Analysis of Diagnosis Changes in Patients Followed Up by the Child and Adolescent Psychiatry Clinic in a State Hospital

Year 2023, Volume: 13 Issue: 1, 24 - 31, 26.04.2023

Mutlu Muhammed Özbek Remzi Oğulcan Çıray Uğur Eray Çağatay Ermiş Doga Sevincok

Abstract

Aim: It has been reported that many psychiatric disorders seen in childhood persist into adulthood as well. It is known that accurate diagnosis and early intervention can allow children to catch up with their normal development process and prevent other medical or psychiatric diseases in later developmental stages. Our study, through hospital records, aimed to explore the diagnostic changes in the young population during the initial diagnosis and follow-up processes. Considering the limited data about this subject, we aimed to contribute to the literature by exploring children with neurodevelopmental disorders.
Material and Method: The diagnosis and diagnosis change rates of the cases included in the study at the first examination and during the follow-up were analyzed using descriptive statistical analysis. Afterward, the cases were divided into two groups with and without neurodevelopmental disorders according to their diagnoses at the first admission. Later on, the chi-square test was used to compare diagnostic change rates. In this study, changes in the primary diagnoses of the patients were taken into account, and the changes in the secondary diagnoses were not considered diagnostic changes.
Results: The group of neurodevelopmental disorders was compared with Chi-Square Test in terms of the rates of diagnostic changes. It was found that other disorders’ diagnosis change rates were significantly higher than neurodevelopmental disorders.
Conclusion: It was suggested that estimating the diagnostic stability and diagnosis change in the child and young population is crucial to determine the course of psychiatric disorders and the appropriate treatment options. In light of our results, neurodevelopmental disorders may be more stable in the follow-up process. Studies are needed to examine diagnostic changes to prevent inappropriate treatment approaches and harmful interventions in children and young people.

Keywords

neurodevelopmental disorders, autism, attention deficit disorder with hyperactivity

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