Berg I, Fielding D
Br J Psychiatry. 1978 May;132:500-5. doi: 10.1192/bjp.132.5.500.
Thirty-two school-phobic youngsters of mean age 13 years were randomly allocated to two treatment groups after stratifying for sex. Length of in-patient management in a psychiatric hospital unit for young adolescents was evaluated. One group was admitted for three months and the other for six. Care was taken to ensure that cases had been fairly distributed between the groups by comparing them on a variety of clinical features. Follow-up assessments were carried out in a reliable fashion at six months, one year and two years after discharge. Outcome, overall, was similar to that found in a previous follow-up study for the same unit, in that symptoms of emotional disturbance and social impairment tended to persist in a considerable proportion of cases over the period of review. Length of stay in hospital did not affect outcome as far as the boys were concerned; the findings in relation to the girls was less certain and it seems likely that longer in-patient treatment improves outcome in school-phobic girls.
32名平均年龄为13岁的学校恐惧症青少年在按性别分层后被随机分配到两个治疗组。评估了青少年精神病医院病房的住院治疗时长。一组住院三个月，另一组住院六个月。通过比较两组在各种临床特征上的情况，确保病例在两组间得到公平分配。出院后六个月、一年和两年以可靠的方式进行随访评估。总体结果与该病房之前的一项随访研究相似，即在审查期间，相当一部分病例中情绪障碍和社会功能损害症状往往持续存在。就男孩而言，住院时间长短不影响治疗结果；与女孩相关的研究结果不太确定，似乎较长时间的住院治疗能改善学校恐惧症女孩的治疗效果。
