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The prevalence of psychiatric disorders among 5-10 year olds in rural, urban and slum areas in Bangladesh an exploratory study

Research output: Chapter in Book/Report/Conference proceedingChapter

Mohammad Sayadul Islam Mullick, Robert Goodman

Original languageEnglish
Title of host publicationChildren's Services in the Developing World
PublisherTaylor and Francis Inc.
Number of pages9
ISBN (Electronic)9781351952224
ISBN (Print)9780754627791
Publication statusPublished - 1 Jan 2017

King's Authors


Background No previous epidemiological studies of child mental health have been conducted in Bangladesh, partly due to lack of suitable measures. Methods A Bangla translation of a standardised child psychiatric interview, the Development and Well-Being Assessment (DAWBA), was validated against routine clinical diagnoses on a consecutive series of 100 referrals to a child mental health service. A two-phase study of prevalence was applied to random samples of 5- to 10-year-olds (N=922) drawn from three contrasting areas: A rural area, a moderately prosperous urban area, and an urban slum. Results There was substantial agreement between the DAWBA and the independent clinic diagnosis (kappa~0.63-0.94). The estimated prevalence of any ICD-10 diagnosis was 15% (95% Cl 11- 2 1%). The rate of obsessive-com pulsive disorder was higher than in previous studies. Children from the slum area were significantly m ore likely to have serious behavioural problems, and marginally more likely to have post-traumatic stress disorder. Conclusion A conservative extrapolation is that around 5 million Bangladeshi children and adolescents have psychiatric disorders. In a country with very few child mental health professionals, there is a vast gap between need and provision that must be addressed. III.

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