Research Article
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Year 2021, Volume 7, Issue 1, 88 - 96, 30.04.2021
https://doi.org/10.19127/mbsjohs.881342

Abstract

References

  • 1. Farre A, Rapley T. The New Old (and Old New) Medical Model: Four Decades Navigating the Biomedical and Psychosocial Understandings of Health and Illness. Healthcare (Basel). 2017;5(4):88. doi: 10.3390/healthcare5040088.
  • 2. Huber M, Knottnerus JA, Green L, van der Horst H, Jadad AR, et al. How should we define health? BMJ 2011;343:d4163.
  • 3. Leigh H, Streltzer JM. Handbook of consultation-liaison psychiatry. New York, NY, US: Springer Science + Business Media; 2007. xiv, 420-xiv, p.
  • 4. Health AIo, Welfare. Comorbidity of mental disorders and physical conditions 2007. Canberra: AIHW, 2012.
  • 5. Levenson JL, Hamer RM, Rossiter LF. Relation of psychopathology in general medical inpatients to use and cost of services. The American journal of psychiatry. 1990;147(11):1498-503. 6. Saravay SM, Steinberg MD, Weinschel B, Pollack S, Alovis N. Psychological comorbidity and length of stay in the general hospital. The American journal of psychiatry. 1991;148(3):324.
  • 7. Fulop G, Strain JJ, Fahs MC, Schmeidler J, Snyder S. A prospective study of the impact of psychiatric comorbidity on length of hospital stays of elderly medical-surgical inpatients. Psychosomatics. 1998;39(3):273-80.
  • 8. Koopmans GT, Donker MC, Rutten FH. Length of hospital stay and health services use of medical inpatients with comorbid noncognitive mental disorders: a review of the literature. Gen Hosp Psychiatry. 2005;27(1):44-56.
  • 9. Desan PH, Zimbrean PC, Weinstein AJ, Bozzo JE, Sledge WH. Proactive psychiatric consultation services reduce length of stay for admissions to an inpatient medical team. Psychosomatics. 2011;52(6):513-20.
  • 10. Cassem NH, Hackett TP. Psychiatric consultation in a coronary care unit. Annals of internal medicine. 1971;75(1):9-14.
  • 11. Cree RA, Bitsko RH, Robinson LR, Holbrook JR, Danielson ML, Smith C, et al. Health Care, Family, and Community Factors Associated with Mental, Behavioral, and Developmental Disorders and Poverty Among Children Aged 2-8 Years - United States, 2016. MMWR Morb Mortal Wkly Rep . 2018 Dec 21;67(50):1377-1383.
  • 12. Ercan ES, Polanczyk G, Akyol Ardıc U, Yuce D, Karacetın G, Tufan AE, et al. The prevalence of childhood psychopathology in Turkey: a cross-sectional multicenter nationwide study (EPICPAT-T). Nordic journal of psychiatry. 2019;73(2):132-40.
  • 13. Shugart MA. Child psychiatry consultations to pediatric inpatients: A literature review. General hospital psychiatry. 1991;13(5):325-36.
  • 14. De Hert, M, Correl Cu, Bobbes J, Bakmas M, Cohen D, Asai I, et al. Physical illness in patients with severe mental disorders. I. Prevalence, impact of medications and disparities in health care. World Psychiatry. 2011;10: 52–77.
  • 15.Colpan M, Eray S, Vural P. Evaluation of Consultations Requested from the Departments of Child and Adolescent Psychiatry of Uludağ University Hospital within the Previous Year. The journal of current pediatrics. 2013; 11(3): 102-6.
  • 16. Simsek EGE, Eyuboglu M, Eyuboglu D. Evaluation of Child and Adolescent Psychiatric Consultations in A University Hospital Osmangazi Journal of Medicine. 2019;41(3):248-56. 17. Gokcen C, Celik YI. The Evaluation Of Child And Adolescent Psychiatry Consultations from other Inpatient Clinics in a Training Hospital. Sakarya Medical Journal. 2011;1(4):140-4.
  • 18 Emiroglu N, Aras S, Yalin S, Dogan O, Akay A. Evaluation of the child and adolescent psychiatric inpatient consultations. Anatolian Journal of Psychiatry. 2009;10(3):217.
  • 19. DikeC G, Arabacı LB, Uzunoğlu G. An Analysis Of The Consultations Requested In The Child And Adolescent Clinic Of A Regional Psychiatric Hospital. Acıbadem University Health Sciences Journal 2020;11(3):418-422.
  • 20. Ertek IE, Ozturk HM. Assessment of psychiatric consultations in an educational-research hospital and accuracy rates of recognition of psychiatric diseases. Turkish J Clinical Psychiatry.2019;22(3):338-346.
  • 21. Erdogan E, Delibas DH, Eskut N. Characteristics of Psychiatry Consultations Requested from the Neurology Clinic, Diagnostic Congruence Rates between Psychiatrists and Neurologists. Journal of Contemporary Medicine.10(2):168-75.
  • 22. Yazici K, Tot S, Yazici A, Erdem P, Buturak V, Okyay Y, et al. Can Medical Inpatients in Need of Psychiatric Help Be Recognized? Turkish J Clinical Psychiatry. 2003;6(1):27-31.
  • 23. Rezaki B, Oy B, Kuçukkomurcu S. Child Psychiatry Consultations in a State Hospital for Children. Turkish Journal of Child and Adolescent Mental Health. 1998;5(1):34-8.
  • 24. Woodgate M, Elena Garralda M. Paediatric Liaison Work by Child and Adolescent Mental Health Services. Child and adolescent mental health. 2006;11(1):19-24.
  • 25. Carter BD, Kronenberger WG, Baker J, Grimes LM, Crabtree VM, Smith C, et al. Inpatient pediatric consultation-liaison: A case-controlled study. Journal of Pediatric Psychology. 2003;28(6):423-32.
  • 26. Muriel AC, Wolfe J, Block SD. Pediatric palliative care and child psychiatry: a model for enhancing practice and collaboration. Journal of palliative medicine. 2016;19(10):1032-8.
  • 27. Walter HJ, Kackloudis G, Trudell EK, Vernacchio L, Bromberg J, DeMaso DR, et al. Enhancing pediatricians’ behavioral health competencies through child psychiatry consultation and education. Clinical pediatrics. 2018;57(8):958-69.
  • 28. Kilic B, Runa U, Ayla A. A Preliminary Evaluation of Consultation-Liaison Psychiatry Services For Children at A University Hospital: Lessons Learned to Enhance Efficacy. Yeni Symposium. 2007;45.
  • 29.Kandil S, Aksu H, Yontem T, Aktepe E. One year evaluation of child psychiatr consultations in a university hospital. Ibn-i Sina Journal of Medical Sciences. 2003;8:173-7.
  • 30. Alpaslan AH, Koçak U, Çobanoğlu C, Görücü Y, editors. Evaluation of Child and Adolescent Psychiatry Consultations in a University Hospital. Yeni Symposium. 2015;53(3):10-15.
  • 31. Goker Z, Guney E, Gulser D, Uneri O. The Evaluation of the Psychiatric Consultations of Children and Adolescents Hospitalised in a Training and Research HospitaTurkish J Pediatr Dis. 2014; 1: 17-24.
  • 32. Dil LM, Vuijk PJ. Emergency Presentations to an Inner-city Psychiatric Service for Children and Adolescents. Child Care in Practice. 2012;18(3):255-69.
  • 33. Lois TF. Perspectives on Female Adolescent Development and Psychopathology. Adolescent Psychiatry. 2011;1(2):146-51.
  • 34. Natsuaki MN, Klimes-Dougan B, Ge X, Shirtcliff EA, Hastings PD, Zahn-Waxler C. Early pubertal maturation and internalizing problems in adolescence: sex differences in the role of cortisol reactivity to interpersonal stress. J Clin Child Adolesc Psychol. 2009;38(4):513-24.
  • 35. Gozacanlar Ozkan O, Yalin Sapmaz S, Kandemir H. Evaluation of Child Psychiatry Consultations of Stayed Patients at Pediatric Clinic. J Clin Psy. 2017;20:287-293
  • 36. Tekkalaki B, Patil VY, Chate SS, Patil NM, Patil S, Sushruth V. Pediatric referrals to psychiatry in a Tertiary Care General Hospital: A descriptive study. Journal of Mental Health and Human Behaviour. 2017;22(1):40.
  • 37. Shaw RJ, Pao M, Holland JE, DeMaso DR. Practice Patterns Revisited in Pediatric Psychosomatic Medicine. Psychosomatics. 2016;57(6):576-85. doi: https://doi.org/10.1016/j.psym.2016.05.006. 38. Dilts SL, Jr., Mann N, Dilts JG. Accuracy of referring psychiatric diagnosis on a consultation-liaison service. Psychosomatics. 2003;44(5):407-11. 39. Sertoz OO, Doganavsargil GO, Noyan MA, Altıntoprak E, Elbi H. Accuracy rates of recognition of psychiatric disorders by nonpsychiatry specialists in a consultation-liaison service of a university hospital. Bulletin of Clinical Psychopharmacolog. 2008;18(4):288-295.
  • 40. Eser B, Batmaz S, Songur E, Yıldız M, Aslan EA. Analysis of the psychiatric consultations for inpatients and from the emergency room in a university hospital: A comparison with studies from Turkey. J Clin Psy. 2018;21:278-89.
  • 41. Donker T, Griffiths KM, Cuijpers P, Christensen H. Psychoeducation for depression, anxiety and psychological distress: a meta-analysis. BMC medicine. 2009;7(1):79.
  • 42. Rummel-Kluge C, Pitschel-Walz G, Bäuml J, Kissling W. Psychoeducation in schizophrenia—results of a survey of all psychiatric institutions in Germany, Austria, and Switzerland. Schizophrenia bulletin. 2006;32(4):765-75.
  • 43. Dogangun B, Demirdogen ES. Consultation Liaison Psychiatry in Child and Adolescent in Treatment Options. J Child Psychiatry-Special Topics. 2016;2(2):95-100.

Characteristics of Child and Adolescent Psychiatry Consultations at a University Hospital and Accuracy Rates of Recognition of Childhood Psychiatric Diseases by Nonpsychiatry Specialists

Year 2021, Volume 7, Issue 1, 88 - 96, 30.04.2021
https://doi.org/10.19127/mbsjohs.881342

Abstract

Objective: Physical and mental health are closely related. Psychiatric problems increase in the presence of a physical illness. Consultation liaison psychiatry provides a combination of medical treatment, psychiatric treatment, and psychosocial care to patients when necessary. In this study, we aimed to examine the consultation-liaison services provided by the child and adolescent psychiatry department of a university hospital within two years and to examine the accuracy rates of recognition of childhood psychiatric diseases nonpsychiatry specialists.
Methods: Consultations for pediatric patients from other clinics were screened retrospectively at Gaziantep University Hospital between January 1st, 2018, and December 31st, 2019. Data relating to the departments requesting a consultation, reasons for consultation, diagnoses made by children and adolescent psychiatrists, and psychiatric treatments were evaluated.
Results: A child and adolescent psychiatry consultations were requested for 290 children over a two-year period. The average age of the cases for whom consultation was requested was 12.1, and 61% of the cases were female. The most common reason for consultation was suicide attempts (26.6%). The most common mental disorder was depression (19%), while the most common intervention was psychoeducation (48.9%). The disorders with the highest diagnostic accuracy were delirium (100%), autism (100%), substance use disorders (80%), and mental disability (70%), while the disorders with the lowest diagnostic accuracy were psychotic disorder (0%), depression (%18,2) and anxiety disorder (22.2%).
Conclusion: Mental disorders are common in children with physical illnesses, but the rate of correct recognition of childhood mental disorders by other physicians is low. The high rates of psychiatric disorders highlight the importance of educating physicians that work with children about childhood mental problems and cooperation between child psychiatrists and other physicians.

References

  • 1. Farre A, Rapley T. The New Old (and Old New) Medical Model: Four Decades Navigating the Biomedical and Psychosocial Understandings of Health and Illness. Healthcare (Basel). 2017;5(4):88. doi: 10.3390/healthcare5040088.
  • 2. Huber M, Knottnerus JA, Green L, van der Horst H, Jadad AR, et al. How should we define health? BMJ 2011;343:d4163.
  • 3. Leigh H, Streltzer JM. Handbook of consultation-liaison psychiatry. New York, NY, US: Springer Science + Business Media; 2007. xiv, 420-xiv, p.
  • 4. Health AIo, Welfare. Comorbidity of mental disorders and physical conditions 2007. Canberra: AIHW, 2012.
  • 5. Levenson JL, Hamer RM, Rossiter LF. Relation of psychopathology in general medical inpatients to use and cost of services. The American journal of psychiatry. 1990;147(11):1498-503. 6. Saravay SM, Steinberg MD, Weinschel B, Pollack S, Alovis N. Psychological comorbidity and length of stay in the general hospital. The American journal of psychiatry. 1991;148(3):324.
  • 7. Fulop G, Strain JJ, Fahs MC, Schmeidler J, Snyder S. A prospective study of the impact of psychiatric comorbidity on length of hospital stays of elderly medical-surgical inpatients. Psychosomatics. 1998;39(3):273-80.
  • 8. Koopmans GT, Donker MC, Rutten FH. Length of hospital stay and health services use of medical inpatients with comorbid noncognitive mental disorders: a review of the literature. Gen Hosp Psychiatry. 2005;27(1):44-56.
  • 9. Desan PH, Zimbrean PC, Weinstein AJ, Bozzo JE, Sledge WH. Proactive psychiatric consultation services reduce length of stay for admissions to an inpatient medical team. Psychosomatics. 2011;52(6):513-20.
  • 10. Cassem NH, Hackett TP. Psychiatric consultation in a coronary care unit. Annals of internal medicine. 1971;75(1):9-14.
  • 11. Cree RA, Bitsko RH, Robinson LR, Holbrook JR, Danielson ML, Smith C, et al. Health Care, Family, and Community Factors Associated with Mental, Behavioral, and Developmental Disorders and Poverty Among Children Aged 2-8 Years - United States, 2016. MMWR Morb Mortal Wkly Rep . 2018 Dec 21;67(50):1377-1383.
  • 12. Ercan ES, Polanczyk G, Akyol Ardıc U, Yuce D, Karacetın G, Tufan AE, et al. The prevalence of childhood psychopathology in Turkey: a cross-sectional multicenter nationwide study (EPICPAT-T). Nordic journal of psychiatry. 2019;73(2):132-40.
  • 13. Shugart MA. Child psychiatry consultations to pediatric inpatients: A literature review. General hospital psychiatry. 1991;13(5):325-36.
  • 14. De Hert, M, Correl Cu, Bobbes J, Bakmas M, Cohen D, Asai I, et al. Physical illness in patients with severe mental disorders. I. Prevalence, impact of medications and disparities in health care. World Psychiatry. 2011;10: 52–77.
  • 15.Colpan M, Eray S, Vural P. Evaluation of Consultations Requested from the Departments of Child and Adolescent Psychiatry of Uludağ University Hospital within the Previous Year. The journal of current pediatrics. 2013; 11(3): 102-6.
  • 16. Simsek EGE, Eyuboglu M, Eyuboglu D. Evaluation of Child and Adolescent Psychiatric Consultations in A University Hospital Osmangazi Journal of Medicine. 2019;41(3):248-56. 17. Gokcen C, Celik YI. The Evaluation Of Child And Adolescent Psychiatry Consultations from other Inpatient Clinics in a Training Hospital. Sakarya Medical Journal. 2011;1(4):140-4.
  • 18 Emiroglu N, Aras S, Yalin S, Dogan O, Akay A. Evaluation of the child and adolescent psychiatric inpatient consultations. Anatolian Journal of Psychiatry. 2009;10(3):217.
  • 19. DikeC G, Arabacı LB, Uzunoğlu G. An Analysis Of The Consultations Requested In The Child And Adolescent Clinic Of A Regional Psychiatric Hospital. Acıbadem University Health Sciences Journal 2020;11(3):418-422.
  • 20. Ertek IE, Ozturk HM. Assessment of psychiatric consultations in an educational-research hospital and accuracy rates of recognition of psychiatric diseases. Turkish J Clinical Psychiatry.2019;22(3):338-346.
  • 21. Erdogan E, Delibas DH, Eskut N. Characteristics of Psychiatry Consultations Requested from the Neurology Clinic, Diagnostic Congruence Rates between Psychiatrists and Neurologists. Journal of Contemporary Medicine.10(2):168-75.
  • 22. Yazici K, Tot S, Yazici A, Erdem P, Buturak V, Okyay Y, et al. Can Medical Inpatients in Need of Psychiatric Help Be Recognized? Turkish J Clinical Psychiatry. 2003;6(1):27-31.
  • 23. Rezaki B, Oy B, Kuçukkomurcu S. Child Psychiatry Consultations in a State Hospital for Children. Turkish Journal of Child and Adolescent Mental Health. 1998;5(1):34-8.
  • 24. Woodgate M, Elena Garralda M. Paediatric Liaison Work by Child and Adolescent Mental Health Services. Child and adolescent mental health. 2006;11(1):19-24.
  • 25. Carter BD, Kronenberger WG, Baker J, Grimes LM, Crabtree VM, Smith C, et al. Inpatient pediatric consultation-liaison: A case-controlled study. Journal of Pediatric Psychology. 2003;28(6):423-32.
  • 26. Muriel AC, Wolfe J, Block SD. Pediatric palliative care and child psychiatry: a model for enhancing practice and collaboration. Journal of palliative medicine. 2016;19(10):1032-8.
  • 27. Walter HJ, Kackloudis G, Trudell EK, Vernacchio L, Bromberg J, DeMaso DR, et al. Enhancing pediatricians’ behavioral health competencies through child psychiatry consultation and education. Clinical pediatrics. 2018;57(8):958-69.
  • 28. Kilic B, Runa U, Ayla A. A Preliminary Evaluation of Consultation-Liaison Psychiatry Services For Children at A University Hospital: Lessons Learned to Enhance Efficacy. Yeni Symposium. 2007;45.
  • 29.Kandil S, Aksu H, Yontem T, Aktepe E. One year evaluation of child psychiatr consultations in a university hospital. Ibn-i Sina Journal of Medical Sciences. 2003;8:173-7.
  • 30. Alpaslan AH, Koçak U, Çobanoğlu C, Görücü Y, editors. Evaluation of Child and Adolescent Psychiatry Consultations in a University Hospital. Yeni Symposium. 2015;53(3):10-15.
  • 31. Goker Z, Guney E, Gulser D, Uneri O. The Evaluation of the Psychiatric Consultations of Children and Adolescents Hospitalised in a Training and Research HospitaTurkish J Pediatr Dis. 2014; 1: 17-24.
  • 32. Dil LM, Vuijk PJ. Emergency Presentations to an Inner-city Psychiatric Service for Children and Adolescents. Child Care in Practice. 2012;18(3):255-69.
  • 33. Lois TF. Perspectives on Female Adolescent Development and Psychopathology. Adolescent Psychiatry. 2011;1(2):146-51.
  • 34. Natsuaki MN, Klimes-Dougan B, Ge X, Shirtcliff EA, Hastings PD, Zahn-Waxler C. Early pubertal maturation and internalizing problems in adolescence: sex differences in the role of cortisol reactivity to interpersonal stress. J Clin Child Adolesc Psychol. 2009;38(4):513-24.
  • 35. Gozacanlar Ozkan O, Yalin Sapmaz S, Kandemir H. Evaluation of Child Psychiatry Consultations of Stayed Patients at Pediatric Clinic. J Clin Psy. 2017;20:287-293
  • 36. Tekkalaki B, Patil VY, Chate SS, Patil NM, Patil S, Sushruth V. Pediatric referrals to psychiatry in a Tertiary Care General Hospital: A descriptive study. Journal of Mental Health and Human Behaviour. 2017;22(1):40.
  • 37. Shaw RJ, Pao M, Holland JE, DeMaso DR. Practice Patterns Revisited in Pediatric Psychosomatic Medicine. Psychosomatics. 2016;57(6):576-85. doi: https://doi.org/10.1016/j.psym.2016.05.006. 38. Dilts SL, Jr., Mann N, Dilts JG. Accuracy of referring psychiatric diagnosis on a consultation-liaison service. Psychosomatics. 2003;44(5):407-11. 39. Sertoz OO, Doganavsargil GO, Noyan MA, Altıntoprak E, Elbi H. Accuracy rates of recognition of psychiatric disorders by nonpsychiatry specialists in a consultation-liaison service of a university hospital. Bulletin of Clinical Psychopharmacolog. 2008;18(4):288-295.
  • 40. Eser B, Batmaz S, Songur E, Yıldız M, Aslan EA. Analysis of the psychiatric consultations for inpatients and from the emergency room in a university hospital: A comparison with studies from Turkey. J Clin Psy. 2018;21:278-89.
  • 41. Donker T, Griffiths KM, Cuijpers P, Christensen H. Psychoeducation for depression, anxiety and psychological distress: a meta-analysis. BMC medicine. 2009;7(1):79.
  • 42. Rummel-Kluge C, Pitschel-Walz G, Bäuml J, Kissling W. Psychoeducation in schizophrenia—results of a survey of all psychiatric institutions in Germany, Austria, and Switzerland. Schizophrenia bulletin. 2006;32(4):765-75.
  • 43. Dogangun B, Demirdogen ES. Consultation Liaison Psychiatry in Child and Adolescent in Treatment Options. J Child Psychiatry-Special Topics. 2016;2(2):95-100.

Details

Primary Language English
Subjects Health Care Sciences and Services
Journal Section Research articles
Authors

Zehra TOPAL This is me (Primary Author)
GAZİANTEP ÜNİVERSİTESİ, TIP FAKÜLTESİ
0000-0001-8397-5636
Türkiye


Mehmet KARADAĞ
GAZİANTEP ÜNİVERSİTESİ, TIP FAKÜLTESİ
0000-0002-4130-0494
Türkiye


Baran ÇALIŞGAN
GAZİANTEP ÜNİVERSİTESİ, TIP FAKÜLTESİ
0000-0002-3169-9825
Türkiye


Fatma SUBAŞI TURĞUT
GAZİANTEP ÜNİVERSİTESİ, TIP FAKÜLTESİ
0000-0002-0036-7836
Türkiye


Cem GÖKÇEN
GAZİANTEP ÜNİVERSİTESİ, TIP FAKÜLTESİ
0000-0003-3824-5890
Türkiye


İlhan BAHŞİ
GAZİANTEP ÜNİVERSİTESİ, TIP FAKÜLTESİ
0000-0001-8078-7074
Türkiye

Supporting Institution yok
Project Number yok
Publication Date April 30, 2021
Published in Issue Year 2021, Volume 7, Issue 1

Cite

Vancouver Topal Z. , Karadağ M. , Çalışgan B. , Subaşı Turğut F. , Gökçen C. , Bahşi İ. Characteristics of Child and Adolescent Psychiatry Consultations at a University Hospital and Accuracy Rates of Recognition of Childhood Psychiatric Diseases by Nonpsychiatry Specialists. Middle Black Sea Journal of Health Science. 2021; 7(1): 88-96.

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