caa a22 4500 605477698 CHVBK 20210128100402.0 cr unu---uuuuu 210128e20151101xx s 000 0 eng 10.1007/s00787-015-0684-6 doi (NATIONALLICENCE)springer-10.1007/s00787-015-0684-6 Prevalence of DSM-IV disorders in a population-based sample of 5- to 8-year-old children: the impact of impairment criteria [Elektronische Daten] [Jolien Rijlaarsdam, Gonneke Stevens, Jan van der Ende, Albert Hofman, Vincent Jaddoe, Frank Verhulst, Henning Tiemeier] This study determined the impact of impairment criteria on the prevalence and patterns of comorbidity of child DSM-IV disorders. The validity of these impairment criteria was tested against different measures of mental health care referral and utilization. We interviewed parents of 1,154 children aged 5-8years in-depth using the Diagnostic Interview Schedule for Children in Rotterdam, the Netherlands, to establish DSM-IV diagnosis. These children were randomly selected or oversampled based on Child Behavior Checklist ratings from a large population-based study (N=6,172). Referral data were extracted from the psychiatric interview as well as from a follow-up questionnaire. The results showed an overall prevalence of DSM-IV disorders of 31.1% when impairment was not considered. This rate declined to 22.9% when mild impairment was required and declined even further, to 10.3%, for more severe levels of impairment. Similarly, the overall comorbidity rate declined from 8.5 to 6.7 and 2.7% when mild and severe impairment were required, respectively. Virtually all children who attained symptom thresholds for a specific disorder, and had been referred to a mental health care professional because of the associated symptoms, also had mild impairment. The requirement of severe impairment criteria significantly increased diagnostic thresholds, but for most disorders, this definition captured only half of the clinically referred cases. In conclusion, prevalence was highly dependent upon the criteria used to define impairment. If severe impairment is made a diagnostic requirement, many children with psychiatric symptoms and mild impairment seeking mental health care will be undiagnosed and possibly untreated. The Author(s), 2015 Child psychiatric disorders nationallicence Prevalence nationallicence Comorbidity nationallicence Impairment nationallicence Referral for treatment nationallicence Rijlaarsdam Jolien The Generation R Study Group, Erasmus MC-University Medical Center Rotterdam, Rotterdam, The Netherlands aut Stevens Gonneke Interdisciplinary Social Sciences, Faculty of Social Sciences, University of Utrecht, Utrecht, The Netherlands aut van der Ende Jan Department of Child and Adolescent Psychiatry, Erasmus MC-University Medical Center Rotterdam, Rotterdam, The Netherlands aut Hofman Albert Department of Epidemiology, Erasmus MC-University Medical Center Rotterdam, Rotterdam, The Netherlands aut Jaddoe Vincent The Generation R Study Group, Erasmus MC-University Medical Center Rotterdam, Rotterdam, The Netherlands aut Verhulst Frank Department of Child and Adolescent Psychiatry, Erasmus MC-University Medical Center Rotterdam, Rotterdam, The Netherlands aut Tiemeier Henning Department of Child and Adolescent Psychiatry, Erasmus MC-University Medical Center Rotterdam, Rotterdam, The Netherlands aut European Child & Adolescent Psychiatry Springer Berlin Heidelberg 24/11(2015-11-01), 1339-1348 1018-8827 24:11<1339 2015 24 787 https://doi.org/10.1007/s00787-015-0684-6 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s00787-015-0684-6 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Rijlaarsdam Jolien The Generation R Study Group, Erasmus MC-University Medical Center Rotterdam, Rotterdam, The Netherlands aut NATIONALLICENCE 700 1- Stevens Gonneke Interdisciplinary Social Sciences, Faculty of Social Sciences, University of Utrecht, Utrecht, The Netherlands aut NATIONALLICENCE 700 1- van der Ende Jan Department of Child and Adolescent Psychiatry, Erasmus MC-University Medical Center Rotterdam, Rotterdam, The Netherlands aut NATIONALLICENCE 700 1- Hofman Albert Department of Epidemiology, Erasmus MC-University Medical Center Rotterdam, Rotterdam, The Netherlands aut NATIONALLICENCE 700 1- Jaddoe Vincent The Generation R Study Group, Erasmus MC-University Medical Center Rotterdam, Rotterdam, The Netherlands aut NATIONALLICENCE 700 1- Verhulst Frank Department of Child and Adolescent Psychiatry, Erasmus MC-University Medical Center Rotterdam, Rotterdam, The Netherlands aut NATIONALLICENCE 700 1- Tiemeier Henning Department of Child and Adolescent Psychiatry, Erasmus MC-University Medical Center Rotterdam, Rotterdam, The Netherlands aut NATIONALLICENCE 773 0- European Child & Adolescent Psychiatry Springer Berlin Heidelberg 24/11(2015-11-01), 1339-1348 1018-8827 24:11<1339 2015 24 787