Patterns of child and adolescent psychiatric disorders and associated factors in outpatients attending child psychiatry clinic: a hospital based study


  • Anisha P. Landge Department of Psychiatry, MGM Medical College, Kamothe, Navi Mumbai, Maharashtra, India
  • Darpan Kaur Department of Psychiatry, MGM Medical College, Kamothe, Navi Mumbai, Maharashtra, India
  • Rakesh P. Ghildiyal Department of Psychiatry, MGM Medical College, Kamothe, Navi Mumbai, Maharashtra, India



Child and adolescent psychiatric disorders, Referral patterns


Background: Childhood mental disorders are common and yet only a minority of children with mental health problems receive appropriate child mental health consultation. There is scarcity of literature on patterns of child and adolescent psychiatric disorders from developing countries like India.

Methods: It was a cross sectional survey on outpatients attending the Child and Adolescent psychiatry clinic, Department of Psychiatry, MGM Medical College, Navi Mumbai. Study sample consisted of all new child & adolescent cases attending the clinic and willing to give consent. Data was analysed for sex, residence, informant, socio-economic status, birth history, family history, medical co-morbidity, reason and source of referral, presence of stressors, psychiatric diagnosis etc using SPSS 20. Institutional Ethics clearance was obtained.

Results: Data analysis of n= 150 patients revealed mean age of 9.53 with SD of 3.84. Majority of the patients belonged to school going age group (59.3%), male sex (54.7%), living in urban areas (68.7%), belonging to middle class (56%) and accompanied by mother (54%). 28% had significant birth history while 18.7% had family history of psychiatric illness. 28.7% had co-morbid medical illness. The most common reason for referral was academic problems (24%) from the department of paediatrics (34%). The majority of the cases were diagnosed with ADHD (26%), mental retardation (13.3%), Learning disability (10.7%) followed by Autism (8.0%) & Depression (6.7%).

Conclusions:We conclude that there are distinct patterns of child and adolescent psychiatric disorders in our study. Further collaborative research in the arena of child and adolescent mental health is recommended.


Costello EJ, Mustillo S, Keller G, Angold A. Prevalence of psychiatric disorders in childhood and adolescence. In: Levin BL, Petrila J, Hennessy KD, eds. Mental Health Services: a Public Health Perspective, Second Edition. Oxford, UK: Oxford University Press; 2004:111-128.

Mrazek D. Psychiatric aspects of somatic disease and disorders. In: Child and Adolescent Psychiatry: Modern Approaches, Rutter M, Taylor E, Hersov L, editors. Blackwell Science, Oxford; 1994:697-710.

Campo JV, Fritsch SL. Somatization in children and adolescents. J Am Acad Child Adolesc Psychiatry. 1994;33:1223-5.

Chatterjee B. Pattanayak RD. Sagar R. Consultation- liaison in paediatric population J Mental Health Human Behaviour 2012;17(3):65-71.

Ford T. Practitioner review: how can epidemiology help us plan and deliver effective child and adolescent mental health services? J Child Psychol Psychiatry. 2008;49:900-14.

Green H, McGinnity A, Meltzer H, Ford TJ, Goodman R. Mental Health of Children and Young People, Great Britain 2004. Palgrave MacMillan, 2005.

Barnett K, Mercer SW, Norbury M, Watt G, Wyke S, Guthrie B. Epidemiology of multimorbidity and implications for health care, research, and medical education: a cross-sectional study. 2012;380:37-43.

Canino G, Alegria M. Psychiatric diagnosis-is it universal or relative to culture? J Child Psychol Psychiatry. 2008;49:237-50.

Lee J, Korczak D. Factors Associated with Parental Satisfaction with a Pediatric Crisis Clinic (PCC). Journal of the Canadian Academy of Child and Adolescent Psychiatry. 2014;23(2):118-27.

Hinrichs S, Owens M, Dunn V, Goodyer I. General practitioner experience and perception of Child and Adolescent Mental Health Services (CAMHS) care pathways: a multimethod research study. BMJ Open. 2012;2(6).

Costello EJ, Mustillo S, Erkanli A, Keeler G, Angold A. Prevalence and development of psychiatric disorders in childhood and adolescence. Arch Gen Psychiatry. 2003;60:837-44.

Costello EJ, Compton SN, Keeler G, Angold A. Relationships between poverty and psychopathology: a natural experiment. JAMA. 2003;290:2023-9.

Costello J, Egger H, Angold A. 10-year research update review: the epidemiology of child and adolescent psychiatric disorders: I. methods and public health burden. J Am Acad Child Adolesc Psychiatr. 2005;44:972-86.

Van Oort FV, van der Ende J, Wadsworth ME, Verhulst FC, Achenbach TM. Cross-national comparison of the link between socioeconomic status and emotional and behavioral problems in youths. Soc Psychiatry Psychiatr Epidemiol. 2011;46:167-72.

Steele M, Shapiro J, Davidson B, Floyd G, Johnston J, Stretch N, et al. Survey Comparing Criteria Used by Rural and Urban Primary Care Physicians for Referrals to Child and Adolescent Psychiatrists and Children’s Mental Health Agencies in Ontario. J Canadian Acad Child Adolesc Psychiatr. 2010;19(4):284-9.

Jozefiak T, Larsson B, Wichstrom L, Wallander J, Mattejat F. Quality of Life as reported by children and parents: a comparison between students and child psychiatric outpatients. Health and Quality of Life Outcomes. 2010;8:136.

Petresco S, Anselmi L, Santos IS, Barros AJD, Fleitlich-Bilyk B, Barros FC, et al. Prevalence and comorbidity of psychiatric disorders among 6-year-old children: 2004 Pelotas Birth Cohort. Soc Psychiatr Psychiatric Epidemiol. 2014;49(6):975-83.

Loeber R, Burke JD, Lahey BB, Winters A, Zera M. Oppositional defiant and conduct disorder: a review of the past 10 years, part I. J Am Acad Child Adolesc Psychiatr. 2000;39:1468-84.

Angold A, Erkanli A, Farmer EM. Psychiatric disorder, impairment, and service use in rural African American and white youth. Arch Gen Psychiatr. 2002;59:893-901.

Roberts RE, Roberts CR, Xing Y. Rates of DSM-IV psychiatric disorders among adolescents in a large metropolitan area. J Psychiatr Res. 2007;41:959-67.

Qu Y, Jiang H, Zhang N, Wang D, Guo, L. Prevalence of Mental Disorders in 6–16-Year-Old Students in Sichuan Province, China. International J Environment Res Public Health. 2015;12(5):5090-107.

Guan BQ, Luo XR, Deng YL, Wei Z, Ye HS, Yuan XH, et al. Prevalence of psychiatric disorders in primary and middle school students in Hunan province. Zhongguo Dang Dai Er Ke Za Zhi. 2010;12:123-7.

Alyahria GR. The prevalence of DSM-IV psychiatric disorders among 7–10 year old Yemeni school children. Soc. Psychiat Epidemol. 2008;43:224-30.






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