Pfeiffer S I, Strzelecki S C
Institute of Clinical Training and Research, Devereux Foundation, Devon, Pennsylvania 19333-0400.
J Am Acad Child Adolesc Psychiatry. 1990 Nov;29(6):847-53. doi: 10.1097/00004583-199011000-00001.
All outcome studies of child and adolescent residential treatment and inpatient psychiatric hospitalization reported in the literature from 1975 to the present were examined. A set of statistical procedures was developed to integrate the findings of the 34 studies, which provided a weighted predictive value for 10 variables. Psychiatric hospitalization was often beneficial, particularly if a specialized treatment program and aftercare were available and if the child presented with a less pathological clinical picture. Age at admission and sex bore no relationship to favorable outcome, and IQ and length of stay yielded only a modest relationship to outcome. Recommendations to guide future researchers are offered that will provide new insights into better understanding inpatient psychiatric treatment.
对1975年至今文献中报道的所有儿童和青少年住院治疗及住院精神科治疗的结果研究进行了审查。开发了一套统计程序来整合34项研究的结果，这些研究为10个变量提供了加权预测值。精神科住院治疗通常是有益的，特别是如果有专门的治疗方案和后续护理，并且儿童的临床表现病理程度较轻。入院年龄和性别与良好结果无关，智商和住院时间与结果仅有适度关系。提出了指导未来研究人员的建议，这些建议将为更好地理解住院精神科治疗提供新的见解。
