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Erschienen in: European Child & Adolescent Psychiatry 1/2008

01.12.2008 | ORIGINAL CONTRIBUTION

Assessing psychopathological problems of children and adolescents from 3 to 17 years in a nationwide representative sample: results of the German health interview and examination survey for children and adolescents (KiGGS)

verfasst von: Heike Hölling, Bärbel-Maria Kurth, Aribert Rothenberger, Andreas Becker, Robert Schlack

Erschienen in: European Child & Adolescent Psychiatry | Sonderheft 1/2008

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Abstract

Background

Reliable information on the prevalence of mental health problems in children and adolescents in the general population in Germany is scarce. With the German health and examination survey for children and adolescents (KiGGS) data is available for the first time on psychopathological problems for the complete age range from 3 to 17 years.

Objectives

To estimate prevalence rates for several groups with broadly defined psychopathology and to report distributions of psychopathological problems for total and fine-grained subgroups according to age, gender, socioeconomic status (SES), migration of children and adolescents from 3 to 17 years.

Methods

The strengths and difficulties questionnaire (SDQ) parent version was completed for 14,478 children and adolescents from 3 to 17 years. Data was collected from May 2003 to May 2006 from 167 representative sample points all over Germany. Prevalence rates of SDQ scales were calculated. Effects of age, gender, socio-economic status and migration status were determined.

Results

A total of 18.5% of the boys and girls were classified as ‘borderline or abnormal’ in the total difficulties score and thus determined as risk group for public health policies. Analyses of Variance showed significant effects for age and gender, SES and migration status. Significant interactions between age and gender were found for the total difficulties, conduct problems, hyperactivity-inattention and the emotional symptoms scores; significant interaction between SES and migration status was found for the prosocial behaviour score.

Conclusions

Prevalence rates of psychopathological problems in children and adolescents are in line with other published findings. Younger age, lower SES and migration are related to more psychopathological problems. While girls display more emotional problems, boys have more externalizing problems.
Fußnoten
1
AUC area under the curve. Combined value of sensitivity (percentage of correctly identified cases) and specificity (percentage of correctly defined non-cases). An AUC of 0.5 indicates a discrimination by chance, an AUC of 1.00 indicates a perfect fit of scale score and clinical diagnosis.
 
Literatur
1.
Zurück zum Zitat Achenbach T, Becker A, Döpfner M, Heiervang E, Roessner V, Steinhausen HC, Rothenberger A (2008) Multicultural assessment of child and adolescent psychopathology with ASEBA and SDQ instruments: research findings, applications and future directions. J Child Adolesc Psychiatry 49:251–275 Achenbach T, Becker A, Döpfner M, Heiervang E, Roessner V, Steinhausen HC, Rothenberger A (2008) Multicultural assessment of child and adolescent psychopathology with ASEBA and SDQ instruments: research findings, applications and future directions. J Child Adolesc Psychiatry 49:251–275
2.
Zurück zum Zitat Barkmann C, Schulte-Markwort M (2004) [Prevalence of emotional and behavioral disorders in children and adolescents in Germany – a systematic literature review]. Psychiatrische Praxis 31(6):1–10CrossRef Barkmann C, Schulte-Markwort M (2004) [Prevalence of emotional and behavioral disorders in children and adolescents in Germany – a systematic literature review]. Psychiatrische Praxis 31(6):1–10CrossRef
3.
Zurück zum Zitat Becker A, Steinhausen H-C, Baldursson G, Dalsgaard S, Lorenzo MJ, Ralston SJ, Döpfner M, Rothenberger A, the ADORE study group (2006) Psychopathological screening of children with ADHD: strengths and difficulties questionnaire in a pan-European study. Eur Child Adolesc Psychiatry 15 [Suppl 1]:I/56–I/62 Becker A, Steinhausen H-C, Baldursson G, Dalsgaard S, Lorenzo MJ, Ralston SJ, Döpfner M, Rothenberger A, the ADORE study group (2006) Psychopathological screening of children with ADHD: strengths and difficulties questionnaire in a pan-European study. Eur Child Adolesc Psychiatry 15 [Suppl 1]:I/56–I/62
4.
Zurück zum Zitat Becker A, Woerner W, Hasselhorn M, Banaschewsky T, Rothenberger A (2004) Validation of the parent and teacher SDQ in a clinical sample. Eur Child Adolesc Psychiatry 13[Suppl 2]: II/–II/16 Becker A, Woerner W, Hasselhorn M, Banaschewsky T, Rothenberger A (2004) Validation of the parent and teacher SDQ in a clinical sample. Eur Child Adolesc Psychiatry 13[Suppl 2]: II/–II/16
5.
Zurück zum Zitat Döpfner M, Breuer D, Wille N, Erhart M, Ravens-Sieberer U, BELLA study group (2008) How often do children meet ICD-10/DSM-IV criteria of attention deficit-/hyperactivity disorder and hyperkinetic disorder? Parent-based prevalence rates in a national sample – results of the BELLA study. Eur Child Adolesc Psychiatry 17(Suppl1): 59–70 Döpfner M, Breuer D, Wille N, Erhart M, Ravens-Sieberer U, BELLA study group (2008) How often do children meet ICD-10/DSM-IV criteria of attention deficit-/hyperactivity disorder and hyperkinetic disorder? Parent-based prevalence rates in a national sample – results of the BELLA study. Eur Child Adolesc Psychiatry 17(Suppl1): 59–70
6.
Zurück zum Zitat Goodman R, Renfrew D, Mullick M (2000) Predicting type of psychiatric disorder from strengths and difficulties questionnaire (SDQ) scores in child mental health clinics in London and Dhaka. Eur Child Adolesc Psychiatry 129–134 Goodman R, Renfrew D, Mullick M (2000) Predicting type of psychiatric disorder from strengths and difficulties questionnaire (SDQ) scores in child mental health clinics in London and Dhaka. Eur Child Adolesc Psychiatry 129–134
7.
Zurück zum Zitat Goodman R (2001) Psychometric properties of the strength and difficulties questionnaire. J Am Child Adolesc Psychiatry 40(11):1337–1345CrossRef Goodman R (2001) Psychometric properties of the strength and difficulties questionnaire. J Am Child Adolesc Psychiatry 40(11):1337–1345CrossRef
8.
Zurück zum Zitat Goodman R, Ford T, Simmons H, Gatward R, Meltzer H (2000) Using the strengths and difficulties questionnaire (SDQ) to screen for child psychiatric disorders in a community sample. Br J Psychiatry 177:534–539CrossRefPubMed Goodman R, Ford T, Simmons H, Gatward R, Meltzer H (2000) Using the strengths and difficulties questionnaire (SDQ) to screen for child psychiatric disorders in a community sample. Br J Psychiatry 177:534–539CrossRefPubMed
9.
Zurück zum Zitat Goodman R (1997) The strengths and difficulties questionnaire: a research note. J Child Psychol Psychiatry 38:581–586CrossRefPubMed Goodman R (1997) The strengths and difficulties questionnaire: a research note. J Child Psychol Psychiatry 38:581–586CrossRefPubMed
10.
Zurück zum Zitat Haffner J, Esther C, Münch H, Parzer P, Raue B, Steen R, Klett M, Resch F (2002) Verhaltensauffälligkeiten im Einschulungsalter aus elterlicher Perspektive – Ergebnnisse zu Prävalenz und Risikofaktoren in einer epidemiologischen Studie. Prax Kinderpsychol Kinderpsychiatr 51:675–696PubMed Haffner J, Esther C, Münch H, Parzer P, Raue B, Steen R, Klett M, Resch F (2002) Verhaltensauffälligkeiten im Einschulungsalter aus elterlicher Perspektive – Ergebnnisse zu Prävalenz und Risikofaktoren in einer epidemiologischen Studie. Prax Kinderpsychol Kinderpsychiatr 51:675–696PubMed
11.
Zurück zum Zitat Hölling H, Erhart M, Ravens-Sieberer U, Schlack R (2007) Behavioral problems in children and adolescents: first results from the German health interview and examination survey for children and adolescents (KiGGS)]. Bundesgesundheitsbl Gesundheits- forsch Gesundheitsschutz 50(5/6):784–793 Hölling H, Erhart M, Ravens-Sieberer U, Schlack R (2007) Behavioral problems in children and adolescents: first results from the German health interview and examination survey for children and adolescents (KiGGS)]. Bundesgesundheitsbl Gesundheits- forsch Gesundheitsschutz 50(5/6):784–793
12.
Zurück zum Zitat Hölling H, Schlack R (2007) [Eating disorders in children and adolescents: first results from the German health and examination survey for children and adolescents]. Bundesgesundheitsbl Gesundheitsforsch Gesundheitsschutz 50:794–800CrossRef Hölling H, Schlack R (2007) [Eating disorders in children and adolescents: first results from the German health and examination survey for children and adolescents]. Bundesgesundheitsbl Gesundheitsforsch Gesundheitsschutz 50:794–800CrossRef
13.
Zurück zum Zitat Huss M, Hölling H, Kurth B-M, Schlack R (2008) How often are German children and adolescents diagnosed with ADHD? Prevalence based on the judgment of health care professionals – results of the German health and examination survey (KiGGS). Eur Child Adolesc Psychiatry 17(Suppl1):52–58 Huss M, Hölling H, Kurth B-M, Schlack R (2008) How often are German children and adolescents diagnosed with ADHD? Prevalence based on the judgment of health care professionals – results of the German health and examination survey (KiGGS). Eur Child Adolesc Psychiatry 17(Suppl1):52–58
14.
Zurück zum Zitat Ihle W, Esser G (2002) [Epidemiology of mental disorders in childhood and adolescence: prevalence, course, comorbidity and gender differences]. Psychol Rundsch 53(4):159–169CrossRef Ihle W, Esser G (2002) [Epidemiology of mental disorders in childhood and adolescence: prevalence, course, comorbidity and gender differences]. Psychol Rundsch 53(4):159–169CrossRef
15.
Zurück zum Zitat Klasen H, Woerner W, Wolde D, Meyer R, Overmeyer S, Kaschnitz W, Rothenberger A, Goodman R (2000) Comparing the German versions of the strengths and difficulties questionnaire (SDQ-Deu) and the child behaviour checklist. Eur Child Adolesc Psychiatry 9:271–276CrossRefPubMed Klasen H, Woerner W, Wolde D, Meyer R, Overmeyer S, Kaschnitz W, Rothenberger A, Goodman R (2000) Comparing the German versions of the strengths and difficulties questionnaire (SDQ-Deu) and the child behaviour checklist. Eur Child Adolesc Psychiatry 9:271–276CrossRefPubMed
16.
Zurück zum Zitat Kurth B-M, Kamtsiuris P, Hoelling H, Schlaud M, Doelle R, Ellert U, Kahl H, Knopf H, Lange M, Mensinck GBM, Neuhauser H, Schaffrath Rosario A, Scheidt-Nave C, Schenk L, Schlack R, Stolzenberg H, Thamm M, Thierfelder W, Wolf U (2008) The challenge of comprehensively mapping children’s health in a nation-wide health survey: design of the German KiGGS-study. BMC Public Health 8:196CrossRefPubMed Kurth B-M, Kamtsiuris P, Hoelling H, Schlaud M, Doelle R, Ellert U, Kahl H, Knopf H, Lange M, Mensinck GBM, Neuhauser H, Schaffrath Rosario A, Scheidt-Nave C, Schenk L, Schlack R, Stolzenberg H, Thamm M, Thierfelder W, Wolf U (2008) The challenge of comprehensively mapping children’s health in a nation-wide health survey: design of the German KiGGS-study. BMC Public Health 8:196CrossRefPubMed
17.
Zurück zum Zitat Lehmkuhl G, Doepfner M, Plueck J, Berner W, Fegert JM, Huss M, Lenz K, Schmeck K, Lehmkuhl U, und Poustka F (1998) [Prevalence of behavioral problems and somatic complaints of children aged four to ten as rated by their parents]. Zeitschrift für Kinder Jugendpsychiatrie Psychotherapie 26(2):83–96 Lehmkuhl G, Doepfner M, Plueck J, Berner W, Fegert JM, Huss M, Lenz K, Schmeck K, Lehmkuhl U, und Poustka F (1998) [Prevalence of behavioral problems and somatic complaints of children aged four to ten as rated by their parents]. Zeitschrift für Kinder Jugendpsychiatrie Psychotherapie 26(2):83–96
18.
Zurück zum Zitat Palfrey JS, Tonniges TF, Green M, Richmond J (2005) Introduction: addressing the millenial morbidity: the context of community pediatrics. Pediatrics 115:1121–1123CrossRefPubMed Palfrey JS, Tonniges TF, Green M, Richmond J (2005) Introduction: addressing the millenial morbidity: the context of community pediatrics. Pediatrics 115:1121–1123CrossRefPubMed
19.
Zurück zum Zitat Ravens-Sieberer U, Kurth B-M, KiGGS study group, BELLA study group (2008) The mental health module (BELLA study) within the German Health Interview and Examination Survey of Children and Adolescents (KiGGS): study design and methods. Eur Child Adolesc Psychiatry 17(Suppl1):10–21 Ravens-Sieberer U, Kurth B-M, KiGGS study group, BELLA study group (2008) The mental health module (BELLA study) within the German Health Interview and Examination Survey of Children and Adolescents (KiGGS): study design and methods. Eur Child Adolesc Psychiatry 17(Suppl1):10–21
20.
Zurück zum Zitat Ravens-Sieberer U, Wille N, Erhart M, Bettge S, Wittchen H-U, Rothenberger A, Herpertz-Dahlmann B, Resch F, Hölling H, Bullinger M, Barkmann C, Schulte-Markwort M, Döpfner M as the BELLA study group (2008) Prevalence of mental health problems of children and adolescents in Germany: results of the BELLA study within the National Health Interview and Examination Survey (KiGGS). Eur Child Adolesc Psychiatry 17(Suppl1):22–33 Ravens-Sieberer U, Wille N, Erhart M, Bettge S, Wittchen H-U, Rothenberger A, Herpertz-Dahlmann B, Resch F, Hölling H, Bullinger M, Barkmann C, Schulte-Markwort M, Döpfner M as the BELLA study group (2008) Prevalence of mental health problems of children and adolescents in Germany: results of the BELLA study within the National Health Interview and Examination Survey (KiGGS). Eur Child Adolesc Psychiatry 17(Suppl1):22–33
21.
Zurück zum Zitat Rothenberger A, Becker A, Erhart M, Wille N, Ravens-Sieberer U, the BELLA study group (2008) Psychometric properties of the parent strengths and difficulties questionnaire in the general population of German children and adolescents: results of the BELLA study. Eur Child Adolesc Psychiatry 17(Suppl1):99–105 Rothenberger A, Becker A, Erhart M, Wille N, Ravens-Sieberer U, the BELLA study group (2008) Psychometric properties of the parent strengths and difficulties questionnaire in the general population of German children and adolescents: results of the BELLA study. Eur Child Adolesc Psychiatry 17(Suppl1):99–105
22.
Zurück zum Zitat Schenk L, Ellert U, Neuhauser H (2007) [Children and adolescents in Germany with a migration background: methodical aspects in the German health and examination survey for children and adolescents (KiGGS)]. Bundesgesundheitsbl Gesundheits- forsch Gesundheitsschutz 50:590–599CrossRef Schenk L, Ellert U, Neuhauser H (2007) [Children and adolescents in Germany with a migration background: methodical aspects in the German health and examination survey for children and adolescents (KiGGS)]. Bundesgesundheitsbl Gesundheits- forsch Gesundheitsschutz 50:590–599CrossRef
23.
Zurück zum Zitat Schlack R, Hoelling H, Kurth B-M, Huss M (2007) [The prevalence of attention-deficit-hyperactivity disorder (ADHD) among children and adolescents in Germany: initial results of the German health and examination survey for children and adolescents (KiGGS)]. Bundesgesundheitsbl Gesundheits- forsch Gesundheitsschutz 50:827–836CrossRef Schlack R, Hoelling H, Kurth B-M, Huss M (2007) [The prevalence of attention-deficit-hyperactivity disorder (ADHD) among children and adolescents in Germany: initial results of the German health and examination survey for children and adolescents (KiGGS)]. Bundesgesundheitsbl Gesundheits- forsch Gesundheitsschutz 50:827–836CrossRef
24.
Zurück zum Zitat Winkler J, Stolzenberg H (1999) Der Sozialschichtindex im Bundes-Gesundheitssurvey. Gesundheitswesen 61[Sonderheft 2]:S178–S183 Winkler J, Stolzenberg H (1999) Der Sozialschichtindex im Bundes-Gesundheitssurvey. Gesundheitswesen 61[Sonderheft 2]:S178–S183
25.
Zurück zum Zitat Wittchen HU, Nelson CB, Lachner G (1998) Prevalence of mental disorders and psychosocial impairment in adolescents and young adults. Psychol Med 28(1):109–126CrossRefPubMed Wittchen HU, Nelson CB, Lachner G (1998) Prevalence of mental disorders and psychosocial impairment in adolescents and young adults. Psychol Med 28(1):109–126CrossRefPubMed
26.
Zurück zum Zitat Woerner W, Becker A, Friedrich C, Klasen H, Goodman R, Rothenberger A (2002) Normierung und Evaluation der deutschen Elternversion des Strengths and Difficulties Questionnaire (SDQ): Ergebnisse einer repräsentativen Felderhebung. Zeitschrift für Kinder Jugendpsychiatrie Psychotherapie 30(2):105–112CrossRef Woerner W, Becker A, Friedrich C, Klasen H, Goodman R, Rothenberger A (2002) Normierung und Evaluation der deutschen Elternversion des Strengths and Difficulties Questionnaire (SDQ): Ergebnisse einer repräsentativen Felderhebung. Zeitschrift für Kinder Jugendpsychiatrie Psychotherapie 30(2):105–112CrossRef
27.
Zurück zum Zitat Woerner W, Becker A, Rothenberger A (2004) Normative data and scale properties of the German parent SDQ. Eur Child Adolesc Psychiatry 13[Suppl 2] :II/3–II/10 Woerner W, Becker A, Rothenberger A (2004) Normative data and scale properties of the German parent SDQ. Eur Child Adolesc Psychiatry 13[Suppl 2] :II/3–II/10
28.
Zurück zum Zitat World Health Organization (WHO) (1948) Preamble to the constitution of the World Health Organization as adopted by the international health conference, New York, 19–22 June 1946. Official records of the World Health Organization 2, WHO, Kopenhagen World Health Organization (WHO) (1948) Preamble to the constitution of the World Health Organization as adopted by the international health conference, New York, 19–22 June 1946. Official records of the World Health Organization 2, WHO, Kopenhagen
29.
Zurück zum Zitat Ziegert B, Neuss A, Herpertz-Dahlmann B, Kruse W (2002) [Psychic disturbances of children and teenagers in general practice: who needs treatment?] Dtsch Arztebl 99A:1436–1441 [Heft 21] Ziegert B, Neuss A, Herpertz-Dahlmann B, Kruse W (2002) [Psychic disturbances of children and teenagers in general practice: who needs treatment?] Dtsch Arztebl 99A:1436–1441 [Heft 21]
Metadaten
Titel
Assessing psychopathological problems of children and adolescents from 3 to 17 years in a nationwide representative sample: results of the German health interview and examination survey for children and adolescents (KiGGS)
verfasst von
Heike Hölling
Bärbel-Maria Kurth
Aribert Rothenberger
Andreas Becker
Robert Schlack
Publikationsdatum
01.12.2008
Verlag
Springer-Verlag
Erschienen in
European Child & Adolescent Psychiatry / Ausgabe Sonderheft 1/2008
Print ISSN: 1018-8827
Elektronische ISSN: 1435-165X
DOI
https://doi.org/10.1007/s00787-008-1004-1

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