Quebec Child Mental Health Survey: Prevalence of DSM‐III‐R Mental Health Disorders

Breton, Jean-Jacques; Bergeron, Lise; Valla, Jean-Pierre; Berthiaume, Claude; Gaudet, Nathalie; Lambert, Jean; St-Georges, Marie; Houde, Louis; Lépine, Suzanne

doi:10.1111/1469-7610.00455

Cited by 230 publications

(125 citation statements)

References 22 publications

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“…Mental health needs of children aged 6 to 14 years were documented through a population survey-the Quebec Child Mental Health Survey (QCMHS) (12,14). This survey was commissioned by the Minister of Health and Social Services to obtain province-wide epidemiologic data to facilitate planning of services for children.…”

Section: Measures Of Needsmentioning

confidence: 99%

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Are Mental Health Services for Children Distributed According to Needs?

et al. 2003

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Objectives: The purpose of this study was twofold: 1) to determine whether publicly funded mental health services and resources available in 4 large regions in the province of Quebec were distributed according to the mental health needs of children aged 6 to 14 years and 2) to assess whether the variations in mental health services and resources across the 4 regions had changed over a 5-year period. Methods: Indicators of need according to the child's parent (presence of mental disorder, measure of adaptation, and perception of need for help) from an epidemiologic survey of 2400 noninstitutionalized children were compared with both in-school and community professional resources and with physician and hospital services in 1992–1993. Resource and service data were also collected for 1997–1998. Resource and service data came from professional colleges and government administrative databases. Results: No significant regional differences were found for need indicators, but there were large discrepancies in mental health resources and services in 1992–1993. Differences in professional resources were largest for special education teachers in the school system and for psychiatrists in the community. The regional differences in resources and services were as large in 1997–1998 as they were in 1992–1993. Conclusions: Despite universal health care in Quebec and a government mental health policy stressing equity of access, the available mental health resources for children aged 6 to 14 years are not distributed across regions according to needs. More evidence-based planning is required, specifically using epidemiologic survey data, to match resources to needs and to monitor changes over time.

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Section: Measures Of Needsmentioning

confidence: 99%

“…Mental health problems among children occur frequently in industrialized countries (13), but they are also common in the 2 largest provinces in Canada (14,15). For this reason, it is important that appropriate resources and services be available in due time to avoid suffering and further deterioration, because effective treatments and approaches do exist (16).…”

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Are Mental Health Services for Children Distributed According to Needs?

et al. 2003

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“…Another explanation for disparate findings in studies comparing rates of symptoms in different racial/ethnic groups involves the inclusion of children and adolescents from different age groups (e.g., Kistner et al 2003;Ollendick et al 1996). The prevalence of internalizing and externalizing symptoms varies markedly across childhood and adolescence (e.g., Breton et al 1999), making it important to limit comparisons of the rate of symptoms across racial/ethnic groups to one developmental period. Early adolescence represents a particularly important age group in which to make such comparisons.…”

Section: Introductionmentioning

confidence: 99%

“…The prevalence of internalizing and externalizing symptoms varies markedly across childhood and adolescence (e.g., Breton et al 1999), making it important to limit comparisons of the rate of symptoms across racial/ethnic groups to one developmental period. Early adolescence represents a particularly important age group in which to make such comparisons.…”

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confidence: 99%

Racial/Ethnic Differences in Internalizing and Externalizing Symptoms in Adolescents

McLaughlin

Hilt

Nolen–Hoeksema

2007

J Abnorm Child Psychol

325

182

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The prevalence of most adult psychiatric disorders varies across racial/ethnic groups and has important implications for prevention and intervention efforts. Research on racial/ethnic differences in the prevalence of internalizing and externalizing symptoms and disorders in adolescents has been less consistent or generally lacking. The current study examined the prevalence of these symptom groups in a large sample of sixth, seventh, and eighth graders in which the three major racial/ethnic groups in the U.S. (White, Black, and Hispanic/Latino) were well-represented. Hispanic females reported experiencing higher levels of depression, anxiety, and reputational aggression than other groups. Black males reported the highest levels of overtly aggressive behavior and also reported higher levels of physiologic anxiety and disordered eating than males from other racial/ethnic groups. Hispanic females also exhibited higher levels of comorbidity than other racial/ethnic groups. KeywordsRacial/ethnic differences; Adolescence; Anxiety; Depression; Eating pathology; Aggression Racial/ethnic differences in the prevalence of symptoms of depression (Blazer et al. 1994;Kessler et al. 1994), anxiety (Brown et al. 1990), and eating disorders (Striegel-Moore et al. 2003) have been documented in a number of studies utilizing adult samples. There has been substantially less work examining racial/ethnic differences in the prevalence of psychopathology in adolescents. Large epidemiologic studies of adolescent psychopathology have typically not focused on racial/ethnic group differences in symptoms or have not included substantial numbers of ethnic minorities. For example, in the Oregon Adolescent Depression Project (Lewinsohn et al. 1993) over 90% of participants were White. Similarly, in the Dunedin Multidisciplinary Health and Development Study the vast majority of participants were White (e.g., McGee et al. 1990). Understanding racial/ethnic differences in psychopathology is important for the identification of at-risk groups and targets for prevention efforts, improvement of mental health services, and as a first step in understanding the mechanisms by which risk factors confer vulnerability to psychopathology differentially on various segments of the population.The research that has been conducted examining race/ethnicity differences in adolescent psychopathology has yielded inconsistent findings about differences in the prevalence of symptoms of depression, anxiety, eating disorders, and aggression. Some studies document significant group differences (e.g., Roberts and Chen 1995;Austin and Chorpita 2004) while others have reported no differences in symptoms across groups (e.g., Cole et al. 1998).Correspondence to: Katie A. McLaughlin, katie.mclaughlin@yale.edu. Another explanation for disparate findings in studies comparing rates of symptoms in different racial/ethnic groups involves the inclusion of children and adolescents from different age groups (e.g., Kistner et al. 2003;Ollendick et al. 1996). The prevalence of inte...

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“…R~gardl~g this last point, researchers deem it important to question children directly, since the information they provide about themselves may diverge from that provided by their parents and teachers. In studies with community samples, interrater agreement rarely exceeds 20% (29). Given the lack of consensus on this issue, epidemiological research has adopted additional caseness criteria, such as impairment in variousareas of functioning acknowledged by the participant.…”

Section: Casenessmentioning

confidence: 99%