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Child psychiatry expertise in the context of parental separation

Published online by Cambridge University Press:  13 August 2021

M. Regaya ,
A. Guedria ,
T. Brahim ,
N. Gaddour  and
L. Gaha
M. Regaya*
Affiliation:
Department Of Psychiatry, University of Monastir, Faculty of Medicine of Monastir, LR05ES10, Fattouma Bourguiba Hospital, Monastir, Tunisia
A. Guedria
Affiliation:
Child And Adolescent Psychiatry Department, Fattouma Bourguiba University Hospital, University of Monastir, Monastir, Tunisia
T. Brahim
Affiliation:
Child And Adolescent Psychiatry Department, Fattouma Bourguiba University Hospital, University of Monastir, Monastir, Tunisia
N. Gaddour
Affiliation:
Child And Adolescent Psychiatry Department, Fattouma Bourguiba University Hospital, University of Monastir, Monastir, Tunisia
L. Gaha
Affiliation:
Department Of Psychiatry, University of Monastir, Faculty of Medicine of Monastir, LR05ES10, Fattouma Bourguiba Hospital, Monastir, Tunisia
*
*Corresponding author.

Abstract

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Introduction

Marriages’ dissolution phenomenon had increased in recent years in Tunisia. The impact of divorce on children depends on the interweaving of several factors and is not inevitably pathological. We have noticed in our daily practice a concomitant increase in the number of request for expert opinions concerning children.

Objectives

Determine the clinical children’s profile of separated parents carried out within the framework of legal expertise.

Methods

We carried out a retrospective study in the outpatient child psychiatry ward at Fattouma Bourguiba general hospital in Monastir, Tunisia. Including all the expert reports of children affected by parental separations during a period of two years (2017 to 2019).

Results

56 children were included in our study. The average age were (6.7 years) with a majority of males (58.2%). School failure concerned (24%). In most cases, the request for expertise was made in the context of mistreatment’s suspicion (60.7%), than following the parents’ separation (16.1%). Concerning the clinical picture: a normal psychiatric examination was found in the majority of cases (55.4%), anxiety symptoms concerned (32.1%). Cases of depression, global developmental delay and autism were also found.

Conclusions

According to our study, the vast majority of children presented a normal psychiatric examination. Moreover, a preponderant part of the symptoms seemed to result from educational errors. While parental separation poses risks for children, research shows that these negative effects are not the same for everyone. Several factors can reduce these risks and promote children’s resilience. Thus, first-line psychosocial care should be offered for families and children in seprations’ context.

Disclosure

No significant relationships.

Keywords

Child Psychiatryexpertiseparental separation
Type
Abstract
Information
European Psychiatry , Volume 64 , Special Issue S1: Abstracts of the 29th European Congress of Psychiatry , April 2021 , pp. S633
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2021. Published by Cambridge University Press on behalf of the European Psychiatric Association
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