Cited by 1,227Child and Adolescent Psychosocial and Emotional DevelopmentMental Health Treatment and AccessAttention Deficit Hyperactivity Disorder

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The British Child and Adolescent Mental Health Survey 1999: The Prevalence of DSM-IV Disorders

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FORD, TAMSIN, GOODMAN, ROBERT, MELTZER, HOWARD·2003·Journal of the American Academy of Child & Adolescent Psychiatry

DOI 10.1097/00004583-200310000-00011

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Abstract

Objective To describe the prevalence of DSM-IV disorders and comorbidity in a large population-based sample of British children and adolescents.Method Using a one-phase design, 10,438 children were assessed using the Development and Well-Being Assessment (DAWBA), a structured interview with verbatim reports reviewed by clinicians so that information from parents, teachers, and children was combined in a manner that emulated the clinical process. The authors' analysis examined comorbidity and the influence of teacher reports.Results The overall prevalence of DSM-IV disorders was 9.5% (95% confidence interval 8.8-10.1%), but 2.1% of children were assigned "not otherwise specified" rather than operationalized diagnoses. After adjusting for the presence of a third disorder, there was no longer significant comorbidity between anxiety and conduct disorder or attention-deficit/hyperactivity disorder (ADHD), or between depression and oppositional defiant disorder. A comparison of the disorders in children with and without teacher reports suggested that the prevalence of conduct disorders and ADHD would be underestimated in the absence of teacher information.Conclusions Roughly 1 in 10 children have at least one DSM-IV disorder, involving a level of distress or social impairment likely to warrant treatment. Comorbidity reported between some childhood diagnoses may be due to the association of both disorders with a third. Diagnoses of conduct disorder and ADHD may be missed if information is not sought from teachers about children's functioning in school.

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Authors: FORD, T., GOODMAN, R., & MELTZER, H.
Affiliations: King's College London (GB)
Office for National Statistics (GB)
ORCID: FORD, TAMSIN
GOODMAN, ROBERT
Venue: Journal of the American Academy of Child & Adolescent Psychiatry
Publisher: Elsevier BV
Published: 2003-10
Volume: 42
Issue: 10
Pages: 1203-1211
ISSN: 0890-8567 (ISSN-L)
DOI: 10.1097/00004583-200310000-00011
OpenAlex: W2057670386
Cited by: 1,227
References: 37
Citations by year: 2026: 7 · 2025: 14 · 2024: 18 · 2023: 25 · 2022: 33 · 2021: 40 · 2020: 54 · 2019: 44 · 2018: 53 · 2017: 59 · 2016: 75 · 2015: 88 · 2014: 102 · 2013: 84 · 2012: 103
FWCI: 32.91
Type: journal article
Language: en
Open access: bronze
doi.org
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations: Journal of the American Academy of Child & Adolescent Psychiatry (publishedVersion)
PubMed (publishedVersion)
Research Portal (King's College London) (submittedVersion)
Leicester Research Archive (University of Leicester) (submittedVersion)
Funders: Wellcome Trust
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 › Psychiatry and Mental health › Attention Deficit Hyperactivity Disorder
Keywords: child and adolescent mental health, DSM-IV disorders, prevalence, comorbidities, conduct disorder, attention deficit hyperactivity disorder, anxiety disorders, depression, oppositional defiant disorder, teacher reports, Development and Well-Being Assessment, school functioning
MeSH terms: Adolescent, Mental Disorders, Child, Child, Preschool, Female, United Kingdom, Health Surveys, Humans, Male, Mental Health, Social Behavior, Comorbidity, Prevalence, Diagnostic and Statistical Manual of Mental Disorders

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The British Child and Adolescent Mental Health Survey 1999: The Prevalence of DSM-IV Disorders

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