Diagnostic trajectories of mental disorders in children and adolescents: a cohort study.

Autor: Girela-Serrano B; Westminster Child and Adolescent Mental Health Service, Central and Northwest London NHS Foundation Trust, London, UK.; Division of Psychiatry, Imperial College London, London, UK., Miguélez-Fernández C; Department of Child and Adolescent Psychiatry, Hospital Niño Jesús, Madrid, Spain., Abascal-Peiró S; Department of Psychiatry, Hospital Universitario Fundación Jiménez Díaz, Madrid, Spain., Peñuelas-Calvo I; Department of Child and Adolescent Psychiatry, Hospital Universitario 12 de Octubre, Madrid, Spain. inmaculada.penuelas@salud.madrid.org., Jiménez-Muñoz L; Instituto de Investigación Sanitaria Fundación Jiménez Díaz, Madrid, Spain., Moreno M; Instituto de Investigación Sanitaria Fundación Jiménez Díaz, Madrid, Spain., Delgado-Gómez D; Department of Statistics, University Carlos III of Madrid, 28911, Leganés, Spain., Bello HJ; Department of Applied Mathematics, Universidad de Valladolid, Valladolid, Spain., Nicholls D; Division of Psychiatry, Imperial College London, London, UK., Baca-García E; Department of Psychiatry, Hospital Universitario Fundación Jiménez Díaz, Madrid, Spain.; Department of Child and Adolescent Psychiatry, Hospital Universitario 12 de Octubre, Madrid, Spain.; Department of Psychiatry, Hospital Universitario Infanta Elena, Valdemoro, Madrid, Spain.; Department of Psychiatry, Hospital Universitario Central de Villalba, Madrid, Spain.; Department of Psychiatry, Hospital Universitario Rey Juan Carlos, Móstoles, Spain.; Faculty of Health Sciences, Universidad Católica del Maule, Talca, Chile.; CIBERSAM, Madrid, Spain.; Centre Hospitalier Universitaire de Nîmes, Nîmes, France.; Department of Psychiatry, Universidad Autónoma de Madrid, Madrid, Spain., Carballo JJ; Department of Psychiatry, Hospital Gregorio Marañón, Madrid, Spain., Porras-Segovia A; Division of Psychiatry, Imperial College London, London, UK. alexposeg@gmail.com.; Instituto de Investigación Sanitaria Fundación Jiménez Díaz, Madrid, Spain. alexposeg@gmail.com.; Department of Psychiatry, Hospital Universitario Rey Juan Carlos, Móstoles, Spain. alexposeg@gmail.com.
Jazyk: angličtina
Zdroj: European child & adolescent psychiatry [Eur Child Adolesc Psychiatry] 2024 May; Vol. 33 (5), pp. 1481-1494. Date of Electronic Publication: 2023 Jul 08.
DOI: 10.1007/s00787-023-02254-0
Abstrakt: Mental disorders in children and adolescents may follow different trajectories, such as remission, change of diagnosis, or addition of two or more comorbid diagnoses, showing a heterotypic pattern. This study aims to describe the main diagnostic trajectories across a broad range of mental disorder diagnostic categories, from childhood to adolescence and from adolescence to young adulthood in a clinical population. A prospective study was conducted among a clinical sample of children and adolescents who were aged 3-17 years at the face-to-face baseline interview. Electronic health records of these participants were reviewed 10 years later. The diagnostic stability over time was examined using the kappa coefficient, and factors associated with stability were explored using simple logistic regression. The study included a sample of 691 participants. The kappa coefficient for diagnostic stability across all diagnoses was 0.574 for the transition from childhood to adulthood, 0.614 from childhood to adolescence, and 0.733 from adolescence to adulthood. Neurodevelopmental diagnoses had the highest stability. Factors associated with higher diagnostic stability included family history of mental disorders, receiving psychopharmacological treatment, and symptom severity at baseline. We found a variable diagnostic stability across different diagnoses and age categories. The different life transitions represent complex periods that should not be overlooked from a clinical standpoint. An appropriate transition from child and adolescent mental health services to adult mental health services may have a positive impact on children and adolescents with mental disorders.
(© 2023. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany.)
Databáze: MEDLINE
Externí odkaz: