‎Dis Child 1993; 69: 394-398.‎

‎30.‎ Costello EJ, Mustillo S, Erkanli A, Keeler G, ‎Angold A. Prevalence and development of ‎psychiatric disorders in childhood and ‎adolescence. Arch Gen Psychiatry 2003; ‎‎60:837-844.‎

‎31.‎ Lynch F, Mills C, Daly I, Fitzpatrick C. ‎Challenging times: prevalence of psychiatric ‎disorders and suicidal behaviours in Irish ‎adolescents. J Adolesc 2006; 29: 555-573‎‏.‏

‎32.‎ Eapen V, al-Gazali L, Bin-Othman S , Abou-‎Saleh M. Mental health problems among ‎schoolchildren in United Arab Emirates: ‎prevalence and risk factors. J Am Acad Child ‎Adolesc Psychiatry 1998; 37: 880-886.‎

‎33.‎ Costello EJ, Mustillo S, Erkanli A, Keeler G , ‎Angold A. Prevalence and development of ‎psychiatric disorders in childhood and ‎adolescence. Arch Gen Psychiatry 2003; 60: ‎‎837-844.‎

‎34.‎ Angold A, Erkanli A, Farmer EM, Fairbank JA, ‎Burns BJ, Keeler G, et al. Psychiatric disorder, ‎impairment, and service use in rural African ‎American and white youth. Arch Gen ‎Psychiatry 2002; 59: 893-901.‎

‎35.‎ Gau SS, Chong MY, Chen TH, Cheng AT. A 3-‎year panel study of mental disorders among ‎adolescents in Taiwan. Am J Psychiatry‏ ‏‎2005; ‎‎162: 1344-1350.‎

‎36.‎ Gosden NP, Kramp P, Gabrielsen G , Sestoft ‎D. Prevalence of mental disorders among 15-‎‎17-year-old male adolescent remand ‎prisoners in Denmark. Acta Psychiatr Scand ‎‎2003; 107: 102-110.‎

‎37.‎ Goodman R, Slobodskaya H , Knyazev G. ‎Russian child mental health--a cross-‎sectional study of prevalence and risk factors. ‎Eur Child Adolesc Psychiatry 2005; 14: 28-33.‎

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IssueVol 11 No 2 (2016) QRcode
SectionArticles
Keywords
Child and Adolescents Iran Kiddie SADS Present Lifetime Version (K-‎SADS-PL) Psychiatric Disorder

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1.
Mohammadi MR, Ahmadi N, Salmanian M, Asadian- koohestani F, Ghanizadeh A, Alavi A, Malek A, Dastgiri S, Moharreri F, Hebrani P, Arman S, Khoshhal Dastjerdi J, Motavallian A. ‎ Psychiatric Disorders in Iranian Children and Adolescents. Iran J Psychiatry. 2016;11(2):87-98.