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Depressive symptoms in children after tonsillectomy.

K Papakostas1, D Moraitis, J Lancaster

  • 1Department of Pediatric Otolaryngology, Royal Liverpool Children's Hospital, Alder Hey, Liverpool, UK.

International Journal of Pediatric Otorhinolaryngology
|March 8, 2003
PubMed
Summary

Post-tonsillectomy depression in children is more common than previously thought, affecting 17% of patients. While symptoms usually resolve spontaneously, psychological preparation is recommended.

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Area of Science:

  • Pediatric Otolaryngology
  • Child Psychology
  • Surgical Outcomes

Background:

  • Severe depression cases post-tonsillectomy suggest psychological trauma.
  • The prevalence of depressive symptoms after pediatric tonsillectomy is not well-established.

Purpose of the Study:

  • To quantify the prevalence of depressive symptoms in children following tonsillectomy.
  • To utilize current diagnostic methods for assessing post-tonsillectomy depression.

Main Methods:

  • Prospective study of 159 children undergoing tonsillectomy at a Pediatric University Hospital.
  • Postoperative questionnaires based on International Classification of Diseases, 10th Revision (ICD-10) criteria for depression.
  • Telephone interviews for confirmed depressive episodes at 3 months post-operation.

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Main Results:

  • 17% (15 of 89 returned questionnaires) of children aged 4-16 developed depressive symptomatology.
  • This prevalence is higher than the general child population (4%) and other pediatric hospital populations (10-20%).
  • No persistent depressive symptoms were observed at the 3-month follow-up.

Conclusions:

  • Post-tonsillectomy morbidity can include depressive symptoms that typically resolve spontaneously.
  • Otolaryngologists, nurses, and physicians need high suspicion for early diagnosis of persistent cases.
  • Structured preoperative psychological preparation for pediatric patients is emphasized.