Epidemiology of DSM-5 psychiatric disorders in Kenyan Youth with Low and High Psychosis Risk.
Compr Psychiatry
; 131: 152473, 2024 05.
Article
em En
| MEDLINE
| ID: mdl-38503003
ABSTRACT
INTRODUCTION:
There are few psychiatric epidemiology studies among Kenyan youth and fewer among those at high psychosis risk (HR).METHODS:
This study assessed the epidemiology of DSM-5 psychiatric disorders in HR and low-risk (LR) individuals to inform research and mental health services. 567 participants (aged 15-25) in HR (n = 246) and LR (n = 260) groups based on Washington Early Recognition Center Affectivity and Psychosis (WERCAP) Screen scores. Diagnostic Interview Schedule, version 5 (DIS-5) assessed DSM-5 psychiatric disorder prevalence. Diagnostic comorbidity and demographic relationships were investigated.RESULTS:
A higher prevalence was observed for all DSM-5 disorders in the HR group, significantly for gambling disorder (13% vs. 5.8%), major depressive disorder (9.8% vs. 3.8%), antisocial personality disorder (5.7% vs. 2.3%), general anxiety disorder (4.9% vs. 0.4%), oppositional defiant disorder (3.3% vs. 0.4%), panic disorder (2.8% vs. 0.8%), and anorexia nervosa (2.8% vs. 0%). Gambling disorder was the most prevalent and showed significant gender effects (males>females).DISCUSSION:
Psychiatric disorders occur at increased rates among HR compared to LR. Prevalence rates found are lower than in US studies, except for gambling disorder which was highly prevalent. Large-population-based epidemiology studies in Africa are needed to estimate rates, particularly of disorders such as schizophrenia, accurately.Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Transtornos de Ansiedade
/
Transtornos Psicóticos
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Anorexia Nervosa
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Transtornos Relacionados ao Uso de Substâncias
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Transtorno Depressivo Maior
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Transtornos Mentais
Limite:
Adolescent
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Female
/
Humans
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Male
País/Região como assunto:
Africa
Idioma:
En
Revista:
Compr Psychiatry
Ano de publicação:
2024
Tipo de documento:
Article