Características demográficas, clínicas y del uso de recursos hospitalarios de los pacientes pediátricos con trastorno de síntomas somáticos y trastornos relacionados, hospitalizados en un centro de referencia de Medellín

Q3 Medicine

Revista Colombiana de Psiquiatria Pub Date : 2024-10-01 DOI:10.1016/j.rcp.2022.09.005

Diana Judith Beltrán , Juan Pablo Zapata-Ospina , Paula Andrea Duque

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引用次数: 0

Abstract

Background

Somatic symptom and related disorders (SSRD) constitute a clinical challenge in pediatric psychiatry due to the difficulties in their conceptualization, the complexity of their clinical presentation, which also depends on the cultural context, repeated consultations to health services and the predominance of studies in adults.

Objective

To describe the characteristics of the pediatric inpatients with SSRD in a reference hospital.

Design and methods

Descriptive cross-sectional study of demographic, clinical variables, and the use of institutional resources, based on the review of medical records of hospitalized patients under 18 years of age with a diagnosis of SSRD evaluated by psychiatry or pediatric psychiatry between 2018 and 2021 at reference pediatric hospital in Medellín, Colombia.

Results

The clinical records of 83 patients were included. Most patients were female (72%), with a median age of 12 years, anxiety and depression were the most frequent comorbidities (83% and 75%) and also the most frequent disorders in mothers (25% and 26%). The frequency of exposure to stressors in the family setting anytime in life, was high (83%) and required the involvement of multiple medical specialties and therapeutic supports, and the use of varied diagnostic aids.

Conclusions

Pediatric patients hospitalized with SSRD are generally female adolescents with depression or anxiety, surrounded by adverse family and social contexts that require interdisciplinary care from a comprehensive biopsychosocial model.

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麦德林参考中心住院的有躯体症状障碍和相关疾病的儿科患者的人口统计、临床和医院资源使用特征

躯体症状及相关疾病（SSRD）是儿科精神病学的一个临床挑战，因为其概念化困难，临床表现的复杂性，这也取决于文化背景，对卫生服务的反复咨询以及在成人研究中的优势。目的了解某参比医院小儿SSRD住院患者的特点。设计和方法：人口统计学、临床变量和机构资源使用的描述性横断面研究，基于对哥伦比亚Medellín参考儿科医院2018年至2021年间经精神病学或儿科精神病学评估诊断为SSRD的18岁以下住院患者的医疗记录的回顾。结果纳入83例患者的临床记录。大多数患者为女性（72%），中位年龄为12岁，焦虑和抑郁是最常见的合并症（83%和75%），也是母亲中最常见的疾病（25%和26%）。在生活的任何时候，在家庭环境中暴露于压力源的频率很高（83%），需要多种医学专业的参与和治疗支持，并使用各种诊断辅助工具。结论SSRD住院的儿科患者多为患有抑郁或焦虑的女性青少年，周围存在不良的家庭和社会环境，需要综合的生物心理社会模式的跨学科护理。

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来源期刊

Revista Colombiana de Psiquiatria Medicine-Psychiatry and Mental Health

CiteScore

2.50

自引率

0.00%

发文量

期刊介绍： Revista Colombiana de Psiquiatría (RCP) is a quarterly official publication of Colombian Psychiatry Association (March, June, September and December) and its purpose is to spread different the knowledge models that currently constitute the theoretical and practical body of our specialty. Psychiatrists, psychiatric residents, non psychiatric physicians, psychologists, philosophers or other health professionals or persons interested in this area can take part in the magazine. This journal publishes original works, revision or updating articles, case reports of all psychiatry and mental health areas, epistemology, mind philosophy, bioethics and also articles about methodology of investigation and critical reading.