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Clinical profile of mood disorders in children
Rajesh Sagar1, Raman Deep Pattanayak, Manju Mehta
1Department of Psychiatry, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, India. rajeshsagar@rediffmail.com
Insights
Pediatric mood disorders affect 4.1% of children, presenting with depression, irritability, and anxiety. Further research is needed, particularly in the Indian context.
Area of Science:
- Child and Adolescent Psychiatry
- Clinical Psychology
- Developmental Pediatrics
Background:
- Mood disorders in children and adolescents represent a significant clinical challenge.
- Understanding the unique clinical presentation in pediatric populations is crucial for effective diagnosis and treatment.
- Existing research often lacks specific data from diverse geographical settings like India.
Purpose of the Study:
- To delineate the clinical profile of pediatric mood disorders.
- To identify common symptoms, comorbidities, and risk factors in this population.
- To provide insights into the presentation of mood disorders in a tertiary care setting in India.
Main Methods:
- Retrospective record review of patients aged 16 years or younger.
- Inclusion criteria: DSM-IV diagnosis of Mood disorders.
- Data collected from a tertiary care hospital between June 2008 and May 2010.
Main Results:
- Prevalence of pediatric mood disorders was 4.1% (38/930).
- Depressed mood (51.9%) and irritability (33.3%) were common, alongside anhedonia, sleep/appetite disturbances, concentration difficulties, and anxiety.
- 13.2% reported suicidal ideation, 28.5% had comorbid psychiatric disorders, 39.5% had a positive family history, and 50% had identifiable stressors.
Conclusions:
- Pediatric mood disorders exhibit a distinct clinical presentation.
- The findings highlight the need for further research into pediatric mood disorders, especially within the Indian healthcare landscape.
- Early identification and intervention strategies tailored to the unique profile are warranted.
Objective:
To described the clinical profile of pediatric mood disorders.
Design:
Retrospective record review; Ages ≤ 16 y.
Setting:
Tertiary case hospital.
Participants:
Children ≤ 16 year with a DSM-IV diagnosis of Mood disorders.
Methods:
Records were screened for the period between June 1, 2008 and May 31, 2010.
Results:
The prevalence of mood disorders was 4.1% (38/930). Mood was depressed in 51.9% and irritable in 33.3% of depressive disorders. Other common symptoms were anhedonia, sleep or appetite disturbances, concentration difficulty and anxiety. Nearly 13.2% had suicidal ideation and 28.5% had comorbid psychiatric disorder. Family history was positive in 39.5%, while an identifiable stressor was present in 50%.
Conclusions:
The pediatric mood disorders have a unique clinical presentation and requires more research, especially from Indian setting.
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