This investigation proposes to carry out a two-stage procedure for psychiatric case identification and classification of children and adolescents in the 4-16 age group in the island of Puerto Rico. The proposal assumes that the period of data collection can be coupled with the adult psychiatric epidemiology study (RMH #36230) which is scheduled to be January-June 1984, in order to study the relationship between child psychopathology and an adult with psychopathology in the same household. This study could be carried out at another point in time but without this feature and at a somewhat higher cost than what is being proposed. The study would utilize the Master Sample Survey of the Health Department of Puerto Rico. This is a stratified multistage probability sample of dwelling units covering the civilian non-institutional population of Puerto Rico. The first stage of the study would administer a screening instrument (The Child Behavior Checklist of Achenbach and Edelbrock) for the purposes of case finding to a representative sample (N=1,200-1,500 children). The second stage would obtain direct clinical psychiatric diagnoses on positive cases (estimated N=120-180 children) as well as on a sample of negative cases (N=60) in order to test the adequacy of the screening instrument. The second stage would provide measures of prevalence and a psychiatric diagnostic profile of Puerto Rican children. Additional global measures of adaptive functioning will be obtained in the second stage by means of the Children's Global Assessment Scale (C-GAS). This will provide a measure of severity of functional impairment. It is anticipated that the data obtained in this study will be useful for planning the scope and type of mental health facilities that need to be developed for Puerto Rico's children, as well as to provide an epidemiological data base for comparative purposes in future investigations in Puerto Rico as well as in the mainland.

Agency
National Institute of Health (NIH)
Institute
National Institute of Mental Health (NIMH)
Type
Research Project (R01)
Project #
5R01MH038821-03
Application #
3376955
Study Section
(EPSA)
Project Start
1984-01-01
Project End
1987-03-31
Budget Start
1986-01-01
Budget End
1987-03-31
Support Year
3
Fiscal Year
1986
Total Cost
Indirect Cost
Name
University of Puerto Rico Med Sciences
Department
Type
Schools of Medicine
DUNS #
City
San Juan
State
PR
Country
United States
Zip Code
00936
Gould, M S; Bird, H; Jaramillo, B S (1993) Correspondence between statistically derived behavior problem syndromes and child psychiatric diagnoses in a community sample. J Abnorm Child Psychol 21:287-313
Bird, H R; Gould, M S; Staghezza, B M (1993) Patterns of diagnostic comorbidity in a community sample of children aged 9 through 16 years. J Am Acad Child Adolesc Psychiatry 32:361-8
Bird, H R; Gould, M S; Staghezza, B (1992) Aggregating data from multiple informants in child psychiatry epidemiological research. J Am Acad Child Adolesc Psychiatry 31:78-85
Bauermeister, J J; Alegria, M; Bird, H R et al. (1992) Are attentional-hyperactivity deficits unidimensional or multidimensional syndromes? Empirical findings from a community survey. J Am Acad Child Adolesc Psychiatry 31:423-31
Rubio-Stipec, M; Bird, H; Canino, G et al. (1991) Children of alcoholic parents in the community. J Stud Alcohol 52:78-88
Bird, H R; Gould, M S; Rubio-Stipec, M et al. (1991) Screening for childhood psychopathology in the community using the Child Behavior Checklist. J Am Acad Child Adolesc Psychiatry 30:116-23
Achenbach, T M; Bird, H R; Canino, G et al. (1990) Epidemiological comparisons of Puerto Rican and U.S. mainland children: parent, teacher, and self-reports. J Am Acad Child Adolesc Psychiatry 29:84-93
Bird, H R; Yager, T J; Staghezza, B et al. (1990) Impairment in the epidemiological measurement of childhood psychopathology in the community. J Am Acad Child Adolesc Psychiatry 29:796-803
Rubio-Stipec, M; Bird, H; Canino, G et al. (1990) The internal consistency and concurrent validity of a Spanish translation of the Child Behavior Checklist. J Abnorm Child Psychol 18:393-406
Canino, G J; Bird, H R; Rubio-Stipec, M et al. (1990) Children of parents with psychiatric disorder in the community. J Am Acad Child Adolesc Psychiatry 29:398-406

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