Factors Contributing to the Utilization of Adult Mental Health Services in Children and Adolescents Diagnosed with Hyperkinetic Disorder
Objectives. To examine whether age of First diagnosis, gender, psychiatric comorbidity, and treatment modalities (pharmacotherapy or psychotherapy) at Child and Adolescent Mental Health Services (CAMHS) moderate the risk of Adult Mental Health Services (AMHS) utilization in patients diagnosed with h...
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| Format: | Article |
| Language: | English |
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Wiley
2012-01-01
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| Series: | The Scientific World Journal |
| Online Access: | http://dx.doi.org/10.1100/2012/451205 |
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| author | Hilario Blasco-Fontecilla Juan J. Carballo Rebeca Garcia-Nieto Jorge Lopez-Castroman Analucia A. Alegria Ignacio Basurte-Villamor Juncal Sevilla-Vicente Rocio Navarro-Jimenez Teresa Legido-Gil Consuelo Morant-Ginestar Miguel Angel Jimenez-Arriero Jeronimo Saiz-Ruiz Enrique Baca-Garcia |
| author_facet | Hilario Blasco-Fontecilla Juan J. Carballo Rebeca Garcia-Nieto Jorge Lopez-Castroman Analucia A. Alegria Ignacio Basurte-Villamor Juncal Sevilla-Vicente Rocio Navarro-Jimenez Teresa Legido-Gil Consuelo Morant-Ginestar Miguel Angel Jimenez-Arriero Jeronimo Saiz-Ruiz Enrique Baca-Garcia |
| author_sort | Hilario Blasco-Fontecilla |
| collection | DOAJ |
| description | Objectives. To examine whether age of First diagnosis, gender, psychiatric comorbidity, and treatment modalities (pharmacotherapy or psychotherapy) at Child and Adolescent Mental Health Services (CAMHS) moderate the risk of Adult Mental Health Services (AMHS) utilization in patients diagnosed with hyperkinetic disorder at CAMHS. Methods. Data were derived from the Madrid Psychiatric Cumulative Register Study. The target population comprised 32,183 patients who had 3 or more visits at CAMHS. Kaplan-Meier curves were used to assess survival data. A series of logistic regression analyses were performed to study the role of age of diagnosis, gender, psychiatric comorbidity, and treatment modalities. Results. 7.1% of patients presented with hyperkinetic disorder at CAMHS. Compared to preschool children, children and adolescents first diagnosed with hyperkinetic disorder at CAMHS were more likely to use AMHS. Female gender and comorbidity with affective disorders, schizophrenia, schizotypal and delusional disorders increased the risk of use of AMHS. Pharmacological or combined treatment of hyperkinetic disorder diagnosed at CAMHS was associated with increased risk of use at AMHS. Conclusions. Older age of first diagnosis, female gender, psychiatric comorbidity, and pharmacological treatment at CAMHS are markers of risk for the transition from CAMHS to AMHS in patients with hyperkinetic disorder diagnosed at CAMHS. |
| format | Article |
| id | doaj-art-8e22e7211f4b45ee8065f2256cc8978e |
| institution | Kabale University |
| issn | 1537-744X |
| language | English |
| publishDate | 2012-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | The Scientific World Journal |
| spelling | doaj-art-8e22e7211f4b45ee8065f2256cc8978e2025-02-03T01:11:35ZengWileyThe Scientific World Journal1537-744X2012-01-01201210.1100/2012/451205451205Factors Contributing to the Utilization of Adult Mental Health Services in Children and Adolescents Diagnosed with Hyperkinetic DisorderHilario Blasco-Fontecilla0Juan J. Carballo1Rebeca Garcia-Nieto2Jorge Lopez-Castroman3Analucia A. Alegria4Ignacio Basurte-Villamor5Juncal Sevilla-Vicente6Rocio Navarro-Jimenez7Teresa Legido-Gil8Consuelo Morant-Ginestar9Miguel Angel Jimenez-Arriero10Jeronimo Saiz-Ruiz11Enrique Baca-Garcia12Department of Psychiatry. IIS-Fundación Jiménez Díaz, Autonoma University, 28040 Madrid, SpainDepartment of Psychiatry. IIS-Fundación Jiménez Díaz, Autonoma University, 28040 Madrid, SpainDepartment of Psychiatry. IIS-Fundación Jiménez Díaz, Autonoma University, 28040 Madrid, SpainDepartment of Psychiatry. IIS-Fundación Jiménez Díaz, Autonoma University, 28040 Madrid, SpainCentro de Investigación Biomédica en Red (CIBERSAM), 28007 Madrid, SpainDepartment of Psychiatry. IIS-Fundación Jiménez Díaz, Autonoma University, 28040 Madrid, SpainDepartment of Psychiatry. IIS-Fundación Jiménez Díaz, Autonoma University, 28040 Madrid, SpainDepartment of Psychiatry. IIS-Fundación Jiménez Díaz, Autonoma University, 28040 Madrid, SpainDepartment of Psychiatry. IIS-Fundación Jiménez Díaz, Autonoma University, 28040 Madrid, SpainDepartment of Mental Health, Madrid Regional Health Council, 28013 Madrid, SpainCentro de Investigación Biomédica en Red (CIBERSAM), 28007 Madrid, SpainCentro de Investigación Biomédica en Red (CIBERSAM), 28007 Madrid, SpainDepartment of Psychiatry. IIS-Fundación Jiménez Díaz, Autonoma University, 28040 Madrid, SpainObjectives. To examine whether age of First diagnosis, gender, psychiatric comorbidity, and treatment modalities (pharmacotherapy or psychotherapy) at Child and Adolescent Mental Health Services (CAMHS) moderate the risk of Adult Mental Health Services (AMHS) utilization in patients diagnosed with hyperkinetic disorder at CAMHS. Methods. Data were derived from the Madrid Psychiatric Cumulative Register Study. The target population comprised 32,183 patients who had 3 or more visits at CAMHS. Kaplan-Meier curves were used to assess survival data. A series of logistic regression analyses were performed to study the role of age of diagnosis, gender, psychiatric comorbidity, and treatment modalities. Results. 7.1% of patients presented with hyperkinetic disorder at CAMHS. Compared to preschool children, children and adolescents first diagnosed with hyperkinetic disorder at CAMHS were more likely to use AMHS. Female gender and comorbidity with affective disorders, schizophrenia, schizotypal and delusional disorders increased the risk of use of AMHS. Pharmacological or combined treatment of hyperkinetic disorder diagnosed at CAMHS was associated with increased risk of use at AMHS. Conclusions. Older age of first diagnosis, female gender, psychiatric comorbidity, and pharmacological treatment at CAMHS are markers of risk for the transition from CAMHS to AMHS in patients with hyperkinetic disorder diagnosed at CAMHS.http://dx.doi.org/10.1100/2012/451205 |
| spellingShingle | Hilario Blasco-Fontecilla Juan J. Carballo Rebeca Garcia-Nieto Jorge Lopez-Castroman Analucia A. Alegria Ignacio Basurte-Villamor Juncal Sevilla-Vicente Rocio Navarro-Jimenez Teresa Legido-Gil Consuelo Morant-Ginestar Miguel Angel Jimenez-Arriero Jeronimo Saiz-Ruiz Enrique Baca-Garcia Factors Contributing to the Utilization of Adult Mental Health Services in Children and Adolescents Diagnosed with Hyperkinetic Disorder The Scientific World Journal |
| title | Factors Contributing to the Utilization of Adult Mental Health Services in Children and Adolescents Diagnosed with Hyperkinetic Disorder |
| title_full | Factors Contributing to the Utilization of Adult Mental Health Services in Children and Adolescents Diagnosed with Hyperkinetic Disorder |
| title_fullStr | Factors Contributing to the Utilization of Adult Mental Health Services in Children and Adolescents Diagnosed with Hyperkinetic Disorder |
| title_full_unstemmed | Factors Contributing to the Utilization of Adult Mental Health Services in Children and Adolescents Diagnosed with Hyperkinetic Disorder |
| title_short | Factors Contributing to the Utilization of Adult Mental Health Services in Children and Adolescents Diagnosed with Hyperkinetic Disorder |
| title_sort | factors contributing to the utilization of adult mental health services in children and adolescents diagnosed with hyperkinetic disorder |
| url | http://dx.doi.org/10.1100/2012/451205 |
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