Classification,prevalence and integrated care for neurodevelopmental and child mental health disorders:A brief overview for paediatricians  

作　　者：Michael O Ogundele Michael Morton 

机构地区：[1]Department of Community Paediatrics,Bridgewater Community Healthcare NHS Foundation Trust,Runcorn WA71TW,Halton,United Kingdom [2]Institute of Health&Wellbeing,University of Glasgow,Child and Adolescent Psychiatry,Yorkhill Hospital,Glasgow G38SJ,United Kingdom

出　　处：《World Journal of Clinical Pediatrics》2022年第2期120-135,共16页世界临床儿科杂志

摘　　要：‘Neurodevelopmental disorders’comprise a group of congenital or acquired longterm conditions that are attributed to disturbance of the brain and or neuromuscular system and create functional limitations,including autism spectrum disorder,attention deficit/hyperactivity disorder,tic disorder/Tourette’s syndrome,developmental language disorders and intellectual disability.Cerebral palsy and epilepsy are often associated with these conditions within the broader framework of paediatric neurodisability.Co-occurrence with each other and with other mental health disorders including anxiety and mood disorders and behavioural disturbance is often the norm.Together these are referred to as neurodevelopmental,emotional,behavioural,and intellectual disorders(NDEBIDs)in this paper.Varying prevalence rates for NDEBID have been reported in developed countries,up to 15%,based on varying methodologies and definitions.NDEBIDs are commonly managed by either child health paediatricians or child/adolescent mental health(CAMH)professionals,working within multidisciplinary teams alongside social care,education,allied healthcare practitioners and voluntary sector.Fragmented services are common problems for children and young people with multi-morbidity,and often complicated by subthreshold diagnoses.Despite repeated reviews,limited consensus among clinicians about classification of the various NDEBIDs may hamper service improvement based upon research.The recently developed“Mental,Behavioural and Neurodevelopmental disorder”chapter of the International Classification of Diseases-11 offers a way forward.In this narrative review we search the extant literature and discussed a brief overview of the aetiology and prevalence of NDEBID,enumerate common problems associated with current classification systems and provide recommendations for a more integrated approach to the nosology and clinical care of these related conditions.

关 键 词：Neurodevelopmental disorders Mental health disorders Adolescents Child health Mental health services Emotional problems Behavioural problem Sub-threshold diagnosis Sleep disorders Integrated care 

分 类 号：R473.74[医药卫生—护理学]