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May 1990

Uncommon Troubles in Young People:Prevalence Estimates of Selected Psychiatric Disorders in a Nonreferred Adolescent Population

Arch Gen Psychiatry. 1990;47(5):487-496. doi:10.1001/archpsyc.1990.01810170087013

• A two-stage epidemiologic strategy was used to estimate the lifetime prevalence of selected DSM-III—defined psychiatric disorders in a county-wide secondary school population (N = 5596). Screening tests used in the first stage included items based on DSM-III criteria for eating disorders and panic disorder, as well as the Leyton Obsessional Inventory—Child Version and the Beck Depression Inventory. Based on interviews (n = 356) by clinicians in the second stage, the lifetime prevalence of anorexia nervosa was 9.2%; bulimia, 2.5%; panic disorder, 0.6%; obsessive-compulsive disorder, 1.9%; major depression, 4.0%; dysthymic disorder, 4.9%; and generalized anxiety disorder, 3.7%. While rates of mental health service utilization varied greatly by diagnosis, only 41% of students who were assigned both a diagnosis and a rating of impairment had received any kind of clinical attention.