Prevalence of Mental Disorder among young adults in Ireland: a population based study.

Autor:	Harley ME; Department of Psychiatry, Royal College of Surgeons in Ireland, Dublin, Ireland.; St Michael's House, Ballymun Road, Dublin 9, Ireland., Connor D; Department of Psychiatry, Connolly Hospital, Blanchardstown, Dublin, Ireland., Clarke MC; Department of Psychiatry, Royal College of Surgeons in Ireland, Dublin, Ireland.; Department of Psychiatry and Psychology, Royal College of Surgeons in Ireland, Dublin, Ireland., Kelleher I; Department of Psychiatry, Royal College of Surgeons in Ireland, Dublin, Ireland., Coughlan H; Department of Psychiatry, Royal College of Surgeons in Ireland, Dublin, Ireland., Lynch F; Lucena Child and Adolescent Mental Health Services, Exchange Hall, Belgard Square North, Tallaght, Dublin 24, Ireland., Fitzpatrick C; Department of Child and Adolescent Psychiatry, University College Dublin, Dublin, Ireland., Cannon M; Department of Psychiatry, Royal College of Surgeons in Ireland, Dublin, Ireland.; Department of Psychiatry, Beaumont Hospital, Dublin.
Jazyk:	angličtina
Zdroj:	Irish journal of psychological medicine [Ir J Psychol Med] 2015 Mar; Vol. 32 (1), pp. 79-91.
DOI:	10.1017/ipm.2014.88
Abstrakt:	Background: There is a lack of epidemiological research on the mental health of young adults in Ireland. Objectives: To determine prevalence of psychiatric disorders in a cohort of young Irish adults. Methods: The Challenging Times study was a landmark study of the prevalence of psychiatric disorders in adolescents in North Dublin, Ireland: 212 school children aged 12-15 years were recruited through schools and interviewed using the K-SADS semi-structured diagnostic instrument. This cohort was traced again at age 19-24 years (mean age 20.8 years) and interviewed using SCID I & II. Main outcome measures were current and lifetime Axis I and Axis II psychiatric disorders. Results: Follow-up rate was 80%. Using a weighted population prevalence analysis 19.8% of the cohort had a current mental disorder, 56.0% had a lifetime mental disorder of whom 28.4% had mood disorders, 27.1% had anxiety disorders, 22.7% had substance use disorders; 25.4% had lifetime multi-morbidity. Cluster A personality disorders were found in 2.3%. Lifetime prevalence of binge-drinking was 75.0%, cannabis use 65% and 17% of young adults had fulfilled criteria for an alcohol use disorder at sometime in their life. Lifetime prevalence of suicidal thoughts/behaviour was 21.1%. Conclusions: Lifetime prevalence of psychiatric disorder and substance use were high in this sample of young Irish adults. Mental Health service provision for this age group is a priority. Larger studies of nationally representative samples are needed to inform service development.
Databáze:	MEDLINE
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