Author/Authors :
Mohammadi ، Mohammad - Tehran University of Medical Sciences , Ahmadi ، Nastaran - Shahid Sadoughi University of Medical Sciences , Khaleghi ، Ali - Tehran University of Medical Sciences , Kamali ، Koorosh - Zanjan University of Medical Sciences , Mostafavi ، Seyed Ali - Tehran University of Medical Sciences , Rahgozar ، Mehdi - University of Social Welfare and Rehabilitation Sciences , Ahmadi ، Ameneh - Tehran University of Medical Sciences , Hooshyari ، Zahra - Tehran University of Medical Sciences , Alavi ، Seyyed Salman - Tehran University of Medical Sciences , Molavi ، Parviz - Ardabil University of Medical Science , Sarraf ، Nasrin - Qazvin University of Medical Sciences , Hojjat ، Seyed Kaveh - North Khorasan University of Medical Sciences , Mohammadzadeh ، Soleiman - Kurdistan University of Medical Sciences , Amiri ، Shahrokh - Tabriz University of Medical Sciences , Arman ، Soroor - Isfahan University of Medical Sciences , Ghanizadeh ، Ahmad - Shiraz University of Medical Sciences , Ahmadipour ، Ahmad - Booshehr University of Medical Sciences , Ostova ، Rahim - Yasuj University of Medical Sciences , Nazari ، Hedayat - Lorestan University of Medical Sciences , Hosseini ، Seyed Hamzeh - Addiction Institute, Mazandaran University of Medical Sciences , Golbon ، Atieh - Hormozgan University of Medical Sciences , Derakhshanpour ، Firoozeh - Golestan University of Medical Sciences. Golestan , Delpisheh ، Ali - Ilam University of Medical Sciences , Riahi ، Forough - Ahvaz Jundishapur University of Medical Sciences , Talepasand ، Siavash Semnan University , Mojahed ، Azizollah - Zahedan University of Medical Sciences , Hajian Motlagh ، Naser Alborz University of Medical Sciences , Heydari Yazdi ، Aazam Sadat - Mashhad University of Medical Sciences , Ahmadpanah ، Mohammad - Hamadan University of Medical Sciences , Dastjerdi ، Reza Birjand University of Medical Sciences , Amirian ، Houshang - Kermanshah University of Medical Sciences , Armani ، Alireza - Zanjan University of Medical Science , Safavi ، Parvin - Shahrekord University of Medical Sciences , Kousha ، Maryam - Guilan University of Medical Sciences , Alaghmand ، Anita - Arak University of Medical Science , Eslami Shahrbabaki ، Mahin - Neuroscience Research Center and Institute of Neuropharmachology, Kerman University of Medical Sciences , Kiani ، Arezou Urmia University of Medical Sciences , Mahmoudi Gharaei ، Javad - Tehran University of Medical Sciences , Shakiba ، Alia - Tehran University of Medical Sciences , Zarafshan ، Hadi - Tehran University of Medical Sciences , Salmanian ، Maryam - Tehran University of Medical Sciences , Taylor ، Eric Institute of Psychiatry , Fombonne ، Eric - Oregon Health and Science University
Abstract :
Objective: Considering the impact of rapid sociocultural, political, and economical changes on societies and families, populationbased surveys of mental disorders in different communities are needed to describe the magnitude of mental health problems and their disabling effects at the individual, familial, and societal levels. #xD; Method: A populationbased cross sectional survey (IRCAP project) of 30 532 children and adolescents between 6 and 18 years was conducted in all provinces of Iran using a multistage cluster sampling method. Data were collected by 250 clinical psychologists trained to use the validated Persian version of the semistructured diagnostic interview KiddieSchedule for Affective Disorders and SchizophreniaPL (KSADSPL). #xD; Results: In this national epidemiological survey, 6209 out of 30 532 (22.31%) were diagnosed with at least one psychiatric disorder. The anxiety disorders (14.13%) and behavioral disorders (8.3%) had the highest prevalence, while eating disorders (0.13%) and psychotic symptoms (0.26%) had the lowest. The prevalence of psychiatric disorders was significantly lower in girls (OR = 0.85; 95% CI: 0.800.90), in those living in the rural area (OR = 0.80; 95% CI: 0.730.87), in those aged 1518 years (OR = 0.92; 95% CI: 0.860.99), as well as that was significantly higher in those who had a parent suffering from mental disorders (OR = 1.96; 95% CI: 1.632.36 for mother and OR = 1.33; 95% CI: 1.071.66 for father) or physical illness (OR = 1.26; 95% CI: 1.171.35 for mother and OR = 1.19; 95% CI: 1.101.28 for father). #xD; Conclusion: About one fifth of Iranian children and adolescents suffer from at least one psychiatric disorder. Therefore, we should give a greater priority to promoting mental health and public health, provide more accessible services and trainings, and reduce barriers to accessing existing services.
Keywords :
Comorbidity , Child and Adolescent , Epidemiology , Psychiatric Disorders , Risk Factors
