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Special methodological problems in the epidemiology of childhood psychopathology are addressed in this paper. Despite these problems, the authors attempt to provide as accurate an estimate as possible of the prevalence of childhood psychiatric disorder in the United States. On the basis of national prevalence studies to date, the authors conclude taht the overall rate of clinical maladjustment in the United States is probably no lower than 11.80%, specific rates varying across age, social class, ethnic group, and geographic region.