The Need for Psychiatric Assessment in Children with Down Syndrome and Factors Affecting Their Use of Mental Health Services: A Cross-Sectional Study from Turkey
Table 6
Clinical variables of preschool children.
Groups
DS (n= 26) n (%)
ASD (n= 28) n (%)
DD (n= 15) n (%)
TD (n= 26).n (%)
Reason for applying to psychiatry clinic
Problems with toilet training
4 (15.4)
3 (10.7)
5 (33.3)
14 (53.9)
0.03
Speech delay
2 (7.7)
5 (17.9)
2 (13.3)
1 (3.8)
Temper tantrums
1 (3.8)
1 (3.6)
2 (13.3)
1 (3.8)
Not responding to one’s own name
1 (3.8)
2 (7.1)
0 (0.0)
1 (3.8)
To get counselling
2 (7.7)
1 (3.6)
0 (0.0)
1 (3.8)
No complaints
16 (61.5)
0 (0.0)
0 (0.0)
0 (0)
Other reasons
0 (0)
16 (57.1)
6 (40)
8 (30.8)
Presence of medical illness
Yes
2 (30.8)
7 (25)
2 (13.3)
4 (15.4)
0.53
No
18 (69.2)
21 (75)
13 (86.7)
22 (84.6)
Way of applying to psychiatry clinic
Referral from the social pediatrics department
8 (30.8)
1 (3.6)
2 (13.3)
4 (15.4)
0.03
Applying upon parents’ demand
13 (50)
10 (35.7)
5 (33.3)
6 (23.1)
Referral from the general pediatrics department
3 (11.5)
7 (25)
1 (6.7)
8 (30.8)
Referral from the developmental pediatrics department
1 (3.8)
6 (21.4)
5 (33.3)
4 (15.4)
Referral from another medical center
1 (3.8)
4 (14.3)
2 (13.3)
4 (15.4)
Interaction guidance recommendation
After psychiatric assessment
0.57
Yes
16 (61.5)
19 (67.9)
8 (53.3)
12 (50)
No
10 (38.5)
9 (32.1)
7 (46.7)
12 (50)
Additional recommendations
After psychiatric assessment
0.06
None
16 (61.5)
8 (28.6)
3 (20)
11 (42.3)
Kindergarten
4 (15.4)
10 (35.7)
6 (40)
9 (34.6)
Further assessment using the working
5 (19.3)
5 (17.9)
5 (33.3)
4 (15.4)
Model of the child interview
1 (3.8)
3 (10.7)
1 (6.7)
2 (7.7)
Referral of caregivers to psychiatry
0 (0.0)
2 (7.1)
0 (0.0)
0 (0.0)
Referral of the child to other medical departments for additional assessment
Presence of medical illness
Yes
2 (30.8)
7 (25)
2 (13.3)
4 (15.4)
0.53
No
18 (69.2)
21 (75)
13 (86.7)
22 (84.6)
DS: down syndrome, ASD: autism spectrum disorder, GDD: global developmental delay, TD: typical development.
