The Prevalence of Mental Disorders Among Children and Adolescents in the ă Child Welfare System: A Systematic Review and Meta-Analysis

Guillaume Bronsard, Marine Alessandrini, Guillaume Fond (), Anderson Loundou, Pascal Auquier (), Sylvie Tordjman and Laurent Boyer ()
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Guillaume Bronsard: SPMC - Santé Publique et maladies Chroniques : Qualité de vie Concepts, Usages et Limites, Déterminants - AMU - Aix Marseille Université - APHM - Assistance Publique - Hôpitaux de Marseille
Marine Alessandrini: SPMC - Santé Publique et maladies Chroniques : Qualité de vie Concepts, Usages et Limites, Déterminants - AMU - Aix Marseille Université - APHM - Assistance Publique - Hôpitaux de Marseille
Guillaume Fond: INSERM U955, équipe 15 - Service de psychiatrie - AP-HP - Assistance publique - Hôpitaux de Paris (AP-HP) - Hôpital Henri Mondor - Hôpital Albert Chenevier - Réseau de coopération scientifique en santé mentale - Fondation FondaMental [Créteil] - IMRB - Institut Mondor de Recherche Biomédicale - INSERM - Institut National de la Santé et de la Recherche Médicale - UPEC UP12 - Université Paris-Est Créteil Val-de-Marne - Paris 12
Anderson Loundou: Unité d'Aide Méthodologique - APHM - Assistance Publique - Hôpitaux de Marseille - CHU Marseille
Pascal Auquier: SPMC - Santé Publique et maladies Chroniques : Qualité de vie Concepts, Usages et Limites, Déterminants - AMU - Aix Marseille Université - APHM - Assistance Publique - Hôpitaux de Marseille
Sylvie Tordjman: Service Psychiatrie de l'Enfant et de l'Adolescent - Centre Hospitalier Universitaire de Rennes [CHU Rennes] = Rennes University Hospital [Pontchaillou] - Centre Hospitalier Guillaume Régnier [Rennes] - CHS (Centre Hospitalier Spécialisé lutte Maladies Mentales), APMN - Audition (Psychophysique, Modélisation, Neurosciences) - LSP - Laboratoire des systèmes perceptifs - DEC - Département d'Etudes Cognitives - ENS-PSL - ENS-PSL - École normale supérieure - Paris - PSL - Université Paris Sciences et Lettres - CNRS - Centre National de la Recherche Scientifique
Laurent Boyer: C3M - Centre méditerranéen de médecine moléculaire - UNS - Université Nice Sophia Antipolis (1965 - 2019) - INSERM - Institut National de la Santé et de la Recherche Médicale - UniCA - Université Côte d'Azur

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Abstract: It remains unclear whether children and adolescents in the child welfare ă system (CWS) exhibit a higher prevalence of mental disorders compared ă with the general population. The objective of this study was to perform ă a systematic review and meta-analysis to assess the prevalence of mental ă disorders in the CWS. ă All of the epidemiological surveys assessing the prevalence of mental ă disorders in children and adolescents in the CWS were included. The ă pooled prevalence was estimated with random effect models. Potential ă sources of heterogeneity were explored using meta-regression analyses. ă Eight studies provided prevalence estimates that were obtained from 3104 ă children and adolescents. Nearly 1 child or adolescent of every 2 (49%; ă 95% confidence interval (CI) 43-54) was identified as meeting criteria ă for a current mental disorder. The most common mental disorder was ă disruptive disorder (27%; 95% CI 20-34), including conduct disorder ă (20%; 95% CI 13-27) and oppositional defiant disorder (12%; 95% CI ă 10-14). The prevalence of attention-deficit/hyperactivity disorder was ă estimated to be 11% (95% CI 6-15). The prevalence estimates of anxiety ă and depressive disorders were 18% (95% CI 12-24) and 11% (95% CI ă 7-15). Posttraumatic stress disorder had the lowest prevalence (4%; ă 95% CI 2-6). ă High prevalences of mental disorders in the CWS were reported, which ă highlights the need for the provision of qualified service. The ă substantial heterogeneity of our findings is indicative of the need for ă accurate epidemiological data to effectively guide public policy.

Keywords: Quality (search for similar items in EconPapers)
Date: 2016-02
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Citations: View citations in EconPapers (15)

Published in Medicine, 2016, 95 (7), ⟨10.1097/MD.0000000000002622⟩

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Persistent link: https://EconPapers.repec.org/RePEc:hal:journl:hal-01482508

DOI: 10.1097/MD.0000000000002622

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