ABSTRACT
To review the experience of a child psychiatric clinic regarding co-morbidity and treatment characteristics of children with attention deficit hyperactivity disorder (ADHD), a retrospective study was done on patients under 19 years who were attending the clinic and were diagnosed with ADHD. Co-morbidity and treatment characteristics were also studied. ADHD was diagnosed in 25.5% of the patients. Of these, 28.3% had coexistent expressive language disorder and 38.7% coexistent mild mental retardation. A psychostimulant (methylphenidate) was prescribed to 23.6% while antidepressants (primarily imipramine) were prescribed to 35.9%. Behavioural therapy was the most commonly offered psychotherapy. Antidepressants were used more than psychostimulants. Psychotropics had a more beneficial effect than psychotherapy.
Subject(s)
Attention Deficit Disorder with Hyperactivity/epidemiology , Attention Deficit Disorder with Hyperactivity/therapy , Antidepressive Agents, Tricyclic/therapeutic use , Attention Deficit Disorder with Hyperactivity/complications , Attention Deficit Disorder with Hyperactivity/diagnosis , Behavior Therapy , Central Nervous System Stimulants/therapeutic use , Child , Child Psychiatry/methods , Combined Modality Therapy , Comorbidity , Family Therapy , Female , Hospitals, University , Humans , Imipramine/therapeutic use , Intellectual Disability/complications , Intellectual Disability/epidemiology , Language Disorders/complications , Language Disorders/epidemiology , Male , Methylphenidate/therapeutic use , Outpatient Clinics, Hospital , Prevalence , Residence Characteristics , Retrospective Studies , Saudi Arabia/epidemiology , Sex Distribution , Treatment OutcomeABSTRACT
A retrospective review was made of the case records of inpatients referred to the psychiatric consultation-liaison service of King Khalid University Hospital, Saudi Arabia over a 6-year period. For the 109 patients under 18 years old, the study noted both the medical or surgical diseases diagnosed as well as psychiatric disorders and the treatment approaches used by psychiatrists. Depressive and adjustment disorders were the most often diagnosed psychiatric illnesses. The most common medical diagnoses were epilepsy, drug overdose, ambiguous genitalia, orthopaedic injuries and diabetes mellitus. Young people with these medical problems are in real need of psychological assessment and intervention.
Subject(s)
Adolescent Psychiatry/organization & administration , Child Psychiatry/organization & administration , Mental Disorders/epidemiology , Mental Disorders/therapy , Referral and Consultation/organization & administration , Adolescent , Behavior Therapy , Central Nervous System Stimulants/therapeutic use , Child , Drug Utilization , Health Services Needs and Demand , Health Services Research , Hospitals, University , Humans , Mental Disorders/diagnosis , Patient Education as Topic , Population Surveillance , Practice Patterns, Physicians'/organization & administration , Psychotherapy , Psychotropic Drugs/therapeutic use , Retrospective Studies , Saudi Arabia/epidemiologyABSTRACT
A retrospective review was made of the case records of inpatients referred to the psychiatric consultation-liaison service of King Khalid University Hospital, Saudi Arabia over a 6-year period. For the 109 patients under 18 years old, the study noted both the medical or surgical diseases diagnosed as well as psychiatric disorders and the treatment approaches used by psychiatrists. Depressive and adjustment disorders were the most often diagnosed psychiatric illnesses.The most common medical diagnoses were epilepsy, drug overdose, ambiguous genitalia, orthopaedic injuries and diabetes mellitus.Young people with these medical problems are in real need of psychological assessment and intervention
Subject(s)
Behavior Therapy , Central Nervous System Stimulants , Child Psychiatry , Drug Utilization , Health Services Needs and Demand , Mental Disorders , Psychotherapy , Psychotropic Drugs , Referral and Consultation , Adolescent PsychiatryABSTRACT
To review the experience of a child psychiatric clinic regarding co-morbidity and treatment characteristics of children with attention deficit hyperactivity disorder [ADHD], a retrospective study was done on patients under 19 years who were attending the clinic and were diagnosed with ADHD. Co-morbidity and treatment characteristics were also studied. ADHD was diagnosed in 25.5% of the patients. Of these, 28.3% had coexistent expressive language disorder and 38.7% coexistent mild mental retardation. A psychostimulant [methylphenidate] was prescribed to 23.6% while antidepressants [primarily imipramine] were prescribed to 35.9%. Behavioural therapy was the most commonly offered psychotherapy. Antidepressants were used more than psychostimulants. Psychotropics had a more beneficial effect than psychotherapy
Subject(s)
Antidepressive Agents, Tricyclic , Behavior Therapy , Central Nervous System Stimulants , Child Psychiatry , Combined Modality Therapy , Comorbidity , Family Therapy , Imipramine , Intellectual Disability , Methylphenidate , Outpatient Clinics, Hospital , Prevalence , Retrospective Studies , Attention Deficit Disorder with HyperactivityABSTRACT
The case records of patients receiving ECT at King Khalid University Hospital over a 10-year period were reviewed for all aspects of ethical and technical administration of ECT. The audit of 127 patients showed some deficiencies in the early years: no seizure monitoring, no training or education for staff (particularly psychiatrists and anaesthetists), and the use of atropine as a premedication for all patients. Recently, regular education and staff training have been organized and seizure timing regularly monitored. Use of an ECT machine with EEG monitoring and the systematic and scaled monitoring of complications is recommended. Results show the necessity of ECT auditing, including an unbiased external audit for effective monitoring of the practical administration of ECT. Similar audits in other mental health institutions in Saudi Arabia are recommended.
Subject(s)
Electroconvulsive Therapy/standards , Adolescent , Adult , Clinical Competence/standards , Conscious Sedation/adverse effects , Conscious Sedation/methods , Conscious Sedation/standards , Electroconvulsive Therapy/adverse effects , Electroconvulsive Therapy/methods , Female , Hospitals, University , Humans , Inservice Training/standards , Male , Medical Audit , Medical Staff, Hospital/education , Middle Aged , Retrospective Studies , Saudi ArabiaABSTRACT
The case records of patients receiving ECT at King Khalid University Hospital over a 10-year period were reviewed for all aspects of ethical and technical administration of ECT. The audit of 127 patients showed some deficiencies in the early years: no seizure monitoring, no training or education for staff [particularly psychiatrists and anaesthetists], and the use of atropine as a premedication for all patients. Recently, regular education and staff training have been organized and seizure timing regularly monitored. Use of an ECT machine with EEG monitoring and the systematic and scaled monitoring of complications is recommended. Results show the necessity of ECT auditing, including an unbiased external audit for effective monitoring of the practical administration of ECT. Similar audits in other mental health institutions in Saudi Arabia are recommended
