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Clinical and Sociodemographic Characteristics of Patients Hospitalized in A Child and Adolescent Psychiatry Inpatient Unit

Year 2023, Volume: 17 Issue: 3, 207 - 213, 29.05.2023
https://doi.org/10.12956/tchd.1211443

Abstract

Objective: In this study, it was aimed to examine the clinical and sociodemographic characteristics of patients hospitalized in Ankara City Hospital Child and Adolescent Psychiatry Inpatient Unit during the pandemic period.

Material and Methods: Medical records of children and adolescents who were hospitalized in Ankara City Hospital Child and Adolescent Psychiatry Inpatient Unit between March 2021 and March 2022 were retrospectively analyzed. Patients were evaluated in terms of sociodemographic characteristics, clinical diagnosis and treatment, duration of hospitalization, and Clinical Global Impression Scale (CGI) scores at admission and discharge.


Results:
In our study, the mean age of 132 cases (86 girls, 46 boys) was found 15.1±1.8 years. The main diagnoses of the subjects were 30.3% (n=40) major depressive disorder, 25% (n=33) psychotic disorder, 14.4% (n=19) eating disorders, and the remaining 30.3% (n=40) were other disorders. Comorbidity was found in 63.6% (n=84) of the cases. The presence of eating disorders, comorbidity and antidepressant use were found significantly higher in females. There was a significant differences in major depressive disorder (MDD), bipolar disorder (BD), psychotic disorder, eating disorder, conduct disorder, and post-traumatic stress disorder (PTSD) between admission and discharge CGI-Severity (CGI-S) scores. In addition, there was a significant difference between admission and discharge CGI side effects scores only for BD.

Conclusion: In our study, major depressive disorder, psychotic disorder, and eating disorder were the most common diagnoses of cases hospitalized in inpatient unit. There was a comorbidity accompanying two out of every three cases. There are few child and adolescent psychiatry services in our country, and studies on this subject are scarce. It is thought that our study will contribute to the literature on child and adolescent psychiatry inpatient units.

References

  • Solmi M, Radua J, Olivola M, Croce E, Soardo L, Salazar de Pablo G, et al. Age at onset of mental disorders worldwide: large-scale meta-analysis of 192 epidemiological studies. Mol Psychiatry 2022;27:281-95.
  • Hayes C, Simmons M, Simons C, Hopwood M. Evaluating effectiveness in adolescent mental health inpatient units: A systematic review. Int J Ment Health Nurs 2018;27:498-513.
  • Reynolds EK, Gorelik S, Kook M, Kellermeyer K. Acute psychiatric care for pediatric patients. Int Rev Psychiatry 2020;32:272-83.
  • Lay B, Kawohl W, Rössler W. Predictors of Compulsory Re-admission to Psychiatric Inpatient Care. Front Psychiatry 2019;10:120, doi: 10.3389/fpsyt.2019.00120.
  • McEnany FB, Ojugbele O, Doherty JR, McLaren JL, Leyenaar JK. Pediatric Mental Health Boarding. Pediatrics 2020;146: e20201174.
  • Hickie IB, Scott EM, Cross SP, Iorfino F, Davenport TA, Guastella AJ, et al. Right care, first time: a highly personalised and measurement‐based care model to manage youth mental health. Med J Aust 2019;211:3-46.
  • Busner J, Targum SD. The clinical global impressions scale: applying a research tool in clinical practice. Psychiatry (Edgmont) 2007;4:28-37.
  • Imran N, Bodla ZH, Asif A, Shoukat R, Azeem MW. Pakistan’s First Child & Adolescent Psychiatry Inpatient Unit: Characteristics of admitted patients and response to treatment over a 7-year period. Pak J Med Sci 2021;37:305-11.
  • Karadağ M, Türk N, Gökçen C, Topal Z. Bir Üniversite Hastanesi Çocuk ve Ergen Psikiyatrisi Kliniğinde Yatan Hastaların Sosyodemografik ve Tanısal Özellikleri. Turk J Child Adolesc Ment Health 2021;28:7-11.
  • Malhi GS, Mann JJ. Depression. Lancet 2018;392:2299-312.
  • Ranalli DN, Studen-Pavlovich D. Eating Disorders in the Adolescent Patient. Dent Clin North Am 2021;65:689-703.
  • Coşkun M, Bozkurt H, Ayaydın H, Karakoç S, Süleyman F, Üçok A. Bir üniversite hastanesi psikiyatri servisinde yatarak tedavi edilen ergen hastaların klinik ve sosyodemografik özellikleri. Çocuk ve Gençlik Ruh Sağlığı Dergisi 2012;19:17-24.
  • Taş FV, Güvenir T, Miral S. Bir Çocuk ve Ergen Psikiyatrsi kliniğnde Yatarak Tedavi Gören Hastalarda İlaç Kullanimi. Çocuk ve Gençlik Ruh Sağliği Dergisi 2007;14:139-50.
  • Usta MB, Ürer E, Aral A, Say GN, Karabekiroğlu K. Çocuk Psikiyatri Hastalarında Yatış Süresine Etki Eden Faktörler. Klinik Psikiyatri Dergisi 2017;20:263-7.
  • Meagher SM, Rajan A, Wyshak G, Goldstein J. Changing trends in inpatient care for psychiatrically hospitalized youth: 1991–2008. Psychiatr Q 2013;84:159-68.
  • Setoya Y, Saito K, Kasahara M, Watanabe K, Kodaira M, Usami M. Evaluating outcomes of the child and adolescent psychiatric unit: A prospective study. Int J Ment Health Syst 2011;5:1-8.
  • Serim Demirgoren B, Ozbek A, Gencer O. Factors affecting improvement of children and adolescents who were treated in the child and adolescent psychiatry inpatient unit. J Int Med Res 2017;45:1318-23.
  • Litmanen J, Fröjd S, Marttunen M, Isomaa R, Kaltiala-Heino R. Are eating disorders and their symptoms increasing in prevalence among adolescent population? Nord J Psychiatry 2017;71:61-6.
  • Li F, Cui Y, Li Y, Guo L, Ke X, Liu J, et al. Prevalence of mental disorders in school children and adolescents in China: diagnostic data from detailed clinical assessments of 17,524 individuals. J Child Psychol Psychiatry 2022;63:34-46.
  • Neale J, Hudson LD. Anorexia nervosa in adolescents. Br J Hosp Med (Lond) 2020;81:1-8.

Bir Çocuk ve Ergen Yataklı Psikiyatri Servisinde Tedavi Gören Hastaların Klinik ve Sosyodemografik Özellikleri

Year 2023, Volume: 17 Issue: 3, 207 - 213, 29.05.2023
https://doi.org/10.12956/tchd.1211443

Abstract

Amaç: Bu çalışmada pandemi sürecinde Ankara Şehir Hastanesi Çocuk ve Ergen Psikiyatri Servisinde yatarak tedavi gören hastaların klinik ve sosyodemografik özelliklerinin incelenmesi amaçlanmıştır.

Gereç ve Yöntemler: Mart 2021-Mart 2022 tarihleri arasında Ankara Şehir Hastanesi Çocuk ve Ergen Psikiyatri Servisinde yatarak tedavi gören hastaların yatış dosyaları geriye dönük olarak incelenmiştir. Hastalar sosyodemografik veriler, yatış sırasında aldıkları tanı ve tedaviler, yatış süresi, yatış ve taburculuk sırasındaki Klinik Global İzlenim Ölçeği (KGİÖ) puanları açısından değerlendirilmiştir.

Bulgular: Çalışmamızda toplam 132 olgunun (86 kız, 46 erkek) yaş ortalaması 15.1±1.8 yıl olarak bulunmuştur. Olguların %30.3’ü (n=40) major depresif bozukluk (MDB), %25’i (n=33) psikotik bozukluk, %14.4’ü yeme bozuklukları (n=19) ve %30.3’ü (n=40) diğer bozukluklar idi. Olguların %63.6’sında (n=84) klinik bozukluk tanısına eşlik eden komorbid başka bir bozukluğun varlığı saptanmıştır. Kız cinsiyetinde yeme bozukluğu, komorbidite varlığı ve antidepresan kullanımı anlamlı yüksek bulunmuştur. Hastaların almış olduğu tanılara göre yatış-çıkış Klinik Global İzlenim Ölçeği hastalık şiddeti (KGİÖ-HŞ) skorları karşılaştırıldığında, MDB, bipolar bozukluk (BPB), psikotik bozukluk, yeme bozukluğu, davranım bozukluğu ve travma sonrası stres bozukluğu (TSSB)’nun anlamlı düzeyde farklılık gösteren bozukluklar olduğu saptanmıştır. Yatış-çıkış KGİÖ yan etki skorları arasında ise yalnızca BPB için anlamlı düzeyde farklılık saptanmıştır.

Sonuç: Çalışmamızda serviste yatarak tedavi gören hastaların en sık major depresif bozuk, psikotik bozukluk ve yeme bozukluğu tanılarının olduğu ve her 3 olgudan ikisine eşlik eden bir komorbidite varlığı saptanmıştır. Ülkemizde çocuk ve ergen psikiyatri servisleri az sayıda olup bu konuda yapılan çalışmalara az rastlanmakta, çalışmamızın çocuk ruh sağlığı yataklı servisleri hakkındaki alan yazına katkı sağlayacağı düşünülmektedir.

References

  • Solmi M, Radua J, Olivola M, Croce E, Soardo L, Salazar de Pablo G, et al. Age at onset of mental disorders worldwide: large-scale meta-analysis of 192 epidemiological studies. Mol Psychiatry 2022;27:281-95.
  • Hayes C, Simmons M, Simons C, Hopwood M. Evaluating effectiveness in adolescent mental health inpatient units: A systematic review. Int J Ment Health Nurs 2018;27:498-513.
  • Reynolds EK, Gorelik S, Kook M, Kellermeyer K. Acute psychiatric care for pediatric patients. Int Rev Psychiatry 2020;32:272-83.
  • Lay B, Kawohl W, Rössler W. Predictors of Compulsory Re-admission to Psychiatric Inpatient Care. Front Psychiatry 2019;10:120, doi: 10.3389/fpsyt.2019.00120.
  • McEnany FB, Ojugbele O, Doherty JR, McLaren JL, Leyenaar JK. Pediatric Mental Health Boarding. Pediatrics 2020;146: e20201174.
  • Hickie IB, Scott EM, Cross SP, Iorfino F, Davenport TA, Guastella AJ, et al. Right care, first time: a highly personalised and measurement‐based care model to manage youth mental health. Med J Aust 2019;211:3-46.
  • Busner J, Targum SD. The clinical global impressions scale: applying a research tool in clinical practice. Psychiatry (Edgmont) 2007;4:28-37.
  • Imran N, Bodla ZH, Asif A, Shoukat R, Azeem MW. Pakistan’s First Child & Adolescent Psychiatry Inpatient Unit: Characteristics of admitted patients and response to treatment over a 7-year period. Pak J Med Sci 2021;37:305-11.
  • Karadağ M, Türk N, Gökçen C, Topal Z. Bir Üniversite Hastanesi Çocuk ve Ergen Psikiyatrisi Kliniğinde Yatan Hastaların Sosyodemografik ve Tanısal Özellikleri. Turk J Child Adolesc Ment Health 2021;28:7-11.
  • Malhi GS, Mann JJ. Depression. Lancet 2018;392:2299-312.
  • Ranalli DN, Studen-Pavlovich D. Eating Disorders in the Adolescent Patient. Dent Clin North Am 2021;65:689-703.
  • Coşkun M, Bozkurt H, Ayaydın H, Karakoç S, Süleyman F, Üçok A. Bir üniversite hastanesi psikiyatri servisinde yatarak tedavi edilen ergen hastaların klinik ve sosyodemografik özellikleri. Çocuk ve Gençlik Ruh Sağlığı Dergisi 2012;19:17-24.
  • Taş FV, Güvenir T, Miral S. Bir Çocuk ve Ergen Psikiyatrsi kliniğnde Yatarak Tedavi Gören Hastalarda İlaç Kullanimi. Çocuk ve Gençlik Ruh Sağliği Dergisi 2007;14:139-50.
  • Usta MB, Ürer E, Aral A, Say GN, Karabekiroğlu K. Çocuk Psikiyatri Hastalarında Yatış Süresine Etki Eden Faktörler. Klinik Psikiyatri Dergisi 2017;20:263-7.
  • Meagher SM, Rajan A, Wyshak G, Goldstein J. Changing trends in inpatient care for psychiatrically hospitalized youth: 1991–2008. Psychiatr Q 2013;84:159-68.
  • Setoya Y, Saito K, Kasahara M, Watanabe K, Kodaira M, Usami M. Evaluating outcomes of the child and adolescent psychiatric unit: A prospective study. Int J Ment Health Syst 2011;5:1-8.
  • Serim Demirgoren B, Ozbek A, Gencer O. Factors affecting improvement of children and adolescents who were treated in the child and adolescent psychiatry inpatient unit. J Int Med Res 2017;45:1318-23.
  • Litmanen J, Fröjd S, Marttunen M, Isomaa R, Kaltiala-Heino R. Are eating disorders and their symptoms increasing in prevalence among adolescent population? Nord J Psychiatry 2017;71:61-6.
  • Li F, Cui Y, Li Y, Guo L, Ke X, Liu J, et al. Prevalence of mental disorders in school children and adolescents in China: diagnostic data from detailed clinical assessments of 17,524 individuals. J Child Psychol Psychiatry 2022;63:34-46.
  • Neale J, Hudson LD. Anorexia nervosa in adolescents. Br J Hosp Med (Lond) 2020;81:1-8.
There are 20 citations in total.

Details

Primary Language English
Subjects ​Internal Diseases
Journal Section ORIGINAL ARTICLES
Authors

Merve Onat 0000-0002-1970-672X

Elif Akçay 0000-0002-4673-6254

Ayşegül Demir 0000-0002-7828-1194

Ümran Gül Ayvalık Baydur 0000-0002-3553-8287

Zeynep Göker 0000-0002-6489-3800

Gülser Şenses Dinç 0000-0001-5556-3175

Esra Çöp 0000-0001-8451-0099

Early Pub Date May 3, 2023
Publication Date May 29, 2023
Submission Date November 29, 2022
Published in Issue Year 2023 Volume: 17 Issue: 3

Cite

Vancouver Onat M, Akçay E, Demir A, Ayvalık Baydur ÜG, Göker Z, Şenses Dinç G, Çöp E. Clinical and Sociodemographic Characteristics of Patients Hospitalized in A Child and Adolescent Psychiatry Inpatient Unit. Turkish J Pediatr Dis. 2023;17(3):207-13.


The publication language of Turkish Journal of Pediatric Disease is English.


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