P0291 - The correlation between adolescents psychical disorders and their difficulties of psychosocial adaptation

Abstract

Objective:

To study the correlation between adolescents' psychical disorders and their difficulties of psychosocial adaptation.

Methods:

There were 63 adolescents in our study (47 girls, 16 boys), who were hospitalised in the Department of Psychiatry of Clinics of Kaunas Medical University (Lithuania) during the period from September to December, 2005 year. 27 adolescents (19 girls and 8 boys) had suicidal and self-harming behaviour. Psychical disorders were diagnosed according to ICD-10 diagnostic criterions. We used Strengths and Difficulties Questionnaire SDQ-lit. adapted for Lithuania.

Results:

While comparing the means of scales of both sexes adolescents, with diagnoses of depressive, behavioural and adaptation disturbances, we found statistically dependent difference only in emotionally disturbance scale results (p=0,016). Analysing separately girls and boys groups, girls showed to be worse psychosocially adapted and had more emotional problems. Girls, who tried to commit suicide, had more emotional (p=0,006), psychosocial problems (p<0,001). Girls, who were diagnosed affective disorders, had more expressed emotional (p<0,001) and general adaptation (p =0,031) difficulties. Parents noted that, their daughters who committed a suicide and had behaviour disturbances, had more expressed emotional (p=0,007) and general adaptation (p=0,053) problems.

Conclusions:

1. Adolescent girls, who were diagnosed depressive illnesses, had more emotional and general adaptation problems, than girls, who were diagnosed behaviour or adaptation disorders. 2. Adolescent girls, who tried to commit suicide, had more expressed behaviour problems, emotional, general adaptation difficulties. 3. Most expressed emotional and general adaptation difficulties were typical to girls who were diagnosed depression and who tried to commit suicide.