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Abstract:

Abstract Objectives To determine the prevalence of psychiatric disorders in primary care pediatrics in Atlantic Galicia . Methods An observational , descriptive , cross - sectional prevalence study was carried out in 9 outpatient clinics in A Coruña and Pontevedra with a population of 8293 children between September and November 2015 . A total of 1286 randomly selected patients from 0 to 14 years of age were included . From the medical history was registered : age , sex , psychiatric diagnosis established by DSM - IV - TR criteria in its five axes , professionals who participated in the diagnosis and treatment of the process and what type of treatment was received . Authorization was obtained from the Research Ethics Committee of Galicia number 2015/427 . Results 148 of 1286 patients presented psychiatric pathology ( 11 , 5% IC 95% 9 .73 - 13 , 29 ) , 68% male . Between 0 and 5 years , the prevalence was 4 .5% ; between 6 y and 10y , 18 .5% and between 11y and 14y 22% . Symptoms lasted a median of 25 months . The most frequent pathologies in 1286 patients were ADHD ( 5 .36% ) , language disorders ( 3 .42% ) , learning disorders ( 3 .26% ) , anxiety - depressive disorders ( 2 .4% ) and behavior disorders ( 1 .87% ) . Of the 148 cases , 47% had comorbidity with another mental disorder . Most of them required attention by multiple social , health and educational professionals ; 33% received psychopharmacological treatment . Conclusions The prevalence of psychiatric disorders in pediatric primary care is frequent , chronic and complex , increases with age and requires many health , educational and social resources .
psychiatric disorders
language disorders
learning disorders
behavior disorders
mental disorder
psychiatric disorders