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Prevalences and configurations of mental disorders among institutionalized adolescents.

Artikel i vetenskaplig tidskrift
Författare Henrik Anckarsäter
Thomas Nilsson
Ola Ståhlberg
Mats Gustafson
Jean-Michel Saury
Maria Råstam
Christopher Gillberg
Publicerad i Developmental Neurorehabilitation
Volym 10
Nummer/häfte 1
Sidor 57-65
ISSN 1751-8423
Publiceringsår 2007
Publicerad vid Institutionen för neurovetenskap och fysiologi, sektionen för psykiatri och neurokemi
Sidor 57-65
Språk en
Ämnesord Adolescent, Adolescent, Institutionalized, Statistics & numerical data, Adult, Age Factors, Attention Deficit Disorder with Hyperactivity, Epidemiology, Autistic Disorder, Epidemiology, Child, Depressive Disorder, Epidemiology, Female, Humans, Juvenile Delinquency, Statistics & numerical data, Learning Disorders, Epidemiology, Male, Mental Disorders, Classification, Epidemiology, Mental Retardation, Epidemiology, Prevalence, Psychotic Disorders, Epidemiology, Psychotropic Drugs, Therapeutic use, Sex Factors, Sweden, Epidemiology
Ämneskategorier Barn- och ungdomspsykiatri

Sammanfattning

OBJECTIVE: To assess prevalence figures for psychiatric disorders among institutionalized adolescents due to behavioural problems and/or delinquency. METHOD: Participants were recruited from consecutive referrals to/or treated at two Swedish adolescent units, SIS1 (n = 60) and SIS2 (n = 70) with ranging age of 12-20.3 years (mean age = 16.2; SD = 1.8) during 1 year. Clinical and diagnostic information was used to generate DSM-IV diagnoses. RESULTS: One or several neuropsychiatric disorders were diagnosed in 53% of all subjects: 39% met DSM-IV diagnostic criteria for attention deficit/hyperactivity disorder (AD/HD), 15% for a pervasive developmental disorder (referred to as autism spectrum disorders, ASDs) and 8% had a mental retardation (referred to as a learning disability, LD). The collapsed prevalence for psychiatric disorders requiring specialist attention was 66%, counting severe depression and psychotic disorders but not substance use. About one in three of all adolescents in the study were given psychopharmacological treatment. CONCLUSION: Published studies and this clinical survey clearly indicate that systematic studies of mental health needs among institutionalized adolescents are warranted to form the basis of adequate treatment and support measures.

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