A1 Vertaisarvioitu alkuperäisartikkeli tieteellisessä lehdessä
The predictive effect of medical illnesses for mental health care in adolescence: a register-based study
Tekijät: Karukivi M, Haapasalo-Pesu KM
Kustantaja: DOVE MEDICAL PRESS LTD
Julkaisuvuosi: 2017
Lehti: Adolescent Health, Medicine and Therapeutics
Tietokannassa oleva lehden nimi: ADOLESCENT HEALTH MEDICINE AND THERAPEUTICS
Lehden akronyymi: ADOLESC HEALTH MED T
Vuosikerta: 8
Aloitussivu: 95
Lopetussivu: 98
Sivujen määrä: 4
ISSN: 1179-318X
DOI: https://doi.org/10.2147/AHMT.S142980
Rinnakkaistallenteen osoite: https://research.utu.fi/converis/portal/detail/Publication/26918377
Tiivistelmä
Background: Adolescence is a developmentally sensitive stage, during which a medical illness may have an effect on individual development, and vice versa. Chronic medical illnesses in adolescents have been associated with psychiatric symptoms. The aim of the present register-based pilot study was to assess whether, and to what extent, different medical diagnoses predict subsequent use of mental health services among adolescents.Methods: The study material comprised data on visits to a pediatric clinic by 12- to 16-year-old adolescent patients over a period of 5 years. Altogether, 10,154 visits by 1,781 patients were identified. The associations of the medical diagnoses with a subsequent visit to the adolescent psychiatry clinic were analyzed using logistic regression.Results: During the follow-up period, 299 patients (16.8%) visited or contacted the adolescent psychiatry clinic at least once. Of various diagnoses, the highest odds ratios (ORs) were observed for diabetes mellitus (OR=4.07, p<0.001) and neoplasms (OR=3.29, p=0.047). An association was found between adolescent psychiatry clinic visits and female gender.Conclusion: Medical symptoms and illnesses that require a referral to a pediatrician are a marked risk factor for later use of mental health services. The results call for screening for psychological distress among patients with somatic illnesses and prompt referrals to mental health services if required.
Background: Adolescence is a developmentally sensitive stage, during which a medical illness may have an effect on individual development, and vice versa. Chronic medical illnesses in adolescents have been associated with psychiatric symptoms. The aim of the present register-based pilot study was to assess whether, and to what extent, different medical diagnoses predict subsequent use of mental health services among adolescents.Methods: The study material comprised data on visits to a pediatric clinic by 12- to 16-year-old adolescent patients over a period of 5 years. Altogether, 10,154 visits by 1,781 patients were identified. The associations of the medical diagnoses with a subsequent visit to the adolescent psychiatry clinic were analyzed using logistic regression.Results: During the follow-up period, 299 patients (16.8%) visited or contacted the adolescent psychiatry clinic at least once. Of various diagnoses, the highest odds ratios (ORs) were observed for diabetes mellitus (OR=4.07, p<0.001) and neoplasms (OR=3.29, p=0.047). An association was found between adolescent psychiatry clinic visits and female gender.Conclusion: Medical symptoms and illnesses that require a referral to a pediatrician are a marked risk factor for later use of mental health services. The results call for screening for psychological distress among patients with somatic illnesses and prompt referrals to mental health services if required.
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