Gabel S, Shindledecker R
Children's Day Hospital, New York.
J Am Acad Child Adolesc Psychiatry. 1991 Nov;30(6):982-8. doi: 10.1097/00004583-199111000-00017.
This study evaluated the characteristics and outcome of a group of children and adolescents treated in day hospital and inpatient settings. Severe aggressive/destructive behavior was present in about one-third of the sample and was more common in boys, in children and adolescents with history of parental substance abuse, and in those with a concurrent diagnosis of conduct disorder. Although both an admission diagnosis of conduct disorder and aggressive/destructive behavior as a preadmission variable predicted poor outcome, aggressive/destructive behavior was the more important of the two. Aggressive/destructive behavior in association with conduct disorder seems to confer an especially poor prognosis in hospital-treated youth.
本研究评估了一组在日间医院和住院环境中接受治疗的儿童和青少年的特征及治疗结果。约三分之一的样本存在严重的攻击/破坏行为，在男孩、有父母物质滥用史的儿童和青少年以及同时诊断为品行障碍的患者中更为常见。尽管入院时的品行障碍诊断和入院前的攻击/破坏行为作为变量均预示着不良预后，但攻击/破坏行为在两者中更为重要。与品行障碍相关的攻击/破坏行为似乎使接受住院治疗的青少年预后尤其不佳。
