Çocuk ve ergen psikiyatrisi polikliniğine başvuran hastalarda tanı dağılımı / Diagnoses of patients referring to a child and adolescent psychiatry outpatient clinic

Abstract

ÖZET Çocuk ve ergen psikiyatrisi poliklinigine baçvuran hastalarda tani dagilinni Amaç: Bu araçtirmada çocuk ve ergen psikiyatrisi poliklinigine baçvuran hastalann tani dagilimiarinin saptanmasi amaçlanmiçtir, Yöntem: GATA Çocuk Ruh Sagligi ve Hastaliklari Anabilim Dali Poliklinigine Ocak 2OO9.Haziran 2009 tarihleri arasinda bajvuran 538 hastamn dosyalari geriye dönCik olarak incelenmiçtir, Bulgular: Olgularin daha çok erkek oldugu ve 7-18 yaj grubu çocuk ve ergenlerden oluçtugu saptanmiçtir. Baçvuran olgularin dórtte ücüne, bir ya da birden çok tani kondugu, ^6 yac arasi olgularda ise tani konma oraninin %50 oldugu górülmüctür. Olgularin %I3,7sinde eçtani saptanmiç, eçtani saptanma oraninin en sik dikkat eksikligi hiperaktivite bozuklugu (DEHB) grubunda oldugu belirlenmiçtir Tüm olgular góz ónüne alindiginda, en sik saptanan tanilarin, sirasiyla DEHB, yaygin anksiyete bozuklugu, zeka geriligi, depresyon ve enûrezis oldugu, tüm yaç gruplarinda en sik DEHB tanisi kondugu, erkek çocukiarda en sik DEHB, zeka geriligi, yaygin anksiyete bozuklugu, enûrezis ve depresyon; kiziarda ise DEHB, yaygin anksiyete bozuklugu, depresyon, zeka geriligi ve enûrezis saptanmiçtir, Sonuç: Sik saptanan tanilann bilinmesi, cinsiyetler arasi tani farkiiliklarinin ve yaç gruplanna gôre olasi tanilann belirlenmesi, çocuk ve ergen psikiyatrisi poliklinik hizmetierinin iyileçtirilmesine katkida bulunacaktir Anahtar kelimeler Çocuk, ergen, tanilar ABSTRACT Diagnoses of patients referring to a child and adolescent psychiatry outpatient clinic Objective: The aim of the present study is to identify the diagnoses of patients who referred to a child and adolescent psychiatry outpatient clinic. Method: Medical records of 536 patients referred to the Children and Adolescent Psychiatry outpatient clinic at Gulhane Results: It was found that the patients were mostiy male and within 7 to 18 years of age. It was also determined that three quarters of patients had at least one diagnosis and the diagnosis rate in children between the ages of O6 was 50 percent Comorbid diagnoses were found in 13,7 percent of all cases and they were mainly in the attention deficit hyperactivity disorder (ADHD) group. The most common diagnoses were ADHD, generalized anxiety disorder, mental retardation, depression and enuresis, respectively ."The most common diagnosis in all age subgroups was ADHD. While the most common diagnoses in boys are ADHD, mental retardation, generalized anxiety disorder, enuresis and depression respectively, they were ADHD, generalized anxiety disorder, depression, mental retardation and enuresis in girls. Conclusion: To know the most common diagnoses, diagnosis differences within genders and possible diagnoses for certain age groups will be useful for improving child and adolescent psychiatry services.

Current Pattern of Psychiatric Comorbidity and Psychotropic Drug Prescription in Child and Adolescent Patients

“…In a study by Durukan et al in 2011, a psychiatric diagnosis was established in 74.7% of patients who presented to child and adolescent psychiatry clinics. In that study, the rate of undiagnosed patients was 49.7% in the 0–6 age group, 17.1% in the 7–11 age group, and 13.6% in the 12–18 age group [26]. Similar to that study, in our study the rate of diagnosed patients was 79%.…”

“…In numerous series, the majority of patients presenting to child and adolescent clinics consisted of children in the 7–11 years age group [24,25,26]. In our study also, 45.5% of the patients were children in the 7–11 years age group.…”

Anxiety Disorders Comorbidity in Children and Adolescents with Attention Deficit Hyperactivity Disorder

“…Worldwide prevalence of GAD in the children and adolescents has been reported to be 2%-9% for girls and 1%-4% for boys (13). The prevalence of GAD was found to be 2.3%-33.3% in the studies conducted in the cases with ADHD and 7% in a study conducted in the cases without ADHD in a Turkish clinical sample (9,38,43). The prevalence of AD (3.6%) found in the present study was consistent with the previous studies conducted in the cases with and without ADHD in a Turkish clinical sample.…”

“…It was found that the prevalence of SAD is 14.3%-18.5% in the cases with ADHD and 3.1%-4.1% in the cases without ADHD in a Turkish clinical sample (9,38,40,43). In a study conducted in a population-based sample in Germany, the prevalence of SAD was found to be 1.6% (46).…”

“…In the studies conducted in a Turkish clinical sample, the prevalence of OCD was found to be 3%-7.5% in the cases with ADHD, and it was 2.6%-2.8% in boys and 2.7%-4.8% in girls without ADHD (9,38,40,43,47). The prevalence of OCD found in the present study (2.4%) was lower than that found in the abovementioned studies.…”