Patterns of psychiatric healthcare use during pandemic times among boys and girls with pre-existing diagnoses: a Norwegian nationwide primary and specialist healthcare registry study

被引：0

作者：

Lund, Ingunn Olea ^{[1
,2
,3
]}

Jensen, Pia ^{[1
,2
]}

Madsen, Christian ^{[4
]}

Hauge, Lars Johan ^{[5
]}

Havdahl, Alexandra ^{[1
,6
,7
]}

Reneflot, Anne ^{[5
]}

Brandlistuen, Ragnhild ^{[2
]}

Ask, Helga ^{[1
,2
,7
]}

机构：

[1] Norwegian Inst Publ Hlth, PsychGen Ctr Genet Epidemiol & Mental Hlth, POB 222, N-0213 Skoyen, Oslo, Norway

[2] Norwegian Inst Publ Hlth, Dept Child Hlth & Dev, Oslo, Norway

[3] Univ Oslo, Dept Psychol, Oslo, Norway

[4] Norwegian Inst Publ Hlth, Ctr Dis Burden, Bergen, Norway

[5] Norwegian Inst Publ Hlth, Dept Mental Hlth & Suicide, Oslo, Norway

[6] Lovisenberg Diaconal Hosp, Nic Waals Inst, Oslo, Norway

[7] Univ Oslo, Dept Psychol, PROMENTA, Oslo, Norway

来源：

BMC PSYCHIATRY | 2025年 / 25卷 / 01期

关键词：

Children; Adolescents; Mental disorders; Primary health care; Specialist health care; Health registry; COVID-19; Time trends; CHILDREN; STRESS;

D O I：

10.1186/s12888-024-06422-7

中图分类号：

R749 [精神病学];

学科分类号：

100205 ;

摘要：

BackgroundThe COVID-19 pandemic introduced complexities that were likely more demanding for some groups, such as children and adolescents, and especially those with pre-existing mental health diagnoses. This study examines long-term patterns of psychiatric healthcare use among this vulnerable group, providing insights into shifts in psychiatric healthcare use during a global health crisis.MethodsWe use data from the primary and specialist healthcare registries available from the Norwegian emergency preparedness register for COVID-19 (Beredt C19) to estimate patterns of psychiatric healthcare use. The data spans 2017 to 2022, covering children and adolescents aged 6-19. We identified young people with recent diagnoses of mental health conditions and compared weekly consultation volumes before and during the pandemic for mental health conditions overall and the following diagnostic or symptom categories separately: anxiety/depression and Attention-Deficit Hyperactivity Disorders (ADHD). Analyses were stratified by gender.ResultsThere was a consistent trend of lower-than-predicted weekly healthcare consultations among young people with pre-existing mental health diagnoses in both primary and specialist healthcare during the pandemic. The reduction was more pronounced in later follow-up periods. The study highlights gender disparities, with boys experiencing more notable declines in healthcare consultations, especially in specialist care. Additionally, the time trends varied across different diagnostic groups. While consultations for anxiety/depression were consistently below the predicted levels, declines in ADHD occurred later in the pandemic. The data suggests an overall decline in healthcare use rather than a shift between sectors.ConclusionThe findings offer insights into healthcare use during pandemic times among children and adolescents with pre-existing mental health diagnoses. The study underscores the importance of continuous monitoring and support for this group, ensuring accessible and responsive healthcare during public health emergencies.

引用

页数：15