RESUMO
To review the experience of a child psychiatric clinic regarding co-morbidity and treatment characteristics of children with attention deficit hyperactivity disorder (ADHD), a retrospective study was done on patients under 19 years who were attending the clinic and were diagnosed with ADHD. Co-morbidity and treatment characteristics were also studied. ADHD was diagnosed in 25.5% of the patients. Of these, 28.3% had coexistent expressive language disorder and 38.7% coexistent mild mental retardation. A psychostimulant (methylphenidate) was prescribed to 23.6% while antidepressants (primarily imipramine) were prescribed to 35.9%. Behavioural therapy was the most commonly offered psychotherapy. Antidepressants were used more than psychostimulants. Psychotropics had a more beneficial effect than psychotherapy.
Assuntos
Transtorno do Deficit de Atenção com Hiperatividade/epidemiologia , Transtorno do Deficit de Atenção com Hiperatividade/terapia , Antidepressivos Tricíclicos/uso terapêutico , Transtorno do Deficit de Atenção com Hiperatividade/complicações , Transtorno do Deficit de Atenção com Hiperatividade/diagnóstico , Terapia Comportamental , Estimulantes do Sistema Nervoso Central/uso terapêutico , Criança , Psiquiatria Infantil/métodos , Terapia Combinada , Comorbidade , Terapia Familiar , Feminino , Hospitais Universitários , Humanos , Imipramina/uso terapêutico , Deficiência Intelectual/complicações , Deficiência Intelectual/epidemiologia , Transtornos da Linguagem/complicações , Transtornos da Linguagem/epidemiologia , Masculino , Metilfenidato/uso terapêutico , Ambulatório Hospitalar , Prevalência , Características de Residência , Estudos Retrospectivos , Arábia Saudita/epidemiologia , Distribuição por Sexo , Resultado do TratamentoRESUMO
A retrospective review was made of the case records of inpatients referred to the psychiatric consultation-liaison service of King Khalid University Hospital, Saudi Arabia over a 6-year period. For the 109 patients under 18 years old, the study noted both the medical or surgical diseases diagnosed as well as psychiatric disorders and the treatment approaches used by psychiatrists. Depressive and adjustment disorders were the most often diagnosed psychiatric illnesses. The most common medical diagnoses were epilepsy, drug overdose, ambiguous genitalia, orthopaedic injuries and diabetes mellitus. Young people with these medical problems are in real need of psychological assessment and intervention.
Assuntos
Psiquiatria do Adolescente/organização & administração , Psiquiatria Infantil/organização & administração , Transtornos Mentais/epidemiologia , Transtornos Mentais/terapia , Encaminhamento e Consulta/organização & administração , Adolescente , Terapia Comportamental , Estimulantes do Sistema Nervoso Central/uso terapêutico , Criança , Uso de Medicamentos , Necessidades e Demandas de Serviços de Saúde , Pesquisa sobre Serviços de Saúde , Hospitais Universitários , Humanos , Transtornos Mentais/diagnóstico , Educação de Pacientes como Assunto , Vigilância da População , Padrões de Prática Médica/organização & administração , Psicoterapia , Psicotrópicos/uso terapêutico , Estudos Retrospectivos , Arábia Saudita/epidemiologiaRESUMO
A retrospective review was made of the case records of inpatients referred to the psychiatric consultation-liaison service of King Khalid University Hospital, Saudi Arabia over a 6-year period. For the 109 patients under 18 years old, the study noted both the medical or surgical diseases diagnosed as well as psychiatric disorders and the treatment approaches used by psychiatrists. Depressive and adjustment disorders were the most often diagnosed psychiatric illnesses.The most common medical diagnoses were epilepsy, drug overdose, ambiguous genitalia, orthopaedic injuries and diabetes mellitus.Young people with these medical problems are in real need of psychological assessment and intervention
Assuntos
Terapia Comportamental , Estimulantes do Sistema Nervoso Central , Psiquiatria Infantil , Uso de Medicamentos , Necessidades e Demandas de Serviços de Saúde , Transtornos Mentais , Psicoterapia , Psicotrópicos , Encaminhamento e Consulta , Psiquiatria do AdolescenteRESUMO
To review the experience of a child psychiatric clinic regarding co-morbidity and treatment characteristics of children with attention deficit hyperactivity disorder [ADHD], a retrospective study was done on patients under 19 years who were attending the clinic and were diagnosed with ADHD. Co-morbidity and treatment characteristics were also studied. ADHD was diagnosed in 25.5% of the patients. Of these, 28.3% had coexistent expressive language disorder and 38.7% coexistent mild mental retardation. A psychostimulant [methylphenidate] was prescribed to 23.6% while antidepressants [primarily imipramine] were prescribed to 35.9%. Behavioural therapy was the most commonly offered psychotherapy. Antidepressants were used more than psychostimulants. Psychotropics had a more beneficial effect than psychotherapy
