Abstract • We developed the methodology for a community survey to determine the prevalence of emotional and behavioral disorders among children 4 to 16 years of age in Ontario, Canada. Our discussion includes the objectives of the survey, the measurement of disorder, sampling methods and survey design, and a description of the data collected and instrumentation. Among 2052 households with eligible children, 1869 (91%) participated in the survey. The results can be used to help plan the future allocation of mental health resources In Ontario. References 1. Offord DR, Boyle MH, Szatmari P, Rae-Grant NI, Links PS, Cadman DT, Byles JA, Crawford JW, Munroe Blum H, Byrne C, Thomas H, Woodward CA: Ontario Child Health Study: II. Six-month prevalence of disorder and rates of service utilization . Arch Gen Psychiatry 1987;44:832-836.Crossref 2. Offord DR, Waters BG: Socialization and its failure , in Levine MD, Carey WB, Crocker AC, Gross RT (eds): Developmental-Behavioral Pediatrics . New York, John Wiley & Sons Inc, 1983, pp 650-682. 3. Shaffer D, Greenhill L: A critical note on the predictive validity of'the hyperkinetic syndrome.' J Child Psychol Psychiatry 1979;20:61-72.Crossref 4. Trites RL, Laprade K: Evidence for an independent syndrome of hyperactivity . J Child Psychol Psychiatry 1983;24:573-586.Crossref 5. Bosco JJ, Robin SS: Hyperkineses: Prevalence and treatment , in Whalen CK, Henker B (eds): Hyperactive Children: The Social Ecology of Identification and Treatment . Orlando, Fla, Academic Press Inc, 1980, pp 173-187. 6. Rutter M, Cox A, Tupling C, Berger M, Yule W: Attainment and adjustment in two geographic areas: I. The prevalence of psychiatric disorder . Br J Psychiatry 1975;126:493-509.Crossref 7. Shapiro EG, Rosenfeld AA: The Somatizing Child: Diagnosis and Treatment of Conversion and Somatization Disorders . New York, Springer Verlag NY Inc, 1987, pp 1-5. 8. Boyle MH, Jones S: Selecting measures of emotional and behavioral disorders of childhood for use in general populations . J Child Psychol Psychiatry 1985;26:137-159.Crossref 9. American Psychiatric Association, Committee on Nomenclature and Statistics: Diagnostic and Statistical Manual of Mental Disorders , ed 3. Washington, DC, American Psychiatric Association, 1980. 10. Achenbach TM, Edelbrock CS: Behavioral problems and competencies reported by parents of normal and disturbed children aged 4 through 16 . Monogr Soc Res Child Dev 1981;46( (1) , No. 188):1-78.Crossref 11. Rutter M, Graham P: The reliability and validity of the psychiatric assessment of the child: I. Interview with the child . Br J Psychiatry 1968;114:563-576.Crossref 12. Robins LN: Epidemiology: Reflecting on testing the validity of psychiatric interviews . Arch Gen Psychiatry 1985;42:918-924.Crossref 13. Cohen J: A coefficient of agreement for nominal scales . Educ Psychol Meas 1960;20:37-46.Crossref 14. Spitznagel EL, Helzer JE: A proposed solution to the base rate problem in the K statistic . Arch Gen Psychiatry 1985;42:725-728.Crossref 15. Statistics Canada: 1981 Census Dictionary. Ottawa, Minister of Supply and Services (Cat. No. 99-901), 1982. 16. Robins LN: Psychiatric epidemiology . Arch Gen Psychiatry 1978;35:679-702.Crossref 17. Eisen M, Donald CA, Ware JE, Brook RH: Conceptualization and Measurement of Health for Children in the Health Insurance Study . Santa Monica , Calif, Rand Corp, 1980. 18. Hidiroglou MA, Fuller WA, Hickman RD: Super Carp , ed 6. Ames, Iowa, Iowa State University, Survey Section, Statistical Laboratory, 1980. 19. Costello EJ, Edelbrock CS, Costello AJ: Validity of the NIMH diagnostic interview schedule for children: A comparison between psychiatric and pediatric referrals . J Abnorm Child Psychol 1985;13:579-595.Crossref 20. Rutter M, Tizard J, Whitmore K: Education Health and Behavior . London, Longman, 1970. 21. Rutter M, Gould M: Classification , in Rutter M, Hersov L (eds): Child and Adolescent Psychiatry Modern Approaches , ed 2. Boston, Blackwell Scientific Publications Inc, 1985, pp 304-321. 22. Skinner HA: Construct validation approach to psychiatric classification , in Millon T, Klerman GL (eds): Contemporary Directions in Psychopathology: Toward DSM-IV . New York, Guilford Press, 1986, pp 307-330.
Archives of General Psychiatry – American Medical Association
Published: Sep 1, 1987