Prevalence of DSM-5 mental disorders in a nationally representative sample of children in Taiwan: methodology and main findings

Chen, Yi Lung; Chen, Wei-Jen; Lin, Kuan Chia; Shen, Lih Jong; Gau, Susan Shur‐Fen

doi:10.1017/s2045796018000793

Cited by 106 publications

(101 citation statements)

References 40 publications

(87 reference statements)

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“…Attention-deficit/hyperactivity disorder (ADHD) is a prevalent neurodevelopmental disorder with a lifetime prevalence of 10.1% according to the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) diagnostic criteria [1] in a nationally representative sample of children in Taiwan [2]. Although neurocognitive etiologies contribute to ADHD symptom development [1], ADHD symptoms are often attributed to affected children's unwillingness in self-control or intentional opposition and misunderstanding of ADHD increases both social rejection and hostile emotions in peers, teachers, family members, and neighbors [3].…”

Section: Stigma To Attention-deficit/hyperactivity Disordermentioning

confidence: 99%

Affiliate Stigma and Related Factors in Family Caregivers of Children with Attention-Deficit/Hyperactivity Disorder

Chang

Chen

Liu

et al. 2020

IJERPH

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This cross-sectional questionnaire study examined factors related to affiliate stigma among caregivers of children with attention-deficit/hyperactivity disorder (ADHD) and the association of affiliate stigma with caregivers’ unfavorable attitude toward ADHD and moderators. The affiliate stigma of 400 caregivers of children with ADHD was assessed using the Affiliate Stigma Scale. Caregivers’ and children’s factors related to affiliate stigma were examined using multiple regression analysis. Associations of affiliate stigma with caregivers’ unfavorable attitudes toward children’s diagnoses, pharmacotherapy, behavioral therapy, and biological explanations of the etiologies of ADHD were examined using logistic regression analysis. Female caregivers and those caring for girls with ADHD had higher levels of affiliate stigma than did male caregivers and those caring for boys. Higher education levels in caregivers and more severe inattention symptoms in children were associated with higher levels of affiliate stigma. A higher level of affiliate stigma was also significantly associated with unfavorable attitudes toward children’s diagnoses, pharmacotherapy and behavioral therapy, and etiological explanations for ADHD. Multiple factors of caregivers and children were related to affiliate stigma in caregivers of children with ADHD. Affiliate stigma is significantly associated with caregivers’ unfavorable attitude toward ADHD.

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Section: Stigma To Attention-deficit/hyperactivity Disordermentioning

confidence: 99%

Affiliate Stigma and Related Factors in Family Caregivers of Children with Attention-Deficit/Hyperactivity Disorder

Chang

Chen

Liu

et al. 2020

IJERPH

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“…The current study is part of Taiwan's National Epidemiological Study of Child Mental Disorders, a nationally representative school-based survey of child mental disorders commissioned by Taiwan's Ministry of Health and Welfare from June 1, 2015, to January 31, 2017 [Y. L. Chen, Chen, Lin, Shen, & Gau, 2019;Y. L. Chen, Shen, & Gau, 2017].…”

Section: Study Samplementioning

confidence: 99%

“…L. Chen, Shen, & Gau, 2017]. The detailed study methodology can be accessed in other papers [Y. L. Chen, Chen, Lin, et al, 2019;Y. L. Chen, Shen, et al, 2017;.…”

Section: Study Samplementioning

confidence: 99%

Suicidality in Children with Elevated Autistic Traits

2020

Self Cite

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By using a nationally representative school-based sample (4,816 children aged 8-14 years), we examined the risk of suicidality in children with elevated autistic traits and assessed the mediation of anxiety/depression and moderation effects of family function and academic performance. The Chinese version of the Social Responsiveness Scale (SRS-C) was used to measure autistic features. Logistic regression models were applied to assess associations between autistic traits and suicidality (suicidal ideation, suicide plans, and suicide attempts) for estimating the mediation effects of anxiety/depression and moderation effects of academic performance and family function after adjustment for control variables. Every 10-point increase in the SRS-C score was associated with a 1.3-1.4-fold increase in suicidality risk. Associations relating to suicide plans and attempts were fully mediated; however, the association with ideation was partially mediated by anxiety/depression. Academic performance and family function did not appear to moderate associations between autistic traits and suicidality. In conclusion, children with elevated autistic traits exhibited increased risk of suicidality, which could be generally attributed to symptoms of anxiety/depression. Because adequate family function and academic performance did not mitigate the link between elevated autistic traits and suicidality, in-depth exploration into specific protective factors in children with elevated autistic traits is warranted.

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“…However, the lack of increase in the recognition of EDs at a younger age concerns us because the age at assessment is a significant predictor of mortality for patients with AN (Arcelus, Mitchell, Wales, & Nielsen, 2011). A recently published study reported that the lifetime prevalence of AN in a nationally representative sample of 8-14-year-old Taiwanese youths was 0.2% (Chen, Chen, Lin, Shen, & Gau, 2019), which is a similar figure to the 0.3% in a representative sample of 13-18-year-old US adolescents (Swanson, Crow, Le Grange, Swendsen, & Merikangas, 2011). Some studies have shown that the prevalence of mental disorders overall among children and adolescents in Taiwan is comparable with that in Western countries (Chen et al, 2019;Gau, Chong, Chen, & Cheng, 2005); however, the prevalence of healthcare-detected cases that have a specific disorder (e.g., attention-deficit hyperactivity disorder) is much lower than the prevalence of community cases (Chien, Lin, Chou, & Chou, 2011).…”

Section: Discussionmentioning

confidence: 99%

Rates and trends in healthcare‐detected incidence of anorexia nervosa and bulimia nervosa: A national health insurance claim data study in Taiwan, 2002–2013

Tseng

Hsieh

et al. 2019

Intl J Eating Disorders

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Objective This study aimed to examine the incidence rates of diagnosed anorexia nervosa (AN) and bulimia nervosa (BN) and their variations over time in Taiwan. Method The data of individuals with AN and BN, as defined by the International Classification of Diseases, Ninth Revision, Clinical Modification's (ICD‐9‐CM), were extracted from merged databases by means of unique identification numbers. To fulfill the criteria of incident cases, individuals must not have had an AN or BN diagnosis in the preceding 2 years. The time trends were analyzed using Joinpoint regression analysis. Results The overall AN and BN incidence rates were 1.1 and 6.1 per 100,000, respectively. There was no significant change in the overall incidence rate for AN or both sexes across the study period. A significant increase in AN incidence occurred in the age groups of 10–14 and 30–39 years. The overall incidence rate of BN increased significantly in the few years before 2009 and then decreased. A similar trend occurred among the females and groups aged above 20 years. There was no significant change in the overall BN incidence rate over the whole period. Discussion Compared with Western countries, the AN incidence in Taiwan is very low, whereas the BN incidence is in the lower end of the range. The findings that the age of the first‐time detected AN and BN is older in Taiwan and that the significant increases in age‐specific incidence are mainly among adults suggest that more effort is needed to detect individuals with AN and BN at a younger age in Taiwan.

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Prevalence of DSM-5 mental disorders in a nationally representative sample of children in Taiwan: methodology and main findings

Cited by 106 publications

References 40 publications

Affiliate Stigma and Related Factors in Family Caregivers of Children with Attention-Deficit/Hyperactivity Disorder

Affiliate Stigma and Related Factors in Family Caregivers of Children with Attention-Deficit/Hyperactivity Disorder

Suicidality in Children with Elevated Autistic Traits

Rates and trends in healthcare‐detected incidence of anorexia nervosa and bulimia nervosa: A national health insurance claim data study in Taiwan, 2002–2013

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