Yıldırım Budak Burcu, Yazkan Akgül Gözde, Erdoğdu Yıldırım Ayşe Burcu, Subaşı Buğu, Yazgan Yankı
Department of Child and Adolescent Psychiatry, Istanbul Medeniyet University, Göztepe Prof. Dr. Süleyman Yalçın City Hospital, İstanbul, Türkiye.
Department of Child and Adolescent Psychiatry, Marmara University Faculty of Medicine, İstanbul, Türkiye.
Psychiatry Clin Psychopharmacol. 2024 Sep 1;34(3):229-237. doi: 10.5152/pcp.2024.23804. eCollection 2024 Sep.
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).
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.
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 (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 (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.
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.
本研究旨在探讨2019冠状病毒病（COVID-19）大流行第二波（2020年9月至12月/SD20）期间儿童精神病学的入院情况、诊断和治疗趋势与大流行前（SD19）及第一波（2020年3月至6月/MJ20）相比有何变化。
我们的研究计划为多中心回顾性横断面研究。数据从医院计算机系统数据库中获取。所有在SD19和SD20期间入住儿童精神病科的患者构成研究样本。总共评估了5244例入院病例。
在这些入院病例中，1459例为复查，3785例为初诊。50.9%（n = 1927）的初诊病例发生在SD19期间，49.1%（n = 1858）发生在SD20期间。2019年，37%（n = 825）的病例为女孩，2020年这一比例为41.6%（n = 646）（P = 0.004）。2019年入院患者的平均年龄为9.61±4.08岁；2020年入院患者的平均年龄为10.15±5.38岁（P = 0.002）。2020年，对立违抗行为障碍、重度抑郁症、社交焦虑障碍、强迫症、睡眠-觉醒障碍和心境恶劣的发病率显著升高，而特定学习障碍、分离焦虑障碍和智力残疾的发病率则较低。
第二波入院人数的减少幅度小于第一波。在第二波中，外化和内化问题有所增加。药物治疗被列为优先选择。第二波中推迟入院的情况较少。
