Original Research Article
Year: 2019 | Month: October-December | Volume: 4 | Issue: 4 | Pages: 31-38
Morbidity Pattern among Patients Admitted In Child and Adolescent Psychiatric Ward in a Tertiary Care Hospital of Odisha in Eastern India
Debasish Mahanta1, Mihir Ranjan Nayak2, Jyosil Kumar Bhol3, Manaswini Dash4
1Post graduate trainee in Psychiatry, MHI (CoE) SCB MCH, Cuttack, Odisha, India.
2Associate professor, Department of Psychiatry, MHI (CoE) SCB MCH, Cuttack, Odisha, India.
3PG in Clinical Psychology, U.N. (Auto) College of Sc. & Tech., Adaspur, Cuttack.
4Assistant professor, Department of Psychology, JKBK Govt. College, Cuttack, Odisha, India.
Corresponding Author: Mihir Ranjan Nayak
ABSTRACT
Introduction: Most of the psychiatric diseases have origin in childhood and adolescent. Early detection and prompt management tremendously improve disease remission and prognosis. Understanding about psychiatric morbidity pattern is necessary for intervention and utilization of the available health care resources, proper planning and policy making for providing better health care to the child and adolescent patients.
Objective: This study aims to know the morbidity pattern of different psychiatric disease among child and adolescent patients admitted in psychiatric ward in a tertiary care hospital, Mental Health Institute.
Methodology: Among 121 child and adolescent patients, 66 males and 55 females admitted during the period of 7 months in psychiatric ward were taken into study. It is a hospital based cross-sectional study. Patients were chosen on the basis of inclusion and exclusion criteria. Informed consent was taken from patients and caregiver. Final diagnosis was made according to Diagnostic Criteria for Research ICD-10. The data were entered into excel sheet, cleaned, both descriptive and chi-square done using the statistical package for social science (SPSS) version 20.
Result: Majority of the cases were in between the age of 14-19 (79.3%) years. Most of the patients belongs to Hindu religion (98.3%). Most common psychiatric diagnosis encountered were belongs to ICD-10 group F20- F29 (schizophrenia, schizotypal and delusional disorder), F70- F79 (mental retardation), F40- F48 (neurotic, stress-related and somatoform disorder) followed by others. There were no cases admitted from group F50- F59 (behavioural syndrome associated with physiological disturbance and physical factor). Rare case like Wilson disease, De- la Tourette syndrome, Tuberous sclerosis, Down syndrome and factitious disorder were also admitted.
Conclusion: Child and adolescent differ from adult in symptomatology, morbidity profile and prognosis. Child and adolescent are very vulnerable to various disabling chronic psychiatric disease, they need early diagnosis and prompt treatment. We can prevent various disabling sever psychiatric illness by intervening at earlier stage. This enlight a special attention to child and adolescent psychiatric patients.
Key words: Psychiatric morbidity, child and adolescent, psychiatric ward.