加拿大艾伯塔省基于社区的前瞻性队列中常见儿童精神疾病的流行情况(利用行政健康数据和家长报告)。

IF 3.3 3区 医学 Q2 PSYCHIATRY
N Racine, T Pitt, S Premji, S W McDonald, S B Patten, S Tough, S Madigan
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引用次数: 0

摘要

目的:了解幼儿心理健康问题的患病率对于早期识别和干预至关重要。在本研究中,我们研究了三种不同数据来源对出生至 9 岁儿童的注意力缺陷多动障碍(ADHD)和情绪障碍(即焦虑或情绪障碍)诊断患病率估计的一致性:方法:将来自前瞻性孕期队列的数据与加拿大艾伯塔省的省级儿童健康管理数据联系起来。我们报告了由医疗专业人员提供的家长报告的儿童诊断结果("家长报告")、家长填写的标准化问卷(第三版儿童行为评估系统["BASC-3"])中超出临床临界值的诊断结果,以及累计住院、门诊或医生报销诊断结果("管理数据")的正向一致性、负向一致性和科恩卡帕值:行政数据和家长报告的多动症诊断结果的正负一致性分别为 70.8% 和 95.6%,行政数据和 BASC-3 的正负一致性分别为 30.5% 和 94.9%。在情绪障碍方面,行政数据和家长报告的诊断结果的正一致性为 35.7%,负一致性为 96.30%。使用行政数据和 BASC-3 诊断情绪障碍的正反面一致性分别为 20.0% 和 87.4%。卡帕系数普遍较低,表明这些数据源之间的机会校正一致性较差:结论:本研究中强调的数据来源在幼儿多动症和情绪障碍诊断的流行率方面存在差异。较低的卡帕系数表明,家长报告的诊断结果、使用标准化问卷调查得出的临床症状以及来自行政数据的诊断结果具有不同的目的,并提供了幼儿期心理健康问题的不同估计值:根据加拿大不同数据来源得出的儿童心理健康障碍患病率。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Prevalence of Common Child Mental Health Disorders Using Administrative Health Data and Parent Report in a Prospective Community-Based Cohort from Alberta, Canada: Prévalence des troubles communs de santé mentale de l'enfant à l'aide des données de santé administratives et des rapports des parents dans une cohorte prospective communautaire d'Alberta, Canada.

Objective: Knowing the prevalence of mental health difficulties in young children is critical for early identification and intervention. In the current study, we examine the agreement among three different data sources estimating the prevalence of diagnoses for attention deficit hyperactivity disorder (ADHD) and emotional disorders (i.e., anxiety or mood disorder) for children between birth and 9 years of age.

Methods: Data from a prospective pregnancy cohort was linked with provincial administrative health data for children in Alberta, Canada. We report the positive agreement, negative agreement, and Cohen's Kappa of parent-reported child diagnoses provided by a health professional ("parent report"), exceeding a clinical cut-off on a standardized questionnaire completed by parents (the Behavior Assessment System for Children, 3rd edition ["BASC-3"]), and cumulative inpatient, outpatient, or physician claims diagnoses ("administrative data").

Results: Positive and negative agreement for administrative data and parent-reported ADHD diagnoses were 70.8% and 95.6%, respectively, and 30.5% and 94.9% for administrative data and the BASC-3, respectively. For emotional disorders, administrative data and parent-reported diagnoses had a positive agreement of 35.7% and negative agreement of 96.30%. Positive and negative agreement for emotional disorders using administrative data and the BASC-3 were 20.0% and 87.4%, respectively. Kappa coefficients were generally low, indicating poor chance-corrected agreement between these data sources.

Conclusions: The data sources highlighted in this study provide disparate agreement for the prevalence of ADHD and emotional disorder diagnoses in young children. Low Kappa coefficients suggest that parent-reported diagnoses, clinically elevated symptoms using a standardized questionnaire, and diagnoses from administrative data serve different purposes and provide discrete estimates of mental health difficulties in early childhood.

Plain language title: Prevalence of child mental health disorders according to different data sources in Canada.

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来源期刊
CiteScore
7.00
自引率
2.50%
发文量
69
审稿时长
6-12 weeks
期刊介绍: Established in 1956, The Canadian Journal of Psychiatry (The CJP) has been keeping psychiatrists up-to-date on the latest research for nearly 60 years. The CJP provides a forum for psychiatry and mental health professionals to share their findings with researchers and clinicians. The CJP includes peer-reviewed scientific articles analyzing ongoing developments in Canadian and international psychiatry.
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