Research Article
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Yaşam olaylarının çocuk ve ergen psikiyatrisi konsültasyonlarına etkisi

Year 2024, Volume: 49 Issue: 3, 561 - 569, 30.09.2024
https://doi.org/10.17826/cumj.1432763

Abstract

Amaç: Çocuk ve ergenler pek çok olumsuz yaşam olayına maruz kalmakta ve bu durum psikiyatrik bozukluklara neden olabilmektedir. Bu çalışmada, iki farklı yaşam olayının (COVID-19 pandemisi ve deprem) istenen konsültasyonlara etkisinin araştırılmasını amaçladık.
Gereç ve Yöntem: Mart 2019 ile Mart 2023 tarihleri arasında çocuk ve ergen psikiyatrisi bölümünden istenen 1268 konsültasyon hastane kayıtlarından tarandı. Belirlenen zaman dilimi bir yıllık aralıklarla pandemi öncesi, pandeminin ilk yılı, pandeminin ikinci yılı ve pandemi sonrası olmak üzere dört farklı döneme ayrıldı. Olguların yaşı, cinsiyeti, tanıları, konsültasyon isteyen bölüm ve konsültasyon nedeni kaydedildi.
Bulgular: Konsültasyon isteyen bölümler, konsültasyon nedenleri ve tanılar açısından dönemler arasında istatistiksel açıdan anlamlı farklılık vardı. Pandemi sonrası dönemde önceki dönemlere göre çocuk acil ve genel pediatri servislerinden istenen konsültasyonlarda azalma görülürken, deprem nedeniyle nefroloji servisi ve yoğun bakım ünitesinden talep edilen konsültasyonlarda artış tespit edildi. Pandeminin ilk yılında hematoloji&onkoloji bölümünden diğer yıllara göre daha fazla konsültasyon istendi. Pandemi sonrası dönemde intihar girişimi nedeniyle talep edilen konsültasyonların oranı azalırken, psikiyatrik değerlendirme için istenen konsültasyonların oranı arttı.
Sonuç: Disiplinler arası etkileşimin merkezinde yer alan konsültasyon-liyezon psikiyatrisi, yaşam olayları sonrasında hem organik olaylara hem de bizzat travmanın etkisine bağlı olarak gelişebilecek psikolojik belirtilerin önlenmesi ve erken tanısında önemini korumaktadır.

References

  • Yang S, Huang P, Li B, Gan T, Lin W, Liu Y. The relationship of negative life events, trait anxiety and depression among Chinese university students: A moderated effect of self-esteem. J Affect Disord. 2023;339:384-91.
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  • Jahrami HA, Alhaj OA, Humood AM, Alenezi AF, Fekih-Romdhane F, AlRasheed MM et al. Sleep disturbances during the COVID-19 pandemic: a systematic review, meta-analysis, and meta-regression. Sleep Med Rev. 2022;62:101591.
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  • Madigan S, Racine N, Vaillancourt T, Korczak DJ, Hewitt JMA, Pador P et al. Changes in depression and anxiety among children and adolescents from before to during the COVID-19 pandemic: a systematic review and meta-analysis. JAMA Pediatr. 2023;177:567–81.
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  • Kim H, Ryu JM, Kim HW. Characteristics and trends of suicide attem pt or non-suicidal self-injury in children and adolescents visiting emergency department. J Korean Med Sci. 2020;35:e276.
  • Ayraler Taner H, Akın Sarı B, Kaba D. How did the COVID-19 pandemic affect child and adolescent psychiatryoutpatient clinic admissions? A single-center, retrospectivestudy. Clin Child Psychol Psychiatry. 2022;27:824–35.
  • Correale C, Falamesca C, Tondo I, Borgi M, Cirulli F, Truglio M et al. Depressive anxiety symptoms in hospitalized children with chronic ıllness during the first Italian COVID-19 lockdown. Children (Basel, Switzerland). 2022;9:1156.
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  • Evensen M, Hart RK, Godøy AA, Hauge LJ, Lund IO, Knudsen AKS et al. Impact of the COVID-19 pandemic on mental healthcare consultations among children and adolescents in Norway: a nationwide registry study. Eur Child Adolesc Psychiatry. 2023;32:1025-35.
  • Leith T, Brieger K, Malas N, McCaffery H, Monroe K, Kullgren KA et al. Increased prevalence and severity of psychiatric illness in hospitalized youth during COVID-19. Clin Child Psychol Psychiatry. 2022;27:804–12.
  • Hassan E, Nagui Rizk D, Aly NM, El Chazli Y. Impact of the COVID-19 pandemic on health-related quality of life and anxiety in pediatric hematology/oncology patients. Pediatr Hematol Oncol. 2021;38:683–94.
  • Alshahrani M, Elyamany G, Sedick Q, Ibrahim W, Mohamed A, Othman M et al. The ımpact of COVID-19 pandemic in children with cancer: a report from saudi arabia. Heal Serv Insights. 2020;13:1178632920984161.
  • Serra G, Apicella M, Iannoni ME, Trasolini M, Andracchio E, Chieppa F et al. Urgent psychiatric consultations for suicide attempt and suicidal ideation before and after the COVID-19 pandemic in an Italian pediatric emergency setting. Front Psychiatry. 2023;13:1112.
  • Shankar LG, Habich M, Rosenman M, Arzu J, Lales G, Hoffmann JA. Mental health emergency department visits by children before and during the COVID-19 pandemic. Acad Pediatr. 2022;22:1127

The impact of life events on child and adolescent psychiatry consultations

Year 2024, Volume: 49 Issue: 3, 561 - 569, 30.09.2024
https://doi.org/10.17826/cumj.1432763

Abstract

Purpose: Children are exposed to many adverse life events, and this may cause psychiatric disorders. In this study, we aimed to investigate the effects of two different life events, the COVID-19 pandemic and the earthquake, on the consultations requested.
Materials and Methods: 1268 consultations requested from the child and adolescent psychiatry department between March 2019 and March 2023 were reviewed from hospital records. The specified period was divided into four distinct parts with one-year intervals: pre-pandemic, the first year of the pandemic, the second year of the pandemic, and post-pandemic. The age, gender, diagnoses of the cases, the department requesting consultation and the reason for consultation were recorded.
Results: There were statistically significant differences between periods in terms of departments requested consultation, consultation reasons, and diagnoses. Compared to previous periods, a decrease was found in pediatric emergency and general pediatric clinic consultations in the post-pandemic period. In contrast, an increase was seen in nephrology and intensive care unit department consultations because of earthquakes. In the first year of the pandemic, more consultations were requested from the hematology & oncology department compared to other years. While the rate of consultations requested for suicide attempts decreased in the post-pandemic period, consultations for psychiatric assessment increased.
Conclusion: Consultation-liaison psychiatry, which is at the center of interdisciplinary interaction, maintains its importance in the prevention and early diagnosis of psychological symptoms that can develop due to both organic events and the effect of trauma itself after the life events.

References

  • Yang S, Huang P, Li B, Gan T, Lin W, Liu Y. The relationship of negative life events, trait anxiety and depression among Chinese university students: A moderated effect of self-esteem. J Affect Disord. 2023;339:384-91.
  • Cama SF, Miyamoto BE, DeJong SM. Impact on child psychiatry. Psychiatr Clin North Am. 2022;45:133-46.
  • Samji H, Wu J, Ladak A, Vossen C, Stewart E, Dove N et al. Review: Mental health impacts of the COVID‐19 pandemic on children and youth – a systematic review. Child Adolesc Ment Health. 2022;27:173-89.
  • Jahrami HA, Alhaj OA, Humood AM, Alenezi AF, Fekih-Romdhane F, AlRasheed MM et al. Sleep disturbances during the COVID-19 pandemic: a systematic review, meta-analysis, and meta-regression. Sleep Med Rev. 2022;62:101591.
  • Meade J. Mental health effects of the COVID-19 pandemic on children and adolescents: a review of the current research. Pediatr Clin North Am. 2021;68:945–59.
  • Madigan S, Racine N, Vaillancourt T, Korczak DJ, Hewitt JMA, Pador P et al. Changes in depression and anxiety among children and adolescents from before to during the COVID-19 pandemic: a systematic review and meta-analysis. JAMA Pediatr. 2023;177:567–81.
  • Hossain MM, Nesa F, Das J, Aggad R, Tasnim S, Bairwa M et al. Global burden of mental health problems among children and adolescents during COVID-19 pandemic: An umbrella review. Psychiatry Res. 2022;317:114814.
  • Dube A, Moffatt M, Davison C, Bartels S. Health outcomes for children in Haiti since the 2010 earthquake: A systematic review. Prehosp Disaster Med. 2018;33:77–88.
  • Blanc J, Eugene D, Louis EF, Cadichon JM, Joseph J, Pierre A et al. Mental health among children older than 10 years exposed to the Haiti 2010 earthquake: a critical review. Curr Psychiatry Rep. 2020;22:57.
  • Harada N, Shigemura J, Tanichi M, Kawaida K, Takahashi S, Yasukata F. Mental health and psychological impacts from the 2011 Great East Japan Earthquake Disaster: a systematic literature review. Disaster Mil Med. 2015;1:17.
  • Kadak MT, Nasıroğlu S, Boysan M, Aydın A. Risk factors predicting posttraumatic stress reactions in adolescents after 2011 Van earthquake. Compr Psychiatry. 2013;54:982-90.
  • Yabe H, Suzuki Y, Mashiko H, Nakayama Y, Hisata M, Niwa S et al. Psychological distress after the Great East Japan Earthquake and Fukushima Daiichi Nuclear Power Plant accident: results of a mental health and lifestyle survey through the Fukushima Health Management Survey in FY2011 and FY2012. Fukushima J Med Sci. 2014;60:57-67.
  • Pikard J, Nasreen R, Groll D. Pediatric referrals for urgent psychiatric consultation: clinical characteristics, diagnoses and outcome of 4 to 12 year old children. J Can Acad Child Adolesc Psychiatry. 2018;27:245.
  • Kim H, Ryu JM, Kim HW. Characteristics and trends of suicide attem pt or non-suicidal self-injury in children and adolescents visiting emergency department. J Korean Med Sci. 2020;35:e276.
  • Ayraler Taner H, Akın Sarı B, Kaba D. How did the COVID-19 pandemic affect child and adolescent psychiatryoutpatient clinic admissions? A single-center, retrospectivestudy. Clin Child Psychol Psychiatry. 2022;27:824–35.
  • Correale C, Falamesca C, Tondo I, Borgi M, Cirulli F, Truglio M et al. Depressive anxiety symptoms in hospitalized children with chronic ıllness during the first Italian COVID-19 lockdown. Children (Basel, Switzerland). 2022;9:1156.
  • Ulloa RE, Sarmiento E. Patient characteristics associated with the need for long-term treatment in a child psychiatry hospital after the earthquake in Mexico City. Disaster Med Public Health Prep. 2022;16:16-18.
  • May T, Adesina I, McGillivray J, Rinehart NJ. Sex differences in neurodevelopmental disorders. Curr Opin Neurol. 2019;32:622-26.
  • Cipriano A, Cella S, Cotrufo P. Nonsuicidal self-injury: a systematic review. Front Psychol. 2017;8:1946.
  • Domka, E, and Jopek E. Motor conversion disorder in children and adolescents: clinical features and rehabilitation treatment. Croatian Review of Rehabilitation Research. 2016;52:95-103.
  • Bellivier F, Etain B, Malafosse A, Henry C, Kahn JP, Elgrabli-Wajsbrot O et al. Age at onset in bipolar I affective disorder in the USA and Europe. World J Biol Psychiatry. 2014;15:369-76.
  • Kayan Ocakoglu B, Erata MC, Alkas GE, Tonyali A, Karacetin G. The effect of Sars- CoV2 pandemic on consultations of a child and adolescent emergency psychiatry clinic. Klinik Psikiyatri Dergisi. 2023;26:193-200.
  • Leeb RT, Bitsko RH, Radhakrishnan L, Martinez P, Njai R, Holland KM. Mental health-related emergency department visits among children aged <18 years during the COVID-19 pandemic - United States, January 1-October 17, 2020. MMWR Morb Mortal Wkly Rep. 2020;69:1675-80.
  • Evensen M, Hart RK, Godøy AA, Hauge LJ, Lund IO, Knudsen AKS et al. Impact of the COVID-19 pandemic on mental healthcare consultations among children and adolescents in Norway: a nationwide registry study. Eur Child Adolesc Psychiatry. 2023;32:1025-35.
  • Leith T, Brieger K, Malas N, McCaffery H, Monroe K, Kullgren KA et al. Increased prevalence and severity of psychiatric illness in hospitalized youth during COVID-19. Clin Child Psychol Psychiatry. 2022;27:804–12.
  • Hassan E, Nagui Rizk D, Aly NM, El Chazli Y. Impact of the COVID-19 pandemic on health-related quality of life and anxiety in pediatric hematology/oncology patients. Pediatr Hematol Oncol. 2021;38:683–94.
  • Alshahrani M, Elyamany G, Sedick Q, Ibrahim W, Mohamed A, Othman M et al. The ımpact of COVID-19 pandemic in children with cancer: a report from saudi arabia. Heal Serv Insights. 2020;13:1178632920984161.
  • Serra G, Apicella M, Iannoni ME, Trasolini M, Andracchio E, Chieppa F et al. Urgent psychiatric consultations for suicide attempt and suicidal ideation before and after the COVID-19 pandemic in an Italian pediatric emergency setting. Front Psychiatry. 2023;13:1112.
  • Shankar LG, Habich M, Rosenman M, Arzu J, Lales G, Hoffmann JA. Mental health emergency department visits by children before and during the COVID-19 pandemic. Acad Pediatr. 2022;22:1127
There are 29 citations in total.

Details

Primary Language English
Subjects Child and Adolescent Psychiatry
Journal Section Research
Authors

Melike Kevser Gül 0000-0002-0907-4503

Salih Güneş 0009-0003-6231-1904

Esra Özdemir 0000-0002-8424-4947

Sevgi Özmen 0000-0002-7545-2824

Publication Date September 30, 2024
Submission Date February 8, 2024
Acceptance Date June 28, 2024
Published in Issue Year 2024 Volume: 49 Issue: 3

Cite

MLA Gül, Melike Kevser et al. “The Impact of Life Events on Child and Adolescent Psychiatry Consultations”. Cukurova Medical Journal, vol. 49, no. 3, 2024, pp. 561-9, doi:10.17826/cumj.1432763.