Severity of 12-Month DSM-IV Disorders in the National Comorbidity Survey Replication Adolescent Supplement

Abstract
Epidemiologic surveys consistently find that more than one-fourth of all US children and adolescents meet criteria for 1 or more recent DSM-IV mental disorders.1,2 This proportion is so high that it raises questions about the clinical significance of DSM-IV criteria3 and about estimates of the magnitude of unmet need for treatment.4 Consistent with these questions, research has shown that, as with adults,5 prevalence estimates of child and adolescent mental disorders decrease substantially when special impairment requirements are imposed in making diagnoses.6 Nonetheless, precise data on the population severity distributions of child and adolescent mental disorders are lacking.

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