Trends of Mental Disorders and Treatment Continuity Predictors of New Patients in the Paediatric Psychiatry Clinic of a University Hospital

This study analysed trends of first-time patients visiting the paediatric psychiatry clinic in a university hospital. The medical records from 2009 to 2016 of first-time patients visiting the Kyung Hee University Hospital were reviewed, focusing on children in grades 1–12. We analysed the clinical d...

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Bibliographic Details
Published in:International journal of environmental research and public health 2021-09, Vol.18 (18), p.9613
Main Authors: Lee, Ah-Rah, Bahn, Geon-Ho
Format: Article
Language:English
Subjects:
Age groups
Attention deficit hyperactivity disorder
Children & youth
Clinical medicine
Codes
Diagnosis
Females
Gender
Health services
Hospitals
Intellectual disabilities
Males
Medical records
Mental disorders
Mental health
Neurosis
Outpatient care facilities
Patient compliance
Patients
Pediatrics
Personality disorders
Physicians
Population
Psychiatrists
Psychiatry
Psychologists
Psychosis
Sleep disorders
Statistical analysis
Teenagers
Trends
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Summary:This study analysed trends of first-time patients visiting the paediatric psychiatry clinic in a university hospital. The medical records from 2009 to 2016 of first-time patients visiting the Kyung Hee University Hospital were reviewed, focusing on children in grades 1–12. We analysed the clinical diagnosis rate of mental disorders per 100,000 in the general population by gender and grade, and the characteristics of patients who sought outpatient care more than three times. The study included 1467 participants, of which 931 were males (63.5%). The number of male patients per 100,000 population significantly decreased from 4.14 in 2009 to 2.03 in 2016. While hyperkinetic disorders had the highest prevalence in males, neurotic disorders were most frequent in females. The rate of disruptive behaviour disorders in males and mental retardation in females decreased significantly during the data collecting period. The factors affecting treatment continuity were being female, 7th–12th graders, and diagnosis of depressive, hyperkinetic, and tic disorders. Physicians should consider the new paediatric patients’ gender, grade, and expected diagnosis from their first visit to improve treatment compliance.
ISSN:1660-4601
1661-7827
1660-4601
DOI:10.3390/ijerph18189613