Prevalence of Psychopathology Among Children and Adolescents
American Journal of PsychiatryPublished 1 June 1998Open access
Robert E. Roberts, C. Clifford Attkisson, Abram Rosenblatt
Citations673
SJR quartileQ1
SJR score5.27
SNIP3.68
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TL;DR
The evidence is less informative than expected because of several problems that continue to plague research on child and adolescent disorders and progress in understanding the epidemiology of child disorders will largely depend on whether future research successfully meets these challenges.
Abstract
The evidence is less informative than expected because of several problems that continue to plague research on child and adolescent disorders. These involve sampling, case ascertainment, case definition, and data analyses and presentation. Progress in understanding the epidemiology of child disorders will largely depend on whether future research successfully meets these challenges.
Keywords
PsychologyHealth Professions
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Out of the children who were judged as having psychiatric disorders only one had received any professional help except from that given by teachers, regardless of severity.
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Social Psychiatry and Psychiatric EpidemiologyAn epidemiological investigation of emotional and behavioural problems in primary school children in Japan
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