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Correlates of schizophrenia spectrum disorders in children and adolescents cared for in community settings
Author(s) -
Nugent Katie L.,
Daniels Amy M.,
Azur Melissa J.
Publication year - 2012
Publication title -
child and adolescent mental health
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.912
H-Index - 46
eISSN - 1475-3588
pISSN - 1475-357X
DOI - 10.1111/j.1475-3588.2011.00618.x
Subject(s) - schizophrenia spectrum , schizophrenia (object oriented programming) , psychiatry , psychology , clinical psychology , medicine , psychosis
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.