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    Lifetime Prevalence of Mental Disorders in U.S. Adolescents: Results from the National Comorbidity Survey Replication-Adolescent Supplement (NCS-A)

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    Resumen
    Objective: To present estimates of the lifetime prevalence of DSM-IV mental disorders with and without severe impairment, their comorbidity across broad classes of disorder, and their sociodemographic correlates. Method: The National Comorbidity Survey Adolescent Supplement NCS-A is a nationally representative face-to-face survey of 10,123 adolescents aged 13 to 18 years in the continental United States. DSM-IV mental disorders were assessed using a modified version of the fully structured World Health Organization Composite International Diagnostic Interview. Results: Anxiety disorders were the most common condition (31.9%), followed by behavior disorders (19.1%), mood disorders (14.3%), and substance use disorders (11.4%), with approximately 40% of participants with one class of disorder also meeting criteria for another class of lifetime disorder. The overall prevalence of disorders with severe impairment and/or distress was 22.2% (11.2% with mood disorders, 8.3% with anxiety disorders, and 9.6% behavior disorders). The median age of onset for disorder classes was earliest for anxiety (6 years), followed by 11 years for behavior, 13 years for mood, and 15 years for substance use disorders. Conclusions: These findings provide the first prevalence data on a broad range of mental disorders in a nationally representative sample of U.S. adolescents. Approximately one in every four to five youth in the U.S. meets criteria for a mental disorder with severe impairment across their lifetime. The likelihood that common mental disorders in adults first emerge in childhood and adolescence highlights the need for a transition from the common focus on treatment of U.S. youth to that of prevention and early intervention. J. Am. Acad. Child Adolesc. Psychiatry, 2010;49(10):980-989.
    URI
    http://repositorio.inprf.gob.mx/handle/123456789/5344
    https://doi.org/10.1016/j.jaac.2010.05.017
    https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2946114/
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    Fecha
    2010
    Autor
    Merikangas, Kathleen Ries
    He, Jian-Ping
    Burstein, Marcy
    Swanson, Sonja A.
    Avenevoli, Shelli
    Cui, Lihong
    Benjet, Corina
    Georgiades, Katholiki
    Swendsen, Joel
    Nivel de acceso
    acceso cerrado
    Nombre de la Rev. [SO]
    Journal of the American Academy of Child and Adolescent Psychiatry
    Publisher
    ELSEVIER SCIENCE BV, PO BOX 211, 1000 AE AMSTERDAM, NETHERLANDS
    Volumen [VL], Número [SU], Paginación [PG]
    49 (10) 980-989 p.
     
    versión del editor
     
    Idioma [LA]
    eng
    Palabras clave otro idioma [KO], Descriptores [Mesh], Descriptores [Meshm]
    Epidemiología
     
    Adolescentes
     
    Trastornos mentales
     
    Encuesta Nacional de Comorbilidad
     
    Correlatos
     
    Tipo de documento [TP]
    article
    DOI [DO]
    10.1016/j.jaac.2010.05.017   

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