奈良医大精神科外来における児童および思春期の患者の現況

Abstract

Statistical research was conducted on the out-patients who were under 18 years of age at their first visit to the psychiatric clinic at Nara Medical University Hospital from April 1982 to March 1983 and from April 1987 to March 1988. We adapted DSM-Ⅲ-R criteria to all patients and compared with classical diagnosis. The results are as follows. 1. 104 out-patients (55 male, 49 female) were seen from April 1982 to March 1983, and 121 out-patients (59 male, 62 female) were seen from April 1987 to March 1988. 2. About 20% of the patients visited the Departement of Psychiatry through the referral from the Departments of Pediatics and Internal Medicine in Nara Medical University. But there were few refferals from schools or children's consulting centers 3. The number of cases of Neurosis occupied about 50% of total cases. This is common to any other hospitals. 4. There is no category of School Refusal and Neurosis in DSM-Ⅲ-R, and so we tentatively categorized the patients with school refusal and neurosis accoding to DSM-Ⅲ-R. 5. School Refusal has incresed, especially among pupils in the higher grades of elementary schools and female junior high school students.