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阿曼儿童与青少年精神病学概况。

Profile of child and adolescent psychiatry in Oman.

作者信息

Al-Sharbati Marwan M, Al-Hussaini Ala'Aldin A, Antony Sajjeev X

机构信息

Department of Behavioral Medicine, College of Medicine, Sultan Qaboos University, Al-Khoud, PO Box 35, Postal Code 123, Sultanate of Oman.

出版信息

Saudi Med J. 2003 Apr;24(4):391-5.

Abstract

OBJECTIVE

To find the common behavioral problems in youth, their co-morbidity, treatment, and other variables in Oman.

METHODS

All patients who attended the child psychiatric clinic in Sultan Qaboos University Hospital (SQUH), Muscat, (the only child psychiatry clinic in Sultanate of Oman) for a 3-month period were investigated for behavioral problems, particularly hyperactivity (by Conners' Questionnaire). The diagnosis was based on the Diagnostic and Statistical Manual of Mental Disorders, 4th edition.

RESULTS

Of the total 212 cases, Omani nationals constituted 89% and the rest were expatriates. Sixty five percent were boys, 57% were of school age, 26% were adolescents, 9% were preschoolers and 5% were toddlers. Consanguinity among their parents was high at 52%. The majority (60%) of the patients exhibited hyperactivity. Aggression was found in 49%, while stealing and lying were found in 25% and 22%. Approximately one-third suffered from headache and abdominal pain. The majority (62%) were of below-normal intelligence. Anxiety affected 14%, depression 4%, and conduct disorders 8%. One-third of the patients were taking psychostimulants and another one-third were taking tricyclics. The results were compared with those from other developing countries.

CONCLUSION

Behavioral problems among children and adolescents are high in Oman, same as other developing countries, though the type of disorders is different here. This calls for the attention of the health policy makers for diagnosing and treating such disorders in Oman as well as in the other developing countries.

摘要

目的

找出阿曼青少年常见的行为问题、共病情况、治疗方法及其他相关变量。

方法

对在马斯喀特苏丹卡布斯大学医院儿童精神科诊所(阿曼苏丹国唯一的儿童精神科诊所)就诊达3个月的所有患者进行行为问题调查,特别是多动情况(采用康纳斯问卷)。诊断依据《精神疾病诊断与统计手册》第4版。

结果

在总共212例病例中,阿曼国民占89%,其余为外籍人士。65%为男孩,57%为学龄儿童,26%为青少年,9%为学龄前儿童,5%为学步儿童。其父母近亲结婚率高达52%。大多数患者(60%)表现出多动。49%的患者存在攻击行为,25%的患者有偷窃行为,22%的患者有说谎行为。约三分之一的患者患有头痛和腹痛。大多数患者(62%)智力低于正常水平。14%的患者有焦虑症,4%有抑郁症,8%有品行障碍。三分之一的患者正在服用精神兴奋剂,另有三分之一的患者正在服用三环类药物。将结果与其他发展中国家的结果进行了比较。

结论

与其他发展中国家一样,阿曼儿童和青少年中的行为问题发生率较高,尽管这里的疾病类型有所不同。这需要卫生政策制定者关注阿曼以及其他发展中国家对这类疾病的诊断和治疗。

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