The prevalence of childhood mental disorders in different habitations: are we underestimating their prevalence in rural areas?

Abstract

Background: Recently, the number of epidemiological studies of child psychiatry has increased, but most of these studies focus on children living in city centres. Unfortunately, one-third of the global population lives in rural areas, and various habitations exist in cities, including city centres and slums. Moreover, despite having a high risk for psychopathology development, individuals who have symptoms but fall outside the limits specified for diagnoses due to having fewer symptoms than those mentioned in diagnostic systems and individuals who do not fulfil the impairment criteria listed in diagnostic systems are not addressed in these studies.

Aim: The purpose of this study was to understand the prevalence of DSM-IV childhood psychiatric disorders and subthreshold psychiatric problems from middle-class city centres, city centres in slums, towns and village areas of Turkey with a nationally representative sample using a state-of-the-art methodology.

Methods: In total, 1080 children were randomly selected from second and third grades for the study’s sample. A structured diagnostic interview was applied.

Results: The overall prevalence of psychiatric disorders was 8.4% (n = 91); 7.2% (n = 78) of the children were subthreshold cases. The general prevalence of psychiatric disorders was higher among children living in villages with respect to all the other human settlement areas included in the study.

Conclusions: Although global urbanisation foregrounds the mental health of children living in cities, children in rural areas may have a greater risk of developing a mental disorder. This study confirmed that an equal amount of children fell outside of the diagnosing limits.

Keywords:

• Epidemiology
• subthreshold disorders
• children
• mental health

Disclosure statement

The authors declare that they have no conflict of interest.

Additional information

Notes on contributors

Onur Burak Dursun

Onur Burak Dursun, MD, is a child and adolescent psychiatrist, University of Health Sciences, International School of Medicine, Istanbul, Turkey.

İbrahim Selçuk Esin

İbrahim Selçuk Esin, MD, is a child and adolescent psychiatrist, Ataturk University.

Mehmet Akif Akıncı

Mehmet Akif Akıncı, MD, is a child and adolescent psychiatrist, Ataturk University.

Ali Karayağmurlu

Ali Karayağmurlu, MD, is a child and adolescent psychiatrist, İstanbul University.

Bahadır Turan

Bahadır Turan, MD, is a child and adolescent psychiatrist, Agrı State Hospital.

Esra Özhan Aşıkhasanoğlu

Esra Özhan Aşıkhasanoğlu, MD, is a child and adolescent psychiatrist, Necip Fazıl State Hospital.