| Abstract | Analiza poremećaja i dijagnostičkih odrednica na bolničkom liječenju na Zavodu za dječju i adolescentnu psihijatriju u razdoblju od 1988. do 2018. godine Cilj istraživanja: Cilj istraživanja je ispitati razlike u pojavnosti mentalnih poremećaja na Zavodu za dječju i adolescentnu psihijatriju u zadnjih 30 godina, odnosno u razdoblju od 1988. do 2018. godine, s obzirom na spol i vremenske razmake od po 10 godina. Nacrt studije: Istraživanje je provedeno kao presječna studija. Provedeno je za 5324 bolesnika. Ispitanici i metode: Sva djeca liječena na Zavodu za dječju i adolescentnu psihijatriju u razdoblju od 1988. do 2008. godine. Podaci o pacijentima prikupljeni su iz arhivske dokumentacije, radi se o 5324 bolesnika, od kojih je 2674 bilo muškog spola i 2677 ženskog spola. Parametri koji su bili analizirani su: spol, dijagnoza, godina hospitalizacije. Rezultati: Najčešća dijagnoza je poremećaj ponašanja, zatim poremećaj u emocijama. Poremećaji ponašanja, noćno mokrenje, ADHD, tikovi i hiperkinetički sindrom su češći kod bolesnika muškog spola. Adolescentna kriza, neurotske smetnje, pokušaj suicida lijekovima, anksiozna stanja, poremećaji hranjenja, poremećaji u emocijam, bipolarni poremećaj, samoozljeđivanje, anksiozna stanja su češći kod bolesnika ženskog spola. Reaktivno depresivno stanje, samoozljeđivanje, retardatio mentalis, poremećaj reakcije prilagođavanja, opsesivno kompulzivni poremećaj, anksioozno stanje, poremećaji hranjenja, bipolarni poremećaj, ADHD su dijagnoze u porastu. Psihogeni napadi, neuspjeh u školi, trihotolomia, encopresis, pavor nocturna, tikovi, neurotske smetnje, adolescentna kriza, enuresis nocturna su dijagnoze u padu. Zaključak: Utvrđuje se značajan porast, odnosno pad korištenja određenih dijagnoza, ali ostaje nejasno radi li se o zastarjeloj terminologiji, boljim razumijevanjem poremećaja ili dolazi do stvarnog porasta, odnosno pada specifičnih poremećaja. |
| Abstract (english) | Analaysis of disorders and diagnosis of hospital treatment in Unit of child and adolescent psychiatry in period from 1988.-2018. Objectives: The aim of the study was to examine differences in the occurrence of mental disorders at the Institute for Pediatric and Adolsecent Psychiatry in the last 30 years, in the period from 1988 to 2018, with regard to gender and time span of 10 years. Study design: The study was conducted as a cross- sectional study. It included 5324 patients. Participants and methods: All children treated at the Institute for Pediatric and Adolsecent Psychiatry in the period from 1988 to 2018. Patient data was collected from the archive documentation, 5324 patients were processed, of which 2674 were male and 2677 were female. Parameters that were analyzed were gender, diagnosis, year of hospitalization. Results: The most common diagnosis is behavioral disorder then emotional disturbance. Behavioral disorders, nocturnal enuresis, ADHD, tickling and hyperkinetic syndrome are much more common with male patients. An adolescent crisis, neurotic disorders, drug suicidal attempts, anxiety, eating disorders, emotional disturbances , bipolar disorder, self-injuri, anxiety are much more common with female patients. Reactive depression, self-injury, retardatio mentalis, adaptive response disorder, obsessive compulsive disorder, anxiety, eating disorders, bipolar disorder, ADHD are diagnoses with incresing frequency. Psychogenic attacks, school failure, trihotolomy, psychosis infantilis, encopresis, pavor nocturnus, tickling, neurotic disorders, adolescent crisis, cephalea neurotic, enuresis nocturna are decreasing diagnoses. Conclusion: There is a significant increase or decline in the use of certain diagnoses, but it remains unclear whether it is outdated terminology, a better understanding of the disorder or there is a real increase or decline in specific disorders. |
