National Institute of Mental Health, National Center of Neurology and Psychiatry, 4-1-1 Ogawa-Higashi, Kodaira, Tokyo, 187-8553, Japan.
Kohnodai Hospital, National Center for Global Health and Medicine, Japan.
Int J Ment Health Syst. 2011 Mar 31;5:7. doi: 10.1186/1752-4458-5-7.
The aims of this prospective study are to clarify the outcomes of child psychiatric inpatient treatment and to identify factors associated with patient improvement.
The attending psychiatrist used the Children's Global Assessment Scale (CGAS) to assess youths at admission to and discharge from a child and adolescent psychiatric unit in Japan(N = 126, mean age = 12.8, SD = 1.9). Hospital records gathered sociodemographic and clinical variables. In addition, youths and their primary caregivers assessed themselves using the Youth Self Report (YSR) and the Child Behavior Checklist (CBCL), respectively. Longitudinal analyses compared each scales' baseline and discharge scores. We also examined factors associated with changes in functioning (CGAS).
Longitudinal comparisons revealed that CGAS, CBCL and YSR scores showed improvement over time (CGAS: t = -14.40, p = 0.00; CBCL: t = 3.80, p = 0.00; YSR: t = 2.40, p = 0.02). Linear regressions determined that the factors associated with improvement in CGAS included age, lower CGAS scores at admission, frequency of group therapy and psychiatric diagnosis.
This evaluation of children and adolescents in an inpatient unit demonstrated clinical improvement over time and identified factors associated with said improvement.
本前瞻性研究旨在阐明儿童精神科住院治疗的结果，并确定与患者改善相关的因素。
主治精神科医生使用儿童总体评估量表（CGAS）评估日本儿童和青少年精神科病房的青少年入院时和出院时的情况（N=126，平均年龄=12.8，SD=1.9）。医院记录收集了社会人口学和临床变量。此外，青少年及其主要照顾者分别使用青少年自我报告（YSR）和儿童行为检查表（CBCL）对自己进行了评估。纵向分析比较了每个量表的基线和出院分数。我们还检查了与功能变化相关的因素（CGAS）。
纵向比较显示，CGAS、CBCL 和 YSR 评分随时间推移而改善（CGAS：t=-14.40，p=0.00；CBCL：t=3.80，p=0.00；YSR：t=2.40，p=0.02）。线性回归确定了与 CGAS 改善相关的因素包括年龄、入院时较低的 CGAS 评分、小组治疗频率和精神科诊断。
对住院病房的儿童和青少年进行的这项评估表明，随着时间的推移，临床状况有所改善，并确定了与改善相关的因素。
