Remschmidt Helmut, Mattejat Fritz
Klinik für Kinder- und Jugendpsychiatrie und -psychotherapie, Universitätsklinikum Giessen-Marburg, Philipps-Universität Marburg, Standort Marburg, Hans-Sachs-Strasse 6, DE-35033 Marburg.
Z Kinder Jugendpsychiatr Psychother. 2006 Nov;34(6):455-64. doi: 10.1024/1422-4917.34.6.455.
From 1999 to 2006, the inpatient treatment of a complete clinical sample in a child and adolescent psychiatric hospital was evaluated in a naturalistic effectiveness study in order to obtain detailed information about the outcome of the therapies.
The project was realized as a longitudinal 1-sample design with measurements at three points in time (admission assessment; discharge assessment and 6-week follow-up; 1 1/2 year follow-up). An essential part of the assessments was conducted using standardized telephone interviews with the parents of the inpatients. The project included 1,321 inpatients; the 1 1/2 year follow-up was accomplished for 776 cases.
In all repeated measurements, there were highly significant effects. The pre-post effect sizes were higher than 1. The effects which were achieved during inpatient treatment were stable over time with a slight improvement after treatment. The outcome of different diagnostic groups showed significant differences at the 1 1/2 year follow-up.
The results should be used in the counselling of patients and their parents prior to starting therapy. It should be investigated whether the favourable results can be generalized for inpatient treatments in other hospitals of child psychiatry.
从1999年至2006年，在一项自然疗效研究中对一家儿童和青少年精神病医院完整临床样本的住院治疗进行了评估，以便获取有关治疗结果的详细信息。
该项目采用纵向单样本设计，在三个时间点进行测量（入院评估；出院评估和6周随访；1.5年随访）。评估的一个重要部分是通过对住院患者家长进行标准化电话访谈来进行的。该项目包括1321名住院患者；776例完成了1.5年随访。
在所有重复测量中，均有高度显著的效果。前后效应量大于1。住院治疗期间取得的效果随时间稳定，治疗后略有改善。在1.5年随访时，不同诊断组的结果显示出显著差异。
这些结果应用于在开始治疗前为患者及其家长提供咨询。应调查这些良好结果是否可推广到其他儿童精神病医院的住院治疗中。
