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ANXIETY AND DEPRESSION DISORDER IN CHILDREN WITH SOMATIC PATHOLOGY

Аuthors: D. S. Riabokon, N. O. Riabokon

Pages: 761–767

Abstract

         

Depression, anxiety and combined anxiety and depression disorder are urgent problems of modern clinical and social psychiatry.

According to the present estimation risk of developing a depression, anxiety or anxiety and depression disorder during a lifetime averages 15–20 %.

The frequency of depression in pediatric population varies widely from 0.4–0.7 to 40%. Closer to adolescence the prevalence of depression reaches 30%, and the average age of its occurrence is close to 9 (years).

The aim of this study was to determine the prevalence of anxiety and depression disorders among the patients of somatic departments of Sumy Regional Children's Clinical Hospital, to study the features of psycho-emotional sphere of pediatric patients with anxiety and depression disorders.

Materials and Methods: 547 children aged 6–14 years who were treated in somatic departments have been examined, 114 children from psycho-neurological department of Sumy Regional Children's Clinical Hospital, as well as 997 children who consulted a child psychiatrist in the outpatient department of Sumy Regional Clinical Psycho-Neurological Health Centre.

Anxiety and depression disorder was diagnosed according to the criteria of ICD-10 and DSM-V. Clinical and psychopathological, somatoneurological, pathopsychological methods (depression assessment scale CDRS-R, the scale of reactive and personal anxiety by Spielberger – Khanin) have been used, as well as socio-psychological interviewing and questionnaires.

52.7 % of all the children with somatic pathology examined have anxiety and depression disorder. The study has proven that 100% of parents of children with anxiety and depression disorder did not pay attention to the high anxiety state and depressive symptoms of their child. It was found that moderate and high anxiety levels and depression affected the current functional somatic disease of the child, as well as the level of psychosocial adaptation.

Wide interaction between psychiatrists and specialists of general practice is of current interest nowadays. While providing a specialized care for children with somatic diseases it is necessary to pay attention to the identification of clinical forms of anxiety and depression to solve the problem not only of the resource of required psychological help, but also of primary and secondary prevention of anxiety and depression disorder.

Keywords: anxiety, depression, frequency, children, somatic diseases.

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References

  1. Mіzhnarodna klasifіkatsіya hvorob-10. Retrieved from: https://uk.wikipedia.org/wiki/МКХ-10:_ Klas_V._Rozladi_psihіki_ta_ povedіnki.
  2. Avedisova AS. Depressiya + trivoga. Diagnostika i lechenie [Depression + anxiety. Diagnosis and treatment]. State, et Research Center for Forensic Psychiatry. VP Catullus. - M. [B. et], 2009. -. State Research Center for Social and Forensic Psychiatry. VP Serbian. – М Publ. 2009. – 32 p.
  3. Eapen Valsamma. [Strategies and challenges in the management of adolescent depression]. Current Opinion in Psychiatry. 2012; 25(1): 7-13.
  4. Ulev AV. [Problems of growth of depressive disorders in terms of socio-economic instability and ways to minimize them]. Managing social and economic systems. 2009;1:1–21.
  5. Maruta NA. [Modern problems of comorbid disorders in psychiatry: a view of experts]. Ukrainian Medical Journal. 2013, pp. 1–4. Retrieved from: www.umj.com.ua
  6. Allgulander C. [Morbid anxiety as a risk factor in patients with somatic diseases: a review of recent findings]. Mind Brain J. Psychiatry. 2010;1:11-19.
  7. Martsenkovsky IA. [Somatic symptoms of depression: a look through the prism of specialized psychiatric and general medical practice]. NeuroNEWS. 2008; (3/1).
  8. Mikhaylova EA., Proskurina TYu., Bagatskaya NV. [et al.] [Depression in adolescents (age-clinical, neurocognitive, genetic aspects)]. Ukrainian Journal psychoneurology. 2015;23(2(83)):75-78.
  9. Kopeiko GI. [Mixed affective states in adolescence (the historical aspect, the present state of the problem, psychopathology)]. Journal of Neurology and Psychiatry. SS Korsakoff's. 2011;10:4–11.
  10. Vein AM. Vegetativnie rasstroistva. Clinica, diagnostica, lechenie. [Autonomic dysfunction. Clinic, diagnostics, treatment]. М.: MIA Publ., 2003. 752 p.
  11. Zavadenko NN, Nesterovskiy YuE. [Clinical manifestations and treatment of autonomic dysfunction syndrome in children and adolescents]. Pediatrics. 2012;91(2):92–101.
  12. Mikhailov BV. [The problem of estimation of efficiency and quality of the provision of psychotherapeutic care]. Ukrainian Journal psychoneurology. 2010;18(3(64)):137-138.