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Published on: December 2, 2015
Russian child mental health--a cross-sectional study of prevalence and risk factors
Robert Goodman1, Helena Slobodskaya, Gennadij Knyazev
1Dept. of Child and Adolescent Psychiatry, Institute of Psychiatry, King's College London, London SE5 8AF, UK. r.goodman@iop.kcl.ac.uk
Insights
Child mental health problems in Russia are significantly more prevalent than in Britain, with similar risk factors. Evidence-based treatments are urgently needed for Russian children and adolescents.
Area of Science:
- Child and Adolescent Psychiatry
- Global Mental Health
- Public Health
Background:
- Post-communist Russia faces social and health challenges.
- Media reports suggest high child mental health issues, but evidence is scarce.
Purpose of the Study:
- To assess child mental health problem prevalence in Russia.
- To identify associations using international standards.
Main Methods:
- Cross-sectional survey of 7-14 year olds in Russia.
- Two-stage sampling: schools then pupils.
- Screening and psychiatric assessments.
Main Results:
- Russian children showed ~70% higher psychiatric disorder prevalence than British children.
- Similar types of disorders and risk factors were observed.
- Comparable measures were used for both countries.
Conclusions:
- Urgent need for accessible, evidence-based mental health interventions for Russian youth.
- Findings highlight disparities in child mental health outcomes.
- Further research on risk factors and interventions is warranted.
Background:
The fall of communism and subsequent economic crises have been followed by major social and health problems. High rates of child mental health problems are frequently cited by the Russian media, though there is little relevant evidence.
Aims:
The aim of this study was to investigate the prevalence and associations of child mental health problems in Russia using internationally recognised measures and diagnostic systems.
Method:
A two-stage, two-phase cross-sectional survey of the mental health of 7- to 14-year-olds involved random sampling of schools, followed by random sampling of pupils from school lists. A sample of 448 children was obtained, representing an 83% participation rate. In the first phase, screening measures of psychopathology and risk were administered to parents, teachers and 11- to 14-year-olds. In the second phase, more detailed psychiatric assessments were carried out for subgroups of screen-positive and screen-negative children (N=172).
Results:
The prevalence of psychiatric disorder was about 70% higher than that recently found in Britain with comparable measures, but there were few differences between Britain and Russia in type of disorder or key risk factors.
Conclusion:
There is a pressing need for evidence-based mental health treatments to be made widely available to Russian children and adolescents.
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