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The Use of Combined Measures

Hector R. Bird, MD; Glorisa Canino, PhD; Maritza Rubio-Stipec, MA; Madelyn S. Gould, PhD; Julio Ribera, PhD; Myrna Sesman, PhD; Michel Woodbury, MD; Sara Huertas-Goldman, MD; Annette Pagan, MD; Arturo Sanchez-Lacay, MD; Margarita Moscoso, MA

Arch Gen Psychiatry. 1988;45(12):1120-1126.

Abstract
• A two-stage epidemiologic survey was carried out on a probability sample of the population aged 4 through 16 years in Puerto Rico. The survey used the Child Behavior Checklist as a screening instrument, and prevalence rates were estimated on the basis of clinical diagnoses and other measures provided by child psychiatrists during the second stage. Maladjustment was operationally defined through the use of combined measures, including DSM-III diagnosis and a scale of functional impairment. Data were provided on the demographic correlates of maladjustment and on the comorbidity of DSM-III diagnostic domains. The prevalence rates obtained vis-a-vis the availability of mental health services on the island reflected a major public health problem.

Author Affiliations
From the Department of Psychiatry, Division of Child Psychiatry, Columbia University College of Physicians and Surgeons, New York (Drs Bird and Gould); and the Departments of Psychiatry (Drs Canino, Sesman, Woodbury, Huertas-Goldman, Pagan, and Sanchez-Lacay and Mss Rubio-Stipec and Moscoso) and Psychology (Dr Ribera), University of Puerto Rico School of Medicine, San Juan.

Footnotes
Accepted for publication Nov 25, 1987.

Reprint requests to Department of Psychiatry, Division of Child Psychiatry, Columbia University College of Physicians and Surgeons, 722 W 168th St, New York, NY 10032 (Dr Bird).

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