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The prevalence of child-psychiatric disorders among 8-9-year-old children in Danish mainstream schools.

Journal article
Authors Niels Bilenberg
D J Petersen
K Hoerder
Christopher Gillberg
Published in Acta Psychiatrica Scandinavica
Volume 111
Issue 1
Pages 59-67
ISSN 0001-690X
Publication year 2005
Published at Institute for the Health of Women and Children, Dept of Child and Adolescent Psychiatry
Pages 59-67
Language en
Links dx.doi.org/10.1111/j.1600-0447.2004...
Keywords Child, Child Behavior Disorders, Diagnosis, Epidemiology, Psychology, Cohort Studies, Cross-Sectional Studies, Denmark, Female, Humans, Incidence, Male, Mass Screening, Mental Disorders, Diagnosis, Epidemiology, Psychology, Personality Assessment, Statistics & numerical data, Psychometrics, Statistics & numerical data, Reproducibility of Results, Schools
Subject categories Child and adolescent psychiatry

Abstract

OBJECTIVE: Prevalence rates for child psychopathology in Denmark are unknown; and efficient screening and non-respondent analyses are essential for epidemiological purposes. METHOD: A multi-method strategy involving a two-step design: first screening of 621 children between the ages of 8-9 years attending mainstream education using the Child Behaviour Checklist (CBCL). Second, screen-positive probands and a sample of screen-negative probands were given in-depth child-psychiatric assessment. In cases of non-respondents, children were assessed by teachers. RESULTS: CBCL screening results were compared with case status in clinical assessment. A positive predictive value of 0.25 and a correct classification rate (CCR) of 0.72 were obtained. The teacher interviews, used in cases of non-respondents, had a CCR of 0.87. According to DSM-IV criteria, the prevalence rate of psychiatric disorders was 10.l% [95% CI; 7.0-13.2]. CONCLUSIONS: The CBCL proved an effective screening tool. The brief interview with teachers is a valid assessment of psychiatric disorders among non-respondents.

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