Mid- to Late Childhood ICDs

Mid- to Late Childhood Diseases

Mid-childhood and Late Childhood to Adulthood Conditions

Mid-childhood (5-12 yo) only

  • Fetal alcohol syndrome
  • Attention deficit disorder
  • Tourette’s syndrome
  • Other Tic disorders
  • Swimmer’s ear 380.12
  • Perforated tympanum 384.2
  • Acquired auditory processing disorder 388.45
  • Stuttering 307.0
  • Enuresis 307.6
  • Separation Anxiety 309.21
  • Specific Academic or Work Inhibition 309.23
  • Undersocialized  conduct disorders  312.0, 312.1
  • Socialized conduct disorder   312.2
  • Disturbance of conduct-others 312.*
  • Reading Disorders 315.0
  • Dyscalculia 315.1
  • Alexia  315.01
  • Developmental Dyslexia 315.02
  • Foot anomalies 754.5-745.7 (progressivity with childhood aging)
  • Lower Limb deformities 755.3 (ditto)
  • Osteochondropathies 732.*

Behavioral ICDs specific to Mid-Childhood

  • Overanxiety  313.0
  • Misery and Happiness 313.1
  • Sensitivity, shyness, social withdrawal (introversion, mutism)  313.2
  • Academic underachievement 313.83
  • Hyperkinetic Syndromes 314.*
  • Attention Deficit Disorder 314.0
  • Other Hyperkinesis 314.1-314.9

Mid- to Late Childhood (8-16 yo) Diseases and the Environment

  • Adjustment disorder with disturbance of conduct 309.3
  • Adjustment disorder with mixed disturbance of emotion and conduct 309.4
  • Post-concussion syndrome 310.2
  • Kleptomania 312.32
  • Impulse control 312.3
  • Color Blindness 368.51

Behavioral ICDs specific to Adolescence/Teenage

  • Identity disorder 313.82
  • Family relationship problems 313.3
  • Other mixed emotional diosturbances 313.8

 

Commentary

The “Environment” as it relates to health in children has two major parts to it.  There is the standard physical environment and its relationship to childhood health that we recognize, and there is the sociocultural environment that has an impact on childhood health.  These two environments are  very interactive and become increasingly so as the child develops a better understanding of his/her place and the role he/she has in each of these settings.  As a result, he/she adopts new habits and behaviors in response to the learning experience, and in turn these influence and sometimes directly result in whatever new health problems or needs that are generated.

In the next health pattern we have two medical problems, one age distribution defined as involving just children, the other used to depict diseases or medical events not restricted to children but also continuing into the age of adulthood (>17) (above).

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The continuation of this problem well into adulthood suggests a condition that is not age-specific and biological.  Instead, it is probably psychosocial in nature, with age acting as a determinant due to higher frequencies for specific age ranges.  Notice the significant difference in gender distributions for the second example.  Since biological is ruled out, this represents a gender related indirect lifestyle and environmental influence as being a possible cause, of an age-specific socially predictable human behavioral cause.  For both examples above, female related events significantly outnumber male-related events. 

There is also a systems related effect that is responsible for the sharply define cut off for the left condition or ICD, and the well-dispersed age distribution for the second condition or ICD.  The first is defined as a child syndrome–so age is a limiting factor in how it is counted in the population pyramid program.  The second demonstrate a tendency for people to not always use the terms “child” or “childhood” as a part of their diagnostics logic.  The “second adult” condition continues well into the later years of life.  Also note that there is a very gender-specific differences from teen age years on, and then a slight leveling off of the incidence rates across genders, with females slight greater than males.  Again, this is a behavioral psychology condition being evaluated for the two age ranges and is used in order to demonstrate how the judgment made of risk (by the PCP and data tech) can impact results.  These two ICDs are normally not evaluated as a single condition due to underlying sociocultural meanings attached to each.  Each has a distinctly different preventive methodologies that have to be engaged in when their rates are increased.  So the two are typically not evaluated together, and the young cases of ICD#2 are typically not included in the ICD#1 pool, although this could in theory be done for such research.

[Figure: Insert male dominant and female dominant ICDs, with peaks in early to mid 20s]

These next examples (charts above) detail a behavioral-cultural syndrome and a biological-preventible infectious disease condition.  Both have gender-specific targeting taking place.  That with the socially defined behavioral-cultural causality is gender targeted due to social reasons, which require a unique form of intervention process.  The infectious disease gender-differences for the other conditions may be culturally based or human behavior and attitude/culturally based.  In other words, certain aspects of the gender defined lifestyle relate back to likelihood of infection and spread versus the other which shows a likelihood of having culturally defined gender specific actions impacting the distribution pattern.  There is no difference in age-gender relations for a non-sociocultural event, for its causes are completely environmental and naturally based.  Unless the environment and nature are impacted by gender, age distributions are identical for conditions without the prejudice of age playing a role in the condition.  (The one of the left is sociocultural, that on the right is due solely to natural features and human physical state.)

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The intervention processes for assisting in each of the two above scenarios have obvious differences.  The second ICD requries considerable efforts be made at the psychological-counseling level.  The first problem or condition requires more some physical form of intervention focused on disease prevention and physical treatment, but may have a sociocultural-behavioral component to it as well  This sociological interpretation is suggested strongly by the great reduction in this condition that aoccurs by the early 20s.  Medical conditions that prevail during the early years of life tend to be related to exposure to environmental features, for which biological and behavioral prevention practices have not yet been fully developed, or the condition has a reduction in prevalence due to early years fatality, which is not the case for this condition at all.

Childhood Development and Psychology

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ICD series 312.*-Conduct Disturbances, 313.*-Diseases Specifc to Childhood or Adolescence, 314.*-Hyperkinetic Syndromes and 315.*-Specific Delays in Development all demonstrate age-gender prevalences focused on the <20 year old range.  For the 312 series, only 312.0 and 312.1 demonstrate significant activities involving the very young children < 10 years of age.  Impulse Control (312.3), Explosive Disorder (312.34, 312.35), Kleptomania (312.32), and Socialized Conduct Disorder (312.2) in particular show distributions of considerable prevalance in both genders for this age group.  Pyromania (312.33) is particularly interesting in that there is an increase in prevalence right up until 20 0r 21 years of age, involving almost completely the male gender.  Only one of these 312.* series demonstrate exceptionally high male related rates, extending throughout the total life years–Gambling (312.31).  Male claims have ICDs with this entered as early as a few years of age, peaking in the 30s and 40s, with female patients demonstrating a prevalence peak of 45 years of age, but a numbers peak at 55-58 years of age.

Injuries

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