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  1. Depressive and disruptive disorders and mental health service utilization in children and adolescents. Commentary.

    Article - En anglais

    Objective 

    To examine the relationship of depressive and disruptive disorders with patterns of mental health services utilization in a community sample of children and adolescents.

    Method 

    Data were from the NIMH Methods for the Epidemiology of Child and Adolescent Mental Disorders (MECA) Study.

    The sample consisted of 1,285 child (ages 9-17 years) and parent/guardian pairs.

    Data included child psychopathology (assessed by the Diagnostic Interview Schedule for Children), impairment, child need and use of mental health services, and family socioeconomic status.

    Results 

    After adjusting for potential confounding factors, disruptive disorder was significantly associated with children's use of mental health services, but depressive disorder was not.

    For school-based services, no difference was found between the 2 types of disorders.

    Parents perceived greater need for mental health services for children with disruptive disorders than for those with depression.

    Conversely, depression was more related to children's perception of mental health service need than was disruptive disorder.

    Conclusions 

    The findings highlight the need for more effective ways to identify and refer depressed children to mental health professionals, the importance of improving school-based services to meet children's needs, and the necessity to better educate parents and teachers regarding the identification of psychiatric disorders, especially depression.

    Mots-clés Pascal : Etat dépressif, Trouble comportement social, Utilisation, Service santé, Santé mentale, Etude comparative, Besoin, Etats Unis, Amérique du Nord, Amérique, Enfant, Homme, Préadolescent, Adolescent, Trouble humeur

    Mots-clés Pascal anglais : Depression, Social behavior disorder, Use, Health service, Mental health, Comparative study, Need, United States, North America, America, Child, Human, Preadolescent, Adolescent, Mood disorder

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 99-0429224

    Code Inist : 002B18H05B. Création : 22/03/2000.