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KMID : 0352819850010010025
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Kosin Medical Journal
1985 Volume.1 No. 1 p.25 ~ p.33
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A Clinical Study on the Child Psychiatric Outpatients
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Abstract
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The author presents a clinical experience on 116 new child psychiatric patients seen at outpatient department, Kosin Medical College and Pusan. Gospel Hospital during the period of 12 months (May 1, 1983April 30, 1984). The results are as follows
1) As to the sources of referral 60 patients(51.7%) were brought in by either parents or relatives and the referral from pediatricians was 27.6% and the consultation from other departments was also considerable(14.7%).
2) In Age and Sex distribution 73 patients(62.9%) were schoolage children and among them the most frequent age group was 912 years of age. The male : female sex ratio was 65 : 35 which almost conincides with othe reports.
3) The clinical symptoms were divided into 8 major categories, i, e., symptoms manifested in behaviors, soma-tic symptoms, convulsion, speech disturbances, develop-mental delays, learning disabilities, and sleep disturbances. Among them behavioral symptoms were most frequently found (31. 9%) followed by somatic symptoms(26. 8%), and convulsion(20.7%). The bizarre and aggressive symptoms were most prevalent behavior symptom. The headache was the most common single symptom among somatic symptoms.
4) The Diagnstic Distribution reveals that the neurotic anxiety state was the most prevalent(18.1%) followed by convulsive disorder (16.4%), enuresis(6.O%) and infantile autism(5.2%). Psychophysio logic disorder, Adjustment disorder, Conduct disorder, Hyperkinesis with developmental delays were 4.3% respectively.
The so called Combined disorders such as Convulsive disorder with developmental delays or hyperkinesis, Hyperkinesis with developmental delays were 8.6%.
5) In the Age Distribution of main diagnostic categories Psychoses, Hyperkinesis, and Mental Retardations were evenly distributed in all age groups. However, 912 age group was most commonly afflicted with neurotic anxiety disorders followed by 1315 age group. The Convulsive disorders were frequent in the 915 years of age and Hyperkinesis and Conduct disorders were more prevalent in the 312 years of age as in Special Smptoms.
6) As far as the Treatment is concerned the outpatient treatment was the main therapeutic approaches which include pharmaco-therapy, counseling and education for parents, individual psychotherapy, and/or various combinations of them.
The author feels that the diapgnosis and treatment of child psychiatric patients greatly depends on the consultation and liasion from/or with pediatric services and other related departments and we also need to work with paraprofessionals such as clinical psychologists, social workers, child psychologists, etc, to do so called team approaches which is sine qua non in terms of doing proper work in the field of child and adolescent psychiatry.
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