Yaşam olaylarının çocuk ve ergen psikiyatrisi konsültasyonlarına etkisi

Year 2024, Volume: 49 Issue: 3, 561 - 569, 30.09.2024

Melike Kevser Gül , Salih Güneş , Esra Özdemir , Sevgi Özmen

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.

Keywords

COVID-19, pandemi, deprem, konsültasyon, psikiyatri

The impact of life events on child and adolescent psychiatry consultations

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.

Keywords

COVID-19, pandemic, earthquake, consultation, psychiatry

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