Thatte Smita, Makinen Judy A, Nguyen Hien N T, Hill Erin M, Flament Martine F
Youth Psychiatry Program, Royal Ottawa Mental Health Centre, Ottawa, ON, Canada.
J Nerv Ment Dis. 2013 May;201(5):429-34. doi: 10.1097/NMD.0b013e31828e1141.
A partial hospitalization program was developed for youth with moderate to severe psychiatric disorders. The objectives of this study were to prospectively assess changes from admission to discharge in the participants' clinical symptoms and psychosocial functioning, as well as the maintenance of any treatment gains at 3-month follow-up. In this naturalistic treatment study, 55 youth completed both the youth partial hospitalization program and the study. Diagnosis at admission was established by a psychiatrist based on a clinical assessment and a structured diagnostic interview. Clinician-rated and self-report measures of symptoms and psychosocial functioning were administered at admission, discharge, and follow-up to track changes over time. Clinically and statistically significant improvements were found in both symptoms and psychosocial functioning from admission to discharge on all study measures. Furthermore, these gains were maintained at 3-month follow-up. The results suggest that partial hospitalization programs can be an effective modality in treating youth with moderate to severe psychiatric disorders.
为患有中度至重度精神疾病的青少年制定了一个部分住院治疗项目。本研究的目的是前瞻性评估参与者从入院到出院时临床症状和心理社会功能的变化，以及在3个月随访时任何治疗效果的维持情况。在这项自然主义治疗研究中，55名青少年完成了青少年部分住院治疗项目和该研究。入院时的诊断由精神科医生根据临床评估和结构化诊断访谈确定。在入院、出院和随访时采用临床医生评定和自我报告的症状及心理社会功能测量方法来跟踪随时间的变化。在所有研究测量指标上，从入院到出院，症状和心理社会功能在临床和统计学上均有显著改善。此外，这些改善在3个月随访时得以维持。结果表明，部分住院治疗项目可能是治疗中度至重度精神疾病青少年的一种有效方式。
