The prevalence of mental disorders among children, adolescents and adults in the Western Cape, South Africa

S. Kleintjes, A. Flisher, M. Fick, A. Railoun, C. Lund, C. Molteno, B. Robertson
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引用次数: 113

Abstract

Objective : To provide estimates of the prevalence of selected mental disorders in the Western Cape, based on the consensus achieved by a working group established for this purpose. Method : An expert working group was established to provide technical expertise for the project. Potential risk factors likely to influence local prevalence rates were identified. Annual prevalence rates for adults and for children and adolescents were derived by consensus, informed by a systematic literature review. Prevalence rates were derived for individual disorders and adjusted for comorbidity. Results : The overall prevalence was 25.0% for adults and 17.0% for children and adolescents. Conclusion : Prevalence rates of child, adolescent and adult mental disorders were derived in a short period of time and with the use of minimal resources. Although of unknown validity, they are useful for policy development and for planning service utilisation estimates, resource costing and targets for service development for local mental health needs. This in the absence of an existing methodologically sound national prevalence study. We recommend that policy and programme developers draw on the expertise of local academics and clinicians to promote research-informed planning and policy development in the public sector. South African Psychiatry Review Vol. 9(3) 2006: 157-160
南非西开普省儿童、青少年和成人中精神障碍的患病率
目的:根据为此目的建立的工作组达成的共识,提供西开普省选定精神障碍患病率的估计。方法:成立专家工作组,为项目提供技术支持。确定了可能影响当地流行率的潜在风险因素。成人、儿童和青少年的年患病率是通过系统的文献回顾得出的。患病率是根据个体疾病得出的,并根据合并症进行调整。结果:成人总患病率为25.0%,儿童和青少年总患病率为17.0%。结论:儿童、青少年和成人精神障碍患病率可以在较短的时间内以最少的资源得到。虽然有效性未知,但它们对政策制定和规划服务利用估算、资源成本计算以及为满足当地精神卫生需求而制定的服务发展目标都很有用。这是在缺乏现有方法上合理的国家流行率研究的情况下进行的。我们建议政策和项目的制定者利用当地学者和临床医生的专业知识,促进公共部门基于研究的规划和政策制定。南非精神病学评论卷9(3)2006:157-160
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