Zheng Hongyu, Jiang Xiaolu, Yang Rong, Wang Shuo, Zhong Hui
Department of Child and Adolescents, Affiliated Psychological Hospital of Anhui Medical University, Hefei, Anhui, China.
Anhui Mental Health Center, Hefei, Anhui, China.
Front Psychiatry. 2023 Jan 9;13:1079456. doi: 10.3389/fpsyt.2022.1079456. eCollection 2022.
This study aimed to determine the hospitalization rates, length of stay, age at the time of admission, and sex distribution for major psychiatric disorders in children and adolescents and provide a reference for early intervention for these diseases and distribution of medical resources in hospitals.
We screened 4,423 patients in the child and adolescent wards of the Anhui Provincial Mental Health Center from 2001 to 2020, and examined the top four (81.1%) mental health disorders that accounted for the overall proportion of patients admitted, namely schizophrenia (SCZ) (45.7%), depressive disorder (DD) (14.5%), bipolar disorder (BD) (9.3%), and childhood emotional disorder (CED) (11.6%), and for each disorder, the percentage of hospitalization, length of stay, age at admission, and sex distribution were analyzed.
From 2001 to 2020, there was a significantly decreasing trend in the proportion of hospitalizations for SCZ ( < 0.001) and an increasing trend for depression and CED ( < 0.001). In terms of length of stay, SCZ was significantly longer than the other three disorders ( < 0.001), whereas there was no significant difference between DD, BD, and CED, and there was no significant trend in length of stay for any of the four disorders. The age at admission for CED was significantly lower than that for the other three disorders ( < 0.001). There was a decreasing trend in the age at admission for DD ( = 0.011) and an increasing trend for BD ( = 0.001). A significant increase in the number of female patients admitted for SCZ, DD, and CED was observed, while there was no significant change in the sex ratio for BD.
Although there is a significant downward trend in the percentage of hospitalizations for SCZ, it is still the most common psychiatric disorder in children and adolescents. We observed a significant increase in the percentage of hospitalizations for DD and CED. In addition, the proportion of female patients being hospitalized is on the rise, and this aspect requires continuous attention.
本研究旨在确定儿童和青少年主要精神疾病的住院率、住院时长、入院时年龄及性别分布，为这些疾病的早期干预及医院医疗资源分配提供参考。
我们筛查了2001年至2020年安徽省精神卫生中心儿童和青少年病房的4423例患者，研究占入院患者总数比例最高的前四种（81.1%）精神疾病，即精神分裂症（SCZ）（45.7%）、抑郁症（DD）（14.5%）、双相情感障碍（BD）（9.3%）和儿童情绪障碍（CED）（11.6%），并分析每种疾病的住院百分比、住院时长、入院年龄及性别分布。
2001年至2020年，SCZ的住院比例呈显著下降趋势（<0.001），而抑郁症和CED的住院比例呈上升趋势（<0.001）。在住院时长方面，SCZ显著长于其他三种疾病（<0.001），而DD、BD和CED之间无显著差异，且这四种疾病的住院时长均无显著趋势。CED的入院年龄显著低于其他三种疾病（<0.001）。DD的入院年龄呈下降趋势（=0.011），BD的入院年龄呈上升趋势（=0.001）。观察到SCZ、DD和CED的女性入院患者数量显著增加，而BD的性别比例无显著变化。
尽管SCZ的住院百分比呈显著下降趋势，但它仍是儿童和青少年中最常见的精神疾病。我们观察到DD和CED的住院百分比显著增加。此外，女性住院患者的比例在上升，这方面需要持续关注。
