Merskey H S, Swart G T
University of Western Ontario, London.
Can J Psychiatry. 1989 Mar;34(2):79-83. doi: 10.1177/070674378903400201.
A retrospective chart review of 100 consecutive adolescents discharged from a provincial psychiatric hospital adolescent unit was conducted. At the time of admission, eighty-four percent no longer lived with one or both of the biological parents. The children remained with the mother more often than with the father. However, boys who had lost their principal male caregiver more often acquired a new one, compared with girls. The latter tended to remain more in a single-mother home. Thirty-four patients were no longer in the care of either parent at admission. Seventy-four had a conduct disorder. Members of this group were more likely to have lost one or both parents. Recent loss of a parent seemed to be related to a combined diagnosis of depression and conduct disorder. Parental loss was not prominent among one class of the patients with conduct disorder--those with under-socialized aggressive disorders. The latter were often still in their intact biological family of origin, and in four instances they presented serious cases of aggressive actions in the absence of any history of parental deprivation.
对一家省级精神病医院青少年科连续出院的100名青少年进行了回顾性病历审查。入院时，84%的青少年不再与亲生父母一方或双方同住。孩子与母亲生活在一起的情况比与父亲更常见。然而，与女孩相比，失去主要男性照顾者的男孩更常获得新的照顾者。后者往往更多地留在单亲母亲家庭。34名患者入院时不再由父母任何一方照顾。74名患有品行障碍。该组患者更有可能失去父母一方或双方。近期失去父母似乎与抑郁症和品行障碍的合并诊断有关。在一类品行障碍患者（即社会化不足的攻击性障碍患者）中，父母丧失情况并不突出。后者往往仍生活在原生的完整亲生家庭中，在四个案例中，他们在没有任何父母剥夺史的情况下出现了严重的攻击行为。
