Remschmidt H, Schmidt M H, Mattejat F, Eisert H G, Eisert M
Klinik und Poliklinik für Kinder- und Jugendpsychiatrie der Phillips-Universität Marburg.
Z Kinder Jugendpsychiatr. 1988 Sep;16(3):124-34.
The aim of the present study was to compare inpatient, day hospital and home treatment of 10 child psychiatric disorders as defined in the Multi-axial Classification Scheme. The subjects were 109 patients from two child psychiatric hospitals who fulfilled clearly defined criteria. They comprised about 10 to 15% of the total clinical population of the two hospitals. The patient were assigned at random to the three treatment modalities. Treatment effectiveness was evaluated blind by experienced child psychiatrists not involved in the study. There were no significant differences between the treatment modalities in duration of treatment. Neither were there any significant differences between the treatment modalities with respect to treatment effectiveness, although there were some overall differences between different diagnostic categories. For a small group of carefully selected children day hospital and home treatment can therefore be looked upon as alternatives to inpatient treatment.
本研究的目的是比较多轴分类方案中定义的10种儿童精神障碍的住院治疗、日间医院治疗和家庭治疗。研究对象是来自两家儿童精神病医院的109名患者，他们符合明确界定的标准。他们约占两家医院总临床病例数的10%至15%。患者被随机分配到三种治疗方式。由未参与该研究的经验丰富的儿童精神科医生对治疗效果进行盲法评估。治疗方式在治疗时长上没有显著差异。在治疗效果方面，治疗方式之间也没有显著差异，尽管不同诊断类别之间存在一些总体差异。因此，对于一小部分精心挑选的儿童来说，日间医院治疗和家庭治疗可被视为住院治疗的替代方案。
