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Correlates of schizophrenia spectrum disorders in children and adolescents cared for in community settings.

Authors
  • Nugent, Katie L1
  • Daniels, Amy M
  • Azur, Melissa J
  • 1 Department of Mental Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD. USA.
Type
Published Article
Journal
Child and adolescent mental health
Publication Date
May 01, 2012
Volume
17
Issue
2
Pages
101–108
Identifiers
PMID: 22582026
Source
Medline
Language
English
License
Unknown

Abstract

BACKGROUND: This study examined the prevalence and correlates of schizophrenia spectrum disorders (SSD) among a national sample of 9006 children. METHODS: Clinician-assigned diagnoses were used to divide the sample into two groups: children with SSD and children with other Axis I disorders. RESULTS: Three percent of the sample had a SSD diagnosis. African American (OR=1.71, 95% CI: 1.11, 2.65) and Hispanic race/ethnicity (OR=1.96, 95% CI: 1.31, 2.94), a greater number of comorbid psychiatric diagnoses (three diagnoses, OR=2.22, 95% CI: 1.49, 3.31), a history of attempting suicide (OR=1.45; 95% CI: 1.05, 2.02), and past residential treatment (OR=1.59; 95% CI: 1.11, 2.28) were all associated with increased odds of SSD diagnosis. CONCLUSIONS: Although schizophrenia spectrum disorders in youth are rare, children with these disorders present with a distinct risk profile that may inform service planning and delivery and assist in identifying individuals early in the course of their illness.

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