ABSTRACT
Conclusion:
In this study, it was found that male gender was more common in the applications to child psychiatry outpatient clinic and the most common diagnosis was F90-Activity and attention disorder. The results of our study support the literature.
Results:
Of the 34,106 patients included in our study, 60.0% (n=20,469) were male and 40.0% (n=13,637) were female. F90-Activity and attention disorder (38.1%), F91-Behavioral disorders (24.8%), F41-Anxiety disorders (10.0%) and F32-Depressive episode (5.9%) were the most common diagnoses. The diagnoses of the most recurrent applications were F90-Activity and attention disorder, F31-Bipolar affective disorder, F91-Behavioral disorders, F28-Non-organic psychotic disorders, and F42-Obsessive-compulsive disorder, respectively.
Materials and Methods:
Data on gender and diagnosis of children and adolescents who applied to our hospital’s child psychiatry outpatient clinics between January 1, 2012 and December 31, 2017 were retrospectively scanned through the hospital registry system.
Objectives:
It is very important to know the distribution of childhood mental illnesses well, to master regional differences and to develop necessary strategies. With this study, it is aimed to evaluate the 6-year child psychiatry clinical data of our hospital and contribute to the literature.
References
1World Health Organization. Constitution of World Health Organization: Principles. Geneva, World Health Organization, 2017.
2Polanczyk GV, Salum GA, Sugaya LS, Caye A, Rohde LA. Annual research review: a meta-analysis of the worldwide prevalence of mental disorders in children and adolescents. J Child Psychol Psychiatry. 2015;56:345-365.
3Ercan ES, Polanczyk G, Akyol Ardıc U, Yuce D, Karacetın G, Tufan AE, Tural U, Aksu H, Aktepe E, Rodopman Arman A, Başgül S, Bılac O, Coşkun M, Celık GG, Karakoc Demırkaya S, Dursun BO, Durukan İ, Fidan T, Perdahlı Fiş N, Gençoğlan S, Gökçen C, Görker I, Görmez V, Gündoğdu ÖY, Gürkan CK, Hergüner S, Tural Hesapçıoğlu S, Kandemir H, Kılıç BG, Kılınçaslan A, Mutluer T, Nasiroğlu S, Özel Özcan Ö, Öztürk M, Öztop D, Yalın Sapmaz S, Süren S, Şahin N, Yolga Tahıroglu A, Toros F, Ünal F, Vural P, Perçinel Yazıcı İ, Yazıcı KU, Yıldırım V, Yulaf Y, Yüce M, Yüksel T, Akdemir D, Altun H, Ayık B, Bilgic A, Hekim Bozkurt Ö, Demirbaş Çakır E, Çeri V, Üçok Demir N, Dinç G, Irmak MY, Karaman D, Kınık MF, Mazlum B, Memik NÇ, Foto Özdemir D, Sınır H, Ince Taşdelen B, Taşkın B, Uğur Ç, Uran P, Uysal T, Üneri Ö, Yilmaz S, Seval Yılmaz S, Açıkel B, Aktaş H, Alaca R, Alıç BG, Almaidan M, Arı FP, Aslan C, Atabay E, Ay MG, Aydemir H, Ayrancı G, Babadagı Z, Bayar H, Çon Bayhan P, Bayram Ö, Dikmeer Bektaş N, Berberoğlu KK, Bostan R, Arıcı Canlı M, Cansız MA, Ceylan C, Coşkun N, Coşkun S, Çakan Y, Demir İ, Demir N, Yıldırım Demirdöğen E, Doğan B, Dönmez YE, Dönder F, Efe A, Eray Ş, Erbilgin S, Erden S, Ersoy EG, Eseroğlu T, Kına Fırat S, Eynallı Gök E, Güler G, Güles Z, Güneş S, Güneş A, Günay G, Gürbüz Özgür B, Güven G, Çelik Göksoy Ş, Horozcu H, Irmak A, Işık Ü, Kahraman Ö, Kalaycı BM, Karaaslan U, Karadağ M, Kılıc HT, Kılıçaslan F, Kınay D, Kocael Ö, Bulanık Koç E, Kadir Mutlu R, Lushi-Şan Z, Nalbant K, Okumus N, Özbek F, Akkuş Özdemir F, Özdemir H, Özkan S, Yıldırım Özyurt E, Polat B, Polat H, Sekmen E, Sertçelik M, Sevgen FH, Sevince O, Süleyman F, Shamkhalova Ü, Eren Şimşek N, Tanır Y, Tekden M, Temtek S, Topal M, Topal Z, Türk T, Uçar HN, Uçar F, Uygun D, Uzun N, Vatansever Z, Yazgılı NG, Miniksar Yıldız D, Yıldız N. The prevalence of childhood psychopathology in Turkey: a cross-sectional multicenter nationwide study (EPICPAT-T). Nordic journal of psychiatry. 2019;73:132-140.
4Akın Sarı B. Symptoms and Diagnosies of Patients Referring to A Child and AdolescentPsychiatry Outpatient Clinic in Batman. Klinik Psikiyatri. 2013;16:7-17.
5Uçar HN, Vural AP, Kocael Ö, Köle İH, Dağdelen F, Kırtıl İY. Bir Çocuk ve Ergen Psikiyatrisi Polikliniğine Başvuran Hastaların Yakınma, Tanı ve İlaç Uygulamaları Karakteristiklerinin Değerlendirilmesi. Uludağ Üniversitesi Tıp Fakültesi Dergisi. 2014;40:75-83.
6Karakoç Demirkaya S, Aksu H, Yılmaz N, Özgür BG, Eren E, Avcil SN. Sociodemographic Characteristics and Diagnoses of Individuals Referred to a Child and Adolescent Psychiatry Outpatient Clinic of a University Hospital. Meandros Med Dent J. 2015;16:4-8.
7Görmez V, Örengül AC, Baljinnyam S, Aliyeva N. Çocuk ve ergen psikiyatrisi polikliniğine başvuran hastalarda tanı dağılımı ve demografik özellikler. Journal of Mood Disorders. 2017;7:41-46.
8Aras Ş, Ünlü G, Taş FV. Symptoms, Diagnoses and Diagnostic Procedures of Patients who Presented to the Child and Adolescent Psychiatry Outpatient Clinic. J Clin Psy. 2007;10:28-37.
9Akdemir D, Çetin FÇ. Çocuk ve ergen psikiyatrisi bölümüne başvuran ergenlerin klinik özellikleri. Turk J Child Adolesc Ment Health. 2008;15:5-14.
10Aktepe E, Demirci K, Çalışkan AM, Sönmez Y. Çocuk ve ergen psikiyatrisi polikliniğine başvuran hastalarda belirti ve tanı dağılımları. Düşünen Adam-Psikiyatri ve Nörolojik Bilimler Dergisi. 2010;23:100-108.
11Durukan İ, Karaman D, Kara K, Türker T, Tufan AE, Yalçın Ö, Karabekiroğlu K. Diagnoses of patients referring to a child and adolescent psychiatry outpatient clinic. Dusunen Adam The Journal of Psychiatry and Neurological Sciences. 2011;24:113-120.
12Çeri V, Özer Ü, Layık ME, Ay İz FB. Evaluation of Psychiatric Disorders Among Children and Adolescents Who Applied To An Outpatient Service. Van Tıp Derg. 2018;25:520-526.
13Harpaz-Rotem I, Rosenheck RA. Changes in outpatient psychiatric diagnosis in privately insured children and adolescents from 1995 to 2000. Child Psychiatry Hum Dev. 2004;34:329-340.
14Recart C, Castro P, Alvarez H, Bedregal P. Characteristics of children and adolescents attended in a private psychiatric outpatient clinic. Rev Med Chil. 2002;130:295-303.
15Merikangas KR, He JP, Burstein M, Swanson SA, Avenevoli S, Cui L, Benjet C, Georgiades K, Swendsen J. Lifetime prevalence of mental disorders in U.S. adolescents: results from the National Comorbidity Survey Replication—Adolescent Supplement (NCS-A). J Am Acad Child Adolesc Psychiatry. 2010;49:980-989.
16Erşan EE, Doğan O, Doğan S Sümer H. The distribution of symptoms of attention-deficit/hyperactivity disorder and oppositional defiant disorder in school age children in Turkey. Eur Child Adolesc Psychiatry. 2004;13:354-361.
17Benenson JF. Sex differences. In: Hopkins B (editor). The Cambridge Encyclopedia of Child Development. UK: Cambridge University Press, 2005;366-374.
18Fettahoğlu Ç, Özatalay E. Çocuklarda hareketlilik ve/veya dikkatsizlik yakınmaları ve dikkat eksikliği hiperaktivite bozukluğu tanısı. Çocuk ve Gençlik Ruh Sağlığı Dergisi. 2006;13:13-18.
19Roberts RE, Roberts CR, Xing Y. Rates of DSM-IV psychiatric disorders among adolescents in a large metropolitan area. J Psychiatr Res. 2007;41:959-967.
20Ercan ES, Bilac O, Uysal Ozaslan TU, Akyol Ardic U. Prevalence of psychiatric disorders among Turkish children: the effects of impairment and sociodemographic correlates. Child Psychiatry Hum Dev. 2016;47:35-42.
21Lazaratou H, Vlassopoulos M, Dellatolas G. Factors affecting compliance with treatment in an outpatient child psychiatric practice: A retrospective study in a community mental health centre in Athens. Psychother Psychosom. 2000;69:42-49.
22Hamiwka L, Jones JE, Salpekar J, Caplan R. Child psychiatry. Epilepsy Behav. 2011;22:38-46.
