All issues > Volume 31(9); 1988

Original Article

J Korean Pediatr Soc. 1988;31(9):1183-1192. Published online September 30, 1988.

Clinical Evaluation of Children with Psychiatric Problems Among Pediatric Patients.

Woo Tae Kim¹, Chan Yung Kim¹

¹Department of Pediatrcs, College of Medicine, Busan National University, Busan, korea

Received: December 31, 1987;  Accepted: February 22, 1988.

Abstract

The author has analysed 1080 cases of Pediatric patients visited Pediatric or psychiatric depart- ment for behavioral, emotional, or Psychiatric problems, from July 1982 to June 1987. The patients were categorized into three groups to observe the distribution of age, sex and disease, and the relation of symptom and disease, 127 cases consulted to Psychiatric department, 356 cases visited Psychiatric department directly, and 597 cases managed in Pediatric department. The results were as follows: 1) In the cases visited Psychiatric department directly, the middle school age group was predomi- nant, and in cases managed in the Pediatric department, the predominant groups were preschool and low grade elementary school age. 2) the major reasons for consult to Psychiatric department were somatic complaints (46.5%), speech disorder, and tic in the order of frequency, and its psychiatric diagnosis were neurotic disorder (28.3 %), physical condition arising from mental factor and specific delay in the development of speech in the order of frequency. 3) In the summary of all cases visited Psychiatric department, the most common diagnosis was physical condition arising from mental factor (28.9%) and the other frequent diagnosis were mental retardation, special symptom and neurotic disorder in the order of frequency. In the cases visitied Psychiatric department directly, neurotic disorder was most common and, in the cases visited Pediatric department, physical condition arising from mental factor was most common. 4) As discussing the relation between age and disease, in the cases visited Psychiatric department directly, the specific delay in the develpment of speech and psychoses with origin specific to childhood were more common in preschool children where as special symptom and mental retardation being more common in low grade elementary school age and neurotic disorder, in the middle school age. In the cases managed in the Pediatric department, mental retardation, and specific delay in the develop- ment of speech were more common in preschool and low grade elementary school age, where as tic being more common in high grade elementary school and middle school age and tension headache being more common in middle school age. In male, specific symptom, tic and specific dealy in develpment of speech were more common and, in female physical condition arising from metnal factor and neurotic disorder.

Keywords :Psychiatric Problem