Psychiatric comorbidity and demographic characteristics of children and adolescents with anxiety disorders


Akıncı M. A., Uzun N.

30. Ulusal Çocuk ve Ergen Ruh Sağlığı ve Hastalıkları Kongresi, 20 - 22 Mayıs 2021, ss.216

  • Yayın Türü: Bildiri / Özet Bildiri
  • Sayfa Sayıları: ss.216
  • Atatürk Üniversitesi Adresli: Evet

Özet

Background and Objective: Anxiety disorders are one of the most common psychiatric disorders among children and adolescents. Lifetime frequency of any anxiety disorders is up to 30%. In children and adolescents, anxiety disorders occurs more frequently in females than males. In childhood, specific phobia and separation anxiety disorder are more common than other anxiety disordes subtypes such as generalized anxiety disorder, panic disorder and agoraphobia which are more common during adolescence. Anxiety disorders in children and adolescents are highly associated with other psychiatric disorders. The objective of this study was to examine the prevalence of comorbid psychiatric disorders in children and adolescents with anxiety disorders in a children’s hospital and to assess the distribution of comorbidities according to sociodemographic features. Methods: Medical records of patients who applied to the outpatient child and adolescent psychiatry outpatient clinic of Dr. Ali Kemal Belviranlı Women’s Maternity and Children’s Hospital and who were diagnosed with any anxiety disorders in the past year were reviewed retrospectively. Gender, age, subtype of anxiety disorders, comorbid psychiatric disorders and medical history of participant were analyzed. Results: At least one anxiety disorder was diagnosed in 538 patients. 61.5% (n:331) of these cases were girl and 38.5% (n:207) were boy. The most common anxiety disorders subtype were not otherwise specified-anxiety disorder (NOS-AD) (33.8%; n = 182), generalized anxiety disorder (GAD; 21.3%; n = 115) and social anxiety disorder (SAD; 16.3%; n = 88) respectively. 49.6% (n:267) of the participants had at least one comorbid psychiatric disorders . The most common comorbid psychiatric disorders were ADHD (29.5%; n = 79), another anxiety disorder (22.8%; n = 61) and depressive disorder (22%; n = 59) respectively. Conclusions: In our study gender differences in anxiety disorders were in accordance with the literature. In our study, NOS-AD was the most common subtype of anxiety disorder like several studies in children and adolescents. It is known that anxiety disorders are frequently comorbid with depression and other anxiety disorders. However, it should be remembered that ADHD will often comorbid with anxiety disorders in children and adolescents.

ANAHTAR KELİMELER: anxiety disorders, children, adolescent, comorbidty