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[对155名患有行为和身心障碍的住院儿童进行的随访研究的初步结果]

[Initial findings in a catamnestic study of 155 hospitalized children with behavioral and psychosomatic disorders].

作者信息

Rathner G, Mangold B

出版信息

Padiatr Padol. 1982;17(3):607-16.

PMID:7110741
Abstract

In 1980 the Psychotherapeutic Department of the University Clinic for Pediatrics carried out a follow-up study on all children and adolescents with behavioral and psychosomatic disturbances who had come in as in-patient treatment between 1974 and 1979. 153 out of 150 questionnaires were returned and the statistical results may be considered representative of the entire patient group treated at the hospital. The minimal duration of the catamnesis is one year, the average duration is about three years. There is significant agreement between therapists and parents in their evaluation of the success of the therapy. Our article describes the therapeutic change in the children's symptoms in general and in comparison to the various diagnosis and also the change in different aspects of behavior. According to the parents, the therapy resulted in a significant and lasting improvement for 50% of the children; if we include the category "decrease in symptoms", the success rate goes up to 80%. Also described is the parents' point of view on the impact of the individual family's problems on the children' disturbances and on the development of family dynamics. As our Department lays special emphasis on family therapy the parents' attitude toward this aspect is interesting: according to the follow-up study, 50% of the parents consider family therapy to be one of the main reason for therapeutic success.

摘要

1980年,大学儿科诊所心理治疗科对1974年至1979年期间前来住院治疗的所有行为和身心障碍儿童及青少年进行了一项随访研究。150份问卷中有153份被收回,统计结果可被视为代表了在该医院接受治疗的整个患者群体。随访的最短时长为一年,平均时长约为三年。治疗师和家长在对治疗成功的评估上有显著的一致性。我们的文章描述了儿童症状在总体上以及与各种诊断相比的治疗变化,还有行为不同方面的变化。据家长反映,治疗使50%的儿童有了显著且持久的改善;如果把“症状减轻”这一类别也算上,成功率则高达80%。文章还描述了家长对个别家庭问题对儿童障碍及家庭动态发展影响的看法。由于我们科室特别强调家庭治疗,家长对这方面的态度很有意思:根据随访研究,50%的家长认为家庭治疗是治疗成功的主要原因之一。

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