Reddy Radhika, Ha Carolyn, Newlin Elizabeth, Sharp Carla
REDDY: Department of Psychology, University of Houston, Houston, TX, and Kaiser Permanente Northern California, Redwood City, CA HA: Texas Children's Hospital, Houston, TX NEWLIN: University of Texas, Houston, TX SHARP: Department of Psychology, University of Houston, TX.
J Psychiatr Pract. 2017 Sep;23(5):342-351. doi: 10.1097/PRA.0000000000000255.
Understanding predictors of adolescent inpatient length of stay (LOS) is important in informing treatment outcomes for this age group. The current literature on adolescent LOS remains limited and has been characterized by methodological limitations. In the study described here, we examined a wide range of predictors for LOS in a psychiatric unit for adolescents (N=285), including severity of disorder (previous hospitalizations, self-harm, cognitive impairment and thought disorder, severe depression, history of trauma), types of psychotropic medication, and diagnoses. Our results indicated that LOS is associated with predictors that reflect psychiatric severity-most notably prescription of mood stabilizers and youth-reported internalizing symptoms.
了解青少年住院时间（LOS）的预测因素对于了解该年龄组的治疗结果很重要。目前关于青少年住院时间的文献仍然有限，并且存在方法学上的局限性。在本文所述的研究中，我们在一个青少年精神科病房（N = 285）中检查了一系列住院时间的预测因素，包括疾病严重程度（既往住院史、自我伤害、认知障碍和思维障碍、重度抑郁、创伤史）、精神药物类型和诊断。我们的结果表明，住院时间与反映精神疾病严重程度的预测因素相关——最显著的是情绪稳定剂的处方和青少年报告的内化症状。
