Psychiatric Morbidity Pattern in a Child and Adolescent Guidance Clinic (original) (raw)
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Journal of Nobel Medical College, 2013
Background: Mental health and its related problems are growing concerns over the world. The early onset of emotional and behavioral problem in the young children is related to a variety of health and behavior problems in adolescence. It is a challenging all over the world to determine the epidemiology of childhood mental disorders. Objective: The aim of this study is to sort out the prevalence and predominance of mental illness and their onset of age and sex among the child and adolescent who attended in the child guidance clinic in TUTH. Methodology: A retrospective study of a total of 539 consecutive cases of child and adolescent attended in Child Guidance Clinic TUTH. Diagnosis was made according to the criteria of Diagnostic and Statistical Manual of Mental Disorders, 4th edition, Text Revision. Result: The cases from the age of 0.4 year to 21 years with mean age 8.85±4.08 years. Significantly majority were boys (n=343, 63.6%) and most of from out of the Kathmandu valley (n=300,...
Psychiatric Morbidity Pattern in a Child Guidance Clinic
Background: There is a paucity of Indian studies on psychiatric morbidity in children. Present work was undertaken in a child guidance clinic in armed forces. Methods: Retrospective analysis of 213 patients who attended a child guidance clinic was done. Results: Majority (n=138) were boys. 55.9% were referred from paediatric outpatient department while medical officers in periphery referred 38.5%. The diagnoses was mental retardation in 30.97%, behavioral and emotional disorders in 23.06% and neurotic, stress related and somatoform disorders in 15.98% cases.
Journal of Indian Association For Child and Adolescent Mental Health, 2007
To study the sociodemographic and clinical profile of patients, who presented to the child and adolescent psychiatric services of a tertiary care centre over a 26-year period (1980-2005). Methodology: Data were abstracted retrospectively from detailed work up files of all subjects assessed in the Child and Adolescent Psychiatry (CAP) Clinic during the mentioned period. Time trends were examined over 3-peiods: 1980-1989 (Period I), 1990-1999 (Period II) and 2000-2005 (Period III). Results: Most of the individuals presenting to CAP clinic were boys (62.2%-63.5%), aged between 10 to 15 years (44.2%-63.4%). The common diagnoses were mental retardation (18.4%-33.2%), neurotic and stress related disorders (16.4%-18.5%), epilepsy and organic brain disorder (7.1%-15.1 %) and hyperkinetic and conduct disorders (8.3%-17.9%). There was a trend towards decrease in number of cases in younger age group (0-5 years) and those with diagnosis of mental retardation, epilepsy and organic brain disorder. There was a trend towards increase in number of cases in the older age group (10-15 years) and those with diagnosis of psychotic disorders, affective disorders, disorders of psychological development, and hyperkinetic and conduct disorders. Conclusion: Time trends reveal significant shifts in demographic and diagnostic profile of a CAP clinic of a tertiary care hospital.
Journal of cardiovascular disease research, 2021
Background: Psychiatric disorders are ubiquitous and affect not only adults but also children and adolescents. The age factor plays an important role in the pattern of these psychiatric disorders. The objective of our study was to find the pattern of psychiatric morbidity in children and adolescents at the child and adolescent outpatient service of a tertiary care hospital. Materials and Methods: A semi-structured questionnaire was used to record the sociodemographic status. The state of mental health and psychiatric morbidity was assessed after a thorough clinical assessment. Intelligence quotient was assessed by a clinical psychologist as and when needed. All the diagnoses were made on the basis of Diagnostic and Statistical Manual of Mental Disorders, 4 th Edition, Text Revision criteria. Results: A total of 529 patients were included. Most patients belonged to the age group of 6-16 years (70.5%). Boys (67.9%) outnumbered girls. Most of the patients were from rural background (56.7%) and from nuclear families (53%). Attention-deficit hyperactivity disorder (31%) and mental retardation (29%) were the most frequent diagnoses, followed by pervasive developmental disorders (10%). Comorbidity was present in about 18% of our patients. Conclusion: The child psychiatry is gaining acceptance, and children and adolescents with minor mental health issues are being identified and referred for specialized services.
Background: In India, there is 158.8 million number of children in the age group 0 – 6 years as per the population totals of Census, 2011, which is 13.12% of the total population. Hence, in such a large population of children mental health is an essential component of overall health and its burden is to be recognized. Aim: To study the socio – demographic characteristics and pattern of mental health disorders among children and adolescents attending a child guidance clinic in a tertiary teaching hospital. Method: 100 new cases aged between 6 and 18 attending the child guidance clinic were taken up in the study. The subjects were assessed clinically with detailed history, with a semi structured performa for socio demographic details and Kuppuswami Socioeconomic scale for assessing the socio economic status. Diagnoses were made on the bases of International Classification of Diseases 10th edition and MINI International Neuropsychiatric Interview for children and adolescents (Parent Version), English Version 6.0. Result: Majority of patients (n=57, 57%) was among the age group 12-14 years, females were 55 (55%) and most cases were belonging to upper middle socioeconomic class (n=54, 54%). Majority of the cases were of Depression/Dysthymia/Adjustment Disorder (n=21, 21%) followed by Oppositional Defiance Disorder (n=13, 13%) and Anxiety disorders (n=13, 13%) and then followed by Conduct Disorder (n=9, 9%) and Attention Deficit Hyperactivity Disorder (n=9, 9%). Conclusion: Depression/Dysthymia/Adjustment Disorders were the most common diagnoses followed by Oppositional Defiance Disorder and Anxiety disorders. Future studies are needed to be using community-based surveys in a larger scale with appropriate sample size to find out the psychiatric problems in children.
Indian journal of psychological medicine
Psychiatric disorders are ubiquitous and affect not only adults but also children and adolescents. The age factor plays an important role in the pattern of these psychiatric disorders. The objective of our study was to find the pattern of psychiatric morbidity in children and adolescents at the child and adolescent outpatient service of a tertiary care hospital. A semi-structured questionnaire was used to record the sociodemographic status. The state of mental health and psychiatric morbidity was assessed after a thorough clinical assessment. Intelligence quotient was assessed by a clinical psychologist as and when needed. All the diagnoses were made on the basis of Diagnostic and Statistical Manual of Mental Disorders, 4 Edition, Text Revision criteria. A total of 529 patients were included. Most patients belonged to the age group of 6-16 years (70.5%). Boys (67.9%) outnumbered girls. Most of the patients were from rural background (56.7%) and from nuclear families (53%). Attention...
Galore International Journal of Health Sciences and Research, 2019
Introduction: Most of the psychiatric diseases have origin in childhood and adolescent. Early detection and prompt management tremendously improve disease remission and prognosis. Understanding about psychiatric morbidity pattern is necessary for intervention and utilization of the available health care resources, proper planning and policy making for providing better health care to the child and adolescent patients. Objective: This study aims to know the morbidity pattern of different psychiatric disease among child and adolescent patients admitted in psychiatric ward in a tertiary care hospital, Mental Health Institute. Methodology: Among 121 child and adolescent patients, 66 males and 55 females admitted during the period of 7 months in psychiatric ward were taken into study. It is a hospital based cross-sectional study. Patients were chosen on the basis of inclusion and exclusion criteria. Informed consent was taken from patients and caregiver. Final diagnosis was made according to Diagnostic Criteria for Research ICD-10. The data were entered into excel sheet, cleaned, both descriptive and chi-square done using the statistical package for social science (SPSS) version 20. Result: Majority of the cases were in between the age of 14-19 (79.3%) years. Most of the patients belongs to Hindu religion (98.3%). Most common psychiatric diagnosis encountered were belongs to ICD-10 group F20-F29 (schizophrenia, schizotypal and delusional disorder), F70- F79 (mental retardation), F40-F48 (neurotic, stress-related and somatoform disorder) followed by others. There were no cases admitted from group F50- F59 (behavioural syndrome associated with physiological disturbance and physical factor). Rare case like Wilson disease, De- la Tourette syndrome, Tuberous sclerosis, Down syndrome and factitious disorder were also admitted. Conclusion: Child and adolescent differ from adult in symptomatology, morbidity profile and prognosis. Child and adolescent are very vulnerable to various disabling chronic psychiatric disease, they need early diagnosis and prompt treatment. We can prevent various disabling sever psychiatric illness by intervening at earlier stage. This enlights a special attention to child and adolescent psychiatric patients.
International Journal of Contemporary Pediatrics, 2017
Background: Childhood mental disorders are common and yet only a minority of children with mental health problems receive appropriate child mental health consultation. There is scarcity of literature on patterns of child and adolescent psychiatric disorders from developing countries like India. Methods: It was a cross sectional survey on outpatients attending the Child and Adolescent psychiatry clinic, Department of Psychiatry, MGM Medical College, Navi Mumbai. Study sample consisted of all new child & adolescent cases attending the clinic and willing to give consent. Data was analysed for sex, residence, informant, socio-economic status, birth history, family history, medical co-morbidity, reason and source of referral, presence of stressors, psychiatric diagnosis etc using SPSS 20. Institutional Ethics clearance was obtained. Results: Data analysis of n= 150 patients revealed mean age of 9.53 with SD of 3.84. Majority of the patients belonged to school going age group (59.3%), mal...
JOURNAL OF CLINICAL AND DIAGNOSTIC RESEARCH, 2016
Child and adolescent psychiatric disorders are an upcoming problem worldwide, but many times they go unobserved by a parent, especially in a developing country like India with a total fertility rate of 2.5 [1]. As much as 12% to 29% of the children aged 5-15 years have been found to be suffering from some kind of psychiatric morbidity in different countries including India [2]. Some of the commonest disorders among children who come to the psychiatric clinic have been found to be intellectual disability, emotional disorders and somatic complaints [1,3,4]. However, in community based studies, the most common disorder has been found to be conduct disorders [5,6]. Gender predilection seems to vary in different areas so did age-wise predominance of various disorders. One of the studies in Bangalore found the commonest diagnosis among children aged less than 5 years to be hyperkinetic disorder, among 6-11 year it was hysterical neurosis and among 12-16 years it was psychosis [7]. Thereby indicating that regional differences in psychiatric morbidity are expected, making it essential to trace a pattern in every region of the country. Such awareness can help the health care personnel to be alert, thus resulting in early & correct detection and proper management. It will also aid in formulating prevention and control programmes. AIm Hence this study was planned to find the pattern of psychiatric disorders and associated socio-demographic factors among children in the psychiatric clinic of a tertiary care hospital in Mangalore city, India. mAterIAls And metHOds This analytical study was conducted in a tertiary care hospital during the period of April 2012 to March 2013 from the case records of children visiting the psychiatric department. The records contained detailed histories obtained from the patient and