Correlates of schizophrenia spectrum disorders in children and adolescents cared for in community settings
Article first published online: 5 AUG 2011
© 2011 The Authors. Child and Adolescent Mental Health © 2011 Association for Child and Adolescent Mental Health
Child and Adolescent Mental Health
Volume 17, Issue 2, pages 101–108, May 2012
How to Cite
Nugent, K. L., Daniels, A. M. and Azur, M. J. (2012), Correlates of schizophrenia spectrum disorders in children and adolescents cared for in community settings. Child and Adolescent Mental Health, 17: 101–108. doi: 10.1111/j.1475-3588.2011.00618.x
- Issue published online: 5 APR 2012
- Article first published online: 5 AUG 2011
- Accepted for publication: 28 Febrauary 2011 Published online: 5 August 2011
- Schizophrenia spectrum disorder;
- children and adolescents;
- community settings
Background: This study examined the prevalence and correlates of schizophrenia spectrum disorders (SSD) among a national sample of 9006 children.
Methods: Clinician-assigned diagnoses were used to divide the sample into two groups: children with SSD and children with other Axis I disorders.
Results: Three percent of the sample had a SSD diagnosis. African American (OR=1.71, 95% CI: 1.11, 2.65) and Hispanic race/ethnicity (OR=1.96, 95% CI: 1.31, 2.94), a greater number of comorbid psychiatric diagnoses (three diagnoses, OR=2.22, 95% CI: 1.49, 3.31), a history of attempting suicide (OR=1.45; 95% CI: 1.05, 2.02), and past residential treatment (OR=1.59; 95% CI: 1.11, 2.28) were all associated with increased odds of SSD diagnosis.
Conclusions: Although schizophrenia spectrum disorders in youth are rare, children with these disorders present with a distinct risk profile that may inform service planning and delivery and assist in identifying individuals early in the course of their illness.