Ainsworth P
J Adolesc. 1984 Dec;7(4):337-48. doi: 10.1016/0140-1971(84)90014-9.
Details are presented of the first 100 admissions to a regional "general purpose" psychiatric unit for adolescents. Seventy-seven per cent had been referred from other consultants, including 51 per cent from child and adolescent psychiatrists. There was a high incidence of family disruption and disharmony. Apart from a small group of "organic" problems (eight) they were evenly distributed between four major diagnostic groupings: psychotic disorder, conduct disorder, neurotic disorder and mixed conduct/neurotic disorder. Use was made of a variety of treatment approaches and the best outcomes were in the neurotic group (81 per cent some or much improved at discharge) and the psychotic group (68 per cent some or much improved). Attention is drawn to the high rate of "premature" discharge (41 per cent) including 18 per cent expelled because of their behaviour. Nearly 50 per cent of these fell in the conduct disorder group and there are obvious implications for the selection process.
本文详细介绍了某地区青少年“通用型”精神病科收治的首批100名患者的情况。其中77%是由其他专科医生转诊而来，包括51%由儿童及青少年精神科医生转诊。家庭破裂与不和谐的发生率很高。除了一小部分“器质性”问题（8例）外，患者在以下四个主要诊断类别中分布均匀：精神障碍、品行障碍、神经症性障碍以及品行/神经症混合性障碍。采用了多种治疗方法，治疗效果最佳的是神经症组（81%在出院时有所改善或显著改善）和精神障碍组（68%在出院时有所改善或显著改善）。值得注意的是“过早”出院率很高（41%），其中18%因行为问题被遣送出院。这些患者中近50%属于品行障碍组，这对筛选过程有明显影响。
