与流行前和第一波相比,2019 年冠状病毒病第二波流行中儿童精神病学表现的变化:后续研究。

IF 0.5 4区 医学 Q4 PHARMACOLOGY & PHARMACY Psychiatry and Clinical Psychopharmacology Pub Date : 2024-09-01 DOI:10.5152/pcp.2024.23804
Burcu Yıldırım Budak, Gözde Yazkan Akgül, Ayşe Burcu Erdoğdu Yıldırım, Buğu Subaşı, Yankı Yazgan
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引用次数: 0

摘要

背景:本研究旨在探讨2019年冠状病毒病(COVID-19)大流行第二波(2020年9月至12月/SD20)与大流行前(SD19)和第一波(2020年3月至6月/MJ20)相比,儿童精神科入院人数、诊断和治疗趋势有何变化:我们的研究计划是一项多中心、回顾性横断面研究。数据来自医院计算机系统数据库。所有在 SD19 和 SD20 期间入住儿童精神科诊所的患者均构成研究样本。共评估了 5244 例入院患者:在入院患者中,1459 人为复诊患者,3785 人为病例。50.9%(n = 1927)的病例来自 SD19,49.1%(n = 1858)的病例来自 SD20。2019年,37%(n = 825)的病例为女孩,而2020年为41.6%(n = 646)(P = .004)。2019年的平均年龄为(9.61 ± 4.08)岁;2020年的平均年龄为(10.15 ± 5.38)岁(P = .002)。2020年,对立违抗性品行障碍、重度抑郁障碍、社交焦虑障碍、强迫症、睡眠觉醒障碍和癔症显著增加,而特殊学习障碍、分离焦虑障碍和智力障碍则有所减少:结论:第二波入院人数的减少幅度低于第一波。结论:第二波入院人数的降幅小于第一波,外化和内化问题有所增加。药物治疗被列为优先事项。推迟入院的情况在第二波中有所减少。
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Changes in Child Psychiatry Presentations in the Second Wave of Coronavirus Disease 2019 Pandemic Compared to the Pre-pandemic Period and the First Wave: A Follow-up Study.

Background: It is to examine how child psychiatry admissions, diagnosis and treatment trends in the second wave (September-December 2020/SD20) of the coronavirus disease 2019 (COVID-19) pandemic change compared to the pre-pandemic (SD19) and the first wave (March-June 2020/MJ20).

Methods: Our study was planned as a multicenter, retrospective cross-sectional. Data were obtained from hospital computer systems databases. All patients admitted to the child psychiatry clinic on SD19 and SD20 constituted the study sample. In total, 5244 admissions were assessed.

Results: Of the admissions, 1459 were repeat exams, and 3785 were cases. 50.9% (n = 1927) of the cases came in SD19 and 49.1% (n = 1858) in SD20. In 2019, 37% (n = 825) of cases were girls, compared to 41.6% (n = 646) in 2020 (P = .004). The mean age of those who came in 2019 was 9.61 ± 4.08; The mean age of those who came in 2020 was 10.15 ± 5.38 (P = .002). In 2020, oppositional defiant conduct disorder, major depressive disorder, social anxiety disorder, obsessive-compulsive disorder, sleep-wake disorder, and dysthymia were significantly higher, while specific learning disorders, separation anxiety disorder, and intellectual disability were found to be lower.

Conclusion: The decrease in second-wave admissions is less than in the first wave. In the second wave, externalizing and internalizing problems have increased. Drug therapy was prioritized. Postponing admissions was less in the second wave.

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来源期刊
Psychiatry and Clinical Psychopharmacology
Psychiatry and Clinical Psychopharmacology Medicine-Psychiatry and Mental Health
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1.00
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期刊介绍: Psychiatry and Clinical Psychopharmacology aims to reach a national and international audience and will accept submissions from authors worldwide. It gives high priority to original studies of interest to clinicians and scientists in applied and basic neurosciences and related disciplines. Psychiatry and Clinical Psychopharmacology publishes high quality research targeted to specialists, residents and scientists in psychiatry, psychology, neurology, pharmacology, molecular biology, genetics, physiology, neurochemistry, and related sciences.
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