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Psychiatric comorbidity in children with psychogenic and functional breathing disorders

Abdurrahman C Orengul1, Erdem Ertaş1, Feyza Ustabas Kahraman2

  • 1Department of Child and Adolescent Psychiatry, Bezmialem Vakıf University, Istanbul, Turkey.

Pediatric Pulmonology
|November 12, 2019
PubMed

Insights

Psychiatric diagnoses are common in children with psychogenic and functional breathing disorders (PFBD). A significant portion of these children have conditions like ADHD and tic disorders, highlighting the need for integrated care.

Area of Science:

  • Pediatric Psychiatry
  • Child Psychology
  • Respiratory Medicine

Background:

  • Psychogenic and functional breathing disorders (PFBD) encompass conditions such as psychogenic cough, throat-clearing tics, and sighing dyspnea in children.
  • These disorders can significantly impact a child's quality of life and daily functioning.

Purpose of the Study:

  • To investigate the prevalence of psychiatric diagnoses in children diagnosed with PFBD.
  • To compare the psychiatric profiles of children with PFBD to a control group without chronic medical conditions.

Main Methods:

  • A cohort of 52 children with PFBD and 42 healthy controls were recruited.
  • Psychiatric diagnoses were systematically assessed using semistructured interviews for all participants.

Main Results:

  • Children with PFBD showed a significantly higher rate of psychiatric diagnoses (55.8%) compared to controls (28.6%).
  • Common diagnoses in the PFBD group included attention deficit hyperactivity disorder (ADHD), tic disorders, and specific phobia.
  • Over half of the children with PFBD exhibited clinical characteristics of tic disorders.

Conclusions:

  • Psychiatric comorbidities are prevalent in children experiencing PFBD.
  • Collaborative approaches involving child psychiatrists are crucial for effective management of pediatric PFBD.
Abstract

Keywords:
clinical trialsepidemiologyevidence-based medicine and outcomes

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