Mental Disorder Spectrum in Children and Adolescents from 2014-2022:A Nine-year Epidemiological and Clinical Trend  

作　　者：Xin-yi Ren Qi Jiang Hui Chen Jun Tang 

机构地区：[1]Department of Psychiatry,Wuhan Mental Health Center,Wuhan,430012,China [2]Children and Adolescents Psychological Ward,Wuhan Hospital for Psychotherapy,Wuhan,430012,China [3]Affiliated Wuhan Mental Health Center,Tongji Medical College,Huazhong University of Science and Technology,Wuhan,430012,China [4]Department of Maternal and Child Health,Ministry of Education(MOE)Key Lab of Environment and Health,School of Public Health,Tongji Medical College,Huazhong University of Science and Technology,Wuhan,430030,China

出　　处：《Current Medical Science》2025年第1期146-153,共8页当代医学科学(英文)

摘　　要：Objective This study aimed to analyse the trend of the mental disorder spectrum in children and adolescents from 2014 to 2022 in one city in Central China and to provide actionable recommendations for the prevention and management of mental disorders.Methods In this hospital-based retrospective study,we utilized child and adolescent medical records data from the Wuhan Mental Health Center from January 2014 to December 2022 and examined the top 5 mental disorders(schizophrenia,depressive episode,bipolar disorder,pervasive developmental disorder,and unspecified mood disorder)that accounted for the overall proportion of patients admitted.The rank and proportion of these mental disorders,demographic characteristics and disease indicators were analysed.Results There was a significant upwards trend in the number of children and adolescents diagnosed with mental disorders over the past 9 years,with a sharp decline in 2020 due to the COVID-19 pandemic,followed by a rebound in 2021 and a sustained level above prepandemic figures by 2022.The average age of hospitalization decreased significantly from 20.7 to 16.2 years,with a marked increase in the 12-17-year-old age group.The proportion of female hospitalizations increased from 39.2%to 55.2%,with a corresponding decrease in male hospitalizations.There was a notable decrease in the proportion of schizophrenia cases and an ascent of depressive episode to the most prevalent position.Conclusion This study emphasizes the critical need for targeted interventions and resources for severe mental disorders in children and adolescents and the importance of early detection and management of mental disorders to mitigate long-term effects on well-being and development.

关 键 词：Mental disorders Adolescents Children HOSPITALIZATION 

分 类 号：R749[医药卫生—神经病学与精神病学]