The DOI matches its Crossref record; 67 of the 72 references it cites were found in a registry or an index.
Incidence Rates and Cumulative Incidences of the Full Spectrum of Diagnosed Mental Disorders in Childhood and Adolescence
Open accessAbstract
Importance: Knowledge about the epidemiology of mental disorders in children and adolescents is essential for research and planning of health services. Surveys can provide prevalence rates, whereas population-based registers are instrumental to obtain precise estimates of incidence rates and risks. Objective: To estimate age- and sex-specific incidence rates and risks of being diagnosed with any mental disorder during childhood and adolescence. Design: This cohort study included all individuals born in Denmark from January 1, 1995, through December 31, 2016 (1.3 million), and followed up from birth until December 31, 2016, or the date of death, emigration, disappearance, or diagnosis of 1 of the mental disorders examined (14.4 million person-years of follow-up). Data were analyzed from September 14, 2018, through June 11, 2019. Exposures: Age and sex. Main Outcomes and Measures: Incidence rates and cumulative incidences of all mental disorders according to the ICD-10 Classification of Mental and Behavioral Disorders: Diagnostic Criteria for Research, diagnosed before 18 years of age during the study period. Results: A total of 99 926 individuals (15.01%; 95% CI, 14.98%-15.17%), including 41 350 girls (14.63%; 95% CI, 14.48%-14.77%) and 58 576 boys (15.51%; 95% CI, 15.18%-15.84%), were diagnosed with a mental disorder before 18 years of age. Anxiety disorder was the most common diagnosis in girls (7.85%; 95% CI, 7.74%-7.97%); attention-deficit/hyperactivity disorder (ADHD) was the most common in boys (5.90%; 95% CI, 5.76%-6.03%). Girls had a higher risk than boys of schizophrenia (0.76% [95% CI, 0.72%-0.80%] vs 0.48% [95% CI, 0.39%-0.59%]), obsessive-compulsive disorder (0.96% [95% CI, 0.92%-1.00%] vs 0.63% [95% CI, 0.56%-0.72%]), and mood disorders (2.54% [95% CI, 2.47%-2.61%] vs 1.10% [95% CI, 0.84%-1.21%]). Incidence peaked earlier in boys than girls in ADHD (8 vs 17 years of age), intellectual disability (5 vs 14 years of age), and other developmental disorders (5 vs 16 years of age). The overall risk of being diagnosed with a mental disorder before 6 years of age was 2.13% (95% CI, 2.11%-2.16%) and was higher in boys (2.78% [95% CI, 2.44%-3.15%]) than in girls (1.45% [95% CI, 1.42%-1.49%]). Conclusions and Relevance: This nationwide population-based cohort study provides a first comprehensive assessment of the incidence and risks of mental disorders in childhood and adolescence. By 18 years of age, 15.01% of children and adolescents in this study were diagnosed with a mental disorder. The incidence of several neurodevelopmental disorders peaked in late adolescence in girls, suggesting possible delayed detection. The distinct signatures of the different mental disorders with respect to sex and age may have important implications for service planning and etiological research.
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“A recent nationally comprehensive survey of the Danish registry data noted that, by age 18, the cumulative incidence of ID diagnoses in males (1.5%) is lower than the cumulative incidence of ASD diagnoses in females (1.9%).32”
From The female protective effect against autism spectrum disorder (2022) · cites this paper as [32]
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Cites
Diagnostic and Statistical Manual of Mental Disorders
American Psychiatric Association (2013) · doi:10.1176/appi.books.9780890425596 · Cited by 116,369
Diagnostic and Statistical Manual of Mental Disorders
Williams, J. B. W., & First, M. B. (2013) · Oxford University Press eBooks · doi:10.1093/acrefore/9780199975839.013.104 · Cited by 109,845
Diagnostic and Statistical Manual of Mental Disorders.
Widiger, T. A. (2000) · Oxford University Press eBooks · doi:10.1037/10518-009 · Cited by 19,766
Merikangas, K. R., He, J.-P., Burstein, M., Swanson, S. A., Avenevoli, S., Cui, L., Benjet, C., Georgiades, K., & Swendsen, J. (2010) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1016/j.jaac.2010.05.017 · Cited by 6,278
Whiteford, H. A., Degenhardt, L., Rehm, J., Baxter, A. J., Ferrari, A. J., Erskine, H. E., Charlson, F. J., Norman, R. E., Flaxman, A. D., Johns, N., et al. (2013) · The Lancet · doi:10.1016/s0140-6736(13)61611-6 · Cited by 6,006
Naghavi, M., Abajobir, A. A., Abbafati, C., Abbas, K. M., Abd-Allah, F., Abera, S. F., Aboyans, V., Adetokunboh, O., Afshin, A., Agrawal, A., et al. (2017) · The Lancet · doi:10.1016/s0140-6736(17)32152-9 · Cited by 4,821
Polanczyk, G. V., Salum, G. A., Sugaya, L. S., Caye, A., & Rohde, L. A. (2015) · Journal of Child Psychology and Psychiatry · doi:10.1111/jcpp.12381 · Cited by 3,990
Global Prevalence of Autism and Other Pervasive Developmental Disorders
Elsabbagh, M., Divan, G., Koh, Y., Kim, Y. S., Kauchali, S., Marcín, C., Montiel‐Nava, C., Patel, V., Paula, C. S., Wang, C., et al. (2012) · Autism Research · doi:10.1002/aur.239 · Cited by 2,636
Mental Health Surveillance Among Children — United States, 2013–2019
Bitsko, R. H., Claussen, A. H., Lichstein, J., Black, L. I., Jones, S. E., Danielson, M. L., Hoenig, J. M., Davis Jack, S. P., Brody, D. J., Gyawali, S., et al. (2022) · MMWR Supplements · doi:10.15585/mmwr.su7102a1 · Cited by 1,723
The Danish Civil Registration System. A cohort of eight million persons.
Pedersen, C. B., Gøtzsche, H., Møller, J. O., & Mortensen, P. B. (2006) · PubMed · Cited by 1,617
Self-citation
Research works printed but not linked: 7
- World Health Organization, 2013, Mental Health Action Plan 2013-2020
- 2013, Mental Health Systems in the European Union Member States, Status of Mental Health in Populations and Benefits to be Expected from Investments into Mental Health
- Rothman, 2008, Modern Epidemiology
- World Health Organization, 1993, The ICD-10 Classification of Mental and Behavioural Disorders: Diagnostic Criteria for Research
- SAS Institute Inc, 2013, SAS Software (release 9.4)
- World Health Organization, 2018, Mental Health Atlas 2017
- National Board of Health, 2008, Medical Specialty Report: Child and Adolescent Psychiatry
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Attention-deficit/hyperactivity disorder
Faraone, S. V., Bellgrove, M. A., Brikell, I., Cortese, S., Hartman, C. A., Hollis, C., Newcorn, J. H., Philipsen, A., Polanczyk, G. V., Rubia, K., et al. (2024) · Nature Reviews Disease Primers · doi:10.1038/s41572-024-00495-0 · Cited by 355
Self-citationFrancés, L., Quintero, J., Fernández, A., Ruiz, A., Caules, J., Fillon, G., Amaia Hervas, G., & Soler, C. V. (2022) · Child and Adolescent Psychiatry and Mental Health · doi:10.1186/s13034-022-00462-1 · Cited by 423
Climate Change and Children’s Mental Health: A Developmental Perspective
Vergunst, F., & Berry, H. L. (2021) · Clinical Psychological Science · doi:10.1177/21677026211040787 · Cited by 236
Meta-Analysis of Sex Differences in ADHD Symptoms and Associated Cognitive Deficits
Loyer Carbonneau, M., Demers, M., Bigras, M., & Guay, M.-C. (2021) · Journal of Attention Disorders · doi:10.1177/1087054720923736 · Cited by 156
Association of mental disorder in childhood and adolescence with subsequent educational achievement
Dalsgaard, S., McGrath, J., Østergaard, S. D., Wray, N. R., Pedersen, C. B., Mortensen, P. B., & Petersen, L. (2020) · JAMA Psychiatry · doi:10.1001/jamapsychiatry.2020.0217 · Cited by 171
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Metadata
- Authors
- Dalsgaard, S., Thorsteinsson, E., Trabjerg, B. B., Schullehner, J., Plana-Ripoll, O., Brikell, I., Wimberley, T., Thygesen, M., Madsen, K. B., Timmerman, A., Schendel, D., McGrath, J. J., Mortensen, P. B., & Pedersen, C. B.
- Affiliations
- Aarhus University (DK)
- National Centre for Register-Based Research, Department of Economics and Business Economics, Aarhus University, Aarhus, Denmark
- The University of Queensland (AU)
- Corresponding author
- Dalsgaard, Søren
- ORCID
- Venue
- JAMA Psychiatry
- Publisher
- American Medical Association (AMA)
- Published
- 2020-02-01
- Volume
- 77
- Issue
- 2
- Pages
- 155
- ISSN
- 2168-622X (ISSN-L)
- PMC
- PMC6902162
- OpenAlex
- W2989638817
- Cited by
- 510
- References
- 72
- Citations by year
- 2026: 70 · 2025: 92 · 2024: 99 · 2023: 86 · 2022: 80 · 2021: 52 · 2020: 29
- FWCI
- 47.59
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- JAMA Psychiatry (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- European Commission (837180, 667302)
- Danmarks Grundforskningsfond (APP1056929)
- Lundbeckfonden (R155-2014-1724, R248‐2017‐2003)
- Helsefonden
- TrygFonden
- Novo Nordisk Fonden (NNF 16OC0022018)
- National Institutes of Health
- National Health and Medical Research Council
- National Institute of Environmental Health Sciences (R01ES026993)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
- Health Sciences › Medicine › Psychiatry and Mental health › Mental Health Treatment and Access
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Health and Medical Studies
- Keywords
- child psychopathology, adolescent mental disorders, incidence rates, cumulative incidence, sex differences, anxiety disorders, attention deficit hyperactivity disorder, schizophrenia, obsessive-compulsive disorder, autism spectrum disorder, bipolar disorder, ICD-10, Denmark, mental health service planning, mental health funding, mental health service utilization
- MeSH terms
- Adolescent, Age Factors, Anxiety Disorders, Attention Deficit Disorder with Hyperactivity, Mental Disorders, Child, Child, Preschool, Denmark, Female, Humans, Infant, Male, Intellectual Disability, Obsessive-Compulsive Disorder, Risk Factors, Schizophrenia, Sex Factors, Incidence, Mood Disorders
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