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Table 2 Clinical features and pharmacological treatment at the index episode and at the end of the follow-up of contact patients (n = 226)

From: Trajectories of children and adolescents attending a psychiatric emergency unit during the COVID-19 confinements: 2020–2022 longitudinal study

 

Index episode n (%)

End of follow-up n (%)

p-value

Clinical features

 Psychiatric diagnoses

  Neurodevelopmental disorders

27 (11.9)

49 (21.6)

0.001*

  Intellectual disabilities

10 (4.4)

7 (3.09)

0.620

  Psychotic disorders

8 (3.5)

8 (3.5)

1.000

  Bipolar disorders

3 (1.3)

2 (0.9)

0.652

  Depressive disorders

53 (23.4)

55 (24.3)

0.825

  Anxiety disorders

14 (6.2)

10 (4.4)

0.160

  Adjustment disorders

16 (7.1)

7 (3.1)

0.086

  Eating disorders

24 (10.6)

44 (19.4)

0.012*

  Impulse control deficit

44 (19.4)

13 (5.7)

 < 0.001*

  Substance use disorder

22 (9.7)

12 (5.3)

0.074

  None

5 (2.2)

19 (8.4)

0.002*

 Internalizing and externalizing framework

  Internalizing

140 (61.9)

125 (60.4)

0.152

  Externalizing

86 (38.1)

82 (39.6)

 

 Personality clusters

  None

123 (54.4)

161 (71.2)

 < 0.001*

  Cluster A

10 (4.4)

9 (3.9)

0.814

  Cluster B

68 (30.1)

53 (23.5)

0.088

  Cluster C

25 (11.1)

3 (1.3)

 < 0.001*

 Pharmacological Treatment

  Any psychopharmacological drug

155 (68.6)

177 (78.3)

0.014*

  Any antidepressant

95 (42.0)

122 (54.0)

0.002*

  AD equivalent dose, mg/d fluoxetine (SD)

30.6 ± 15.4

41.9 ± 24.7

 < 0.001*

  Switching AD family

40/95 (41.6)

  AD monotherapy to polytherapy

9/95 (9.4)

  Any antipsychotic

119 (52.7)

141 (62.4)

0.012*

  LAI

9 (4.0)

17 (7.5)

0.057

  AP equivalent dose, mg/d chlorpromazine (SD)

192.4 ± 170.1

232.5 ± 219.9

0.112

  Switching AP family

49/119 (41.1)

  AP monotherapy to polytherapy

21/119 (17.6)

  Any benzodiazepine

68 (30.1)

60 (26.9)

0.445

  BZD equivalent dose, mg/d diazepam (SD)

21.4 ± 15.9

24.5 ± 19.3

0.241

 Other drugs

  Anticonvulsants

6 (2.7)

43 (19.0)

 < 0.001*

  Noradrenergic stimulants

5 (2.2)

9 (4.0)

0.219

  Noradrenergic nonstimulants

2 (0.8)

3 (1.3)

0.417

  Alpha-2 adrenergic antagonists

3 (1.3)

13 (5.8)

0.002*

  Anticholinergics

1 (0.4)

4 (1.8)

0.250

  Lithium

0 (0)

2 (0.9)

0.890