Novel Insights into Somatic Comorbidities in Children and Adolescents Across Psychiatric Diagnoses: An Explorative Study.

Autor: Muskens JB; Karakter Child and Adolescent Psychiatry University Centre Nijmegen, Nijmegen, The Netherlands. j.muskens@karakter.com.; Department of Psychiatry, Radboud University Medical Centre, Nijmegen, The Netherlands. j.muskens@karakter.com.; Department of Cognitive Neuroscience, Donders Institute for Brain, Cognition and Behaviour, Radboudumc, Nijmegen, The Netherlands. j.muskens@karakter.com., Ester WA; Sarr Autism Rotterdam, Youz Child and Adolescence Psychiatry, Dynamostraat 18, Rotterdam, 3083 AK, The Netherlands.; Parnassia Psychiatric Institute, Kiwistraat 30, The Hague, 2552 DH, The Netherlands.; Department of Child and Adolescent Psychiatry, Curium-LUMC, Leiden University Medical Center, Endegeesterstraatweg 27, Oegstgeest, 2342 AK, The Netherlands., Klip H; Karakter Child and Adolescent Psychiatry University Centre Nijmegen, Nijmegen, The Netherlands., Zinkstok J; Karakter Child and Adolescent Psychiatry University Centre Nijmegen, Nijmegen, The Netherlands.; Department of Psychiatry, Radboud University Medical Centre, Nijmegen, The Netherlands.; Department of Psychiatry, University Medical Center Utrecht, Utrecht, The Netherlands., van Dongen-Boomsma M; Karakter Child and Adolescent Psychiatry University Centre Nijmegen, Nijmegen, The Netherlands.; Department of Psychiatry, Radboud University Medical Centre, Nijmegen, The Netherlands., Staal WG; Karakter Child and Adolescent Psychiatry University Centre Nijmegen, Nijmegen, The Netherlands.; Department of Psychiatry, Radboud University Medical Centre, Nijmegen, The Netherlands.; Department of Cognitive Neuroscience, Donders Institute for Brain, Cognition and Behaviour, Radboudumc, Nijmegen, The Netherlands.; Leiden Institute for Brain and Cognition, Leiden, The Netherlands.
Jazyk: angličtina
Zdroj: Child psychiatry and human development [Child Psychiatry Hum Dev] 2023 Sep 01. Date of Electronic Publication: 2023 Sep 01.
DOI: 10.1007/s10578-023-01587-w
Abstrakt: Many children with psychiatric disorders display somatic symptoms, although these are frequently overlooked. As somatic morbidity early in life negatively influences long-term outcomes, it is relevant to assess comorbidity. However, studies of simultaneous psychiatric and somatic assessment in children are lacking. The aim of this study was to assess the prevalence of somatic comorbidities in a clinical sample of children and adolescents with psychiatric disorders in a naturalistic design. Data were assessed from 276 children with various psychiatric disorders (neurodevelopmental disorders, affective disorders, eating disorders and psychosis) aged 6-18 years. These data were collected as part of routine clinical assessment, including physical examination and retrospectively analyzed. For a subsample (n = 97), blood testing on vitamin D3, lipid spectrum, glucose and prolactin was available. Results of this cross-sectional study revealed that food intake problems (43%) and insomnia (66%) were common. On physical examination, 20% of the children were overweight, 12% displayed obesity and 38% had minor physical anomalies. Blood testing (n = 97) highlighted vitamin D3 deficiency (< 50 nmol/L) in 73% of the children. None of the predefined variables (gender, age, medication and socioeconomic factors) contributed significantly to the prevalence of somatic comorbidities. The main somatic comorbidities in this broad child- and adolescent psychiatric population consisted of (1) problems associated with food intake, including obesity and vitamin D3 deficiency and (2) sleeping problems, mainly insomnia. Child and adolescent psychiatrists need to be aware of potential somatic comorbidities and may promote a healthy lifestyle.
(© 2023. The Author(s).)
Databáze: MEDLINE
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