Abstract
Background: Mental health and its related problems are growing concerns over the world. The early onset of emotional and behavioral problem in the young children is related to a variety of health and behavior problems in adolescence. It is a challenging all over the world to determine the epidemiology of childhood mental disorders. Objective: The aim of this study is to sort out the prevalence and predominance of mental illness and their onset of age and sex among the child and adolescent who attended in the child guidance clinic in TUTH. Methodology: A retrospective study of a total of 539 consecutive cases of child and adolescent attended in Child Guidance Clinic TUTH. Diagnosis was made according to the criteria of Diagnostic and Statistical Manual of Mental Disorders, 4th edition, Text Revision. Result: The cases from the age of 0.4 year to 21 years with mean age 8.85±4.08 years. Significantly majority were boys (n=343, 63.6%) and most of from out of the Kathmandu valley (n=300, 53.2%). Significantly most case referred from ENT OPD of TUTH (n=97, 18%) and mental retardation was the commonest (n=81, 15%) followed by conversion disorder (n=77, 14.3%) and anxiety spectrum disorder (n=63, 11.7%) Conclusion: Boys are common in mental illness among child and adolescents. The common diagnoses among child and adolescent are mental retardation, conversion disorder, anxiety spectrum disorders and Autism spectrum disorder. Journal of Nobel Medical College Vol. 2, No.1 Issue 3 Nov.-April 2013 Page 55-63 DOI: http://dx.doi.org/10.3126/jonmc.v2i1.7677
Highlights
Mental health in child and adolescent is an essential component of overall health and its importance is being recognized
Many studies have shown increasing a large number of young people being disabled from mental illness in the worldwide
The World Health Organization (WHO) reported that 20% of children and adolescents suffer from different types of mental illness Journal of Nobel Medical College Vol 2, No.[1], Issue 3
Summary
Mental health in child and adolescent is an essential component of overall health and its importance is being recognized. Many studies have shown increasing a large number of young people being disabled from mental illness in the worldwide. Adolescents has risen from 10 000 in studies published between 1980 and 1993 to nearly 40 00p0 from 21 studies published between 1993 and 2002 The results of these studies indicate that about one out of every three to four youths is estimated to meet lifetime criteria for a Diagnostic and Statistical Manual of Mental Disorders (DSM). Worldwide 3 and, suicide is supposed as major cause of death among adolescents up to 50% of all adult mental disorders have their onset in adolescence.[4] the U.S Department of Health and Human Services' (DHHS') report estimated that at least one in five (20%) children and adolescents has a mental health disorder at some point in their life from childhood to adolescence and at least one in 10 (10%), or about 6 million people, has a serious emotional disturbance at some point in their life.
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