Małkiewicz-Borkowska M, Namysłowska I, Osiecka-Doniec E, Puzyńska E, Witkowska-Ulatowska H, Iwanek A
Kliniki Psychiatrii Dzieci i Młodziezy Instytutu Psychiatrii i Neurologii w Warszawie.
Psychiatr Pol. 1994 Sep-Oct;28(5):567-77.
Premorbid adjustment of 100 hospitalized adolescent patients and its correlation with some clinical variables was assessed and compared with a group of 100 healthy adolescents. The hospitalized group of patients was divided into four diagnostic subgroups according to the diagnostic criteria of ICD 9: psychoses, neuroses, conduct and personality disorders and anorexia nervosa. The following assessment tools were used: Premorbid Adjustment Scale in Polish adaptation of A. Grzywa, List of demographic variables, List of Organic Risk Factors, Inventory of Developmental Psychopathology and the Brief Psychiatric Research Scale (BPRS). SPSS was used to analyze the results. The results confirmed the hypothesis of different levels of premorbid adjustment in hospitalized and healthy adolescents as well as in hospitalized adolescents and original control group of the research of A. Grzywa. Contrary to our expectations and data from the literature premorbid adjustment was lowest in the group of patients with conduct disorders and not as was expected in the group of psychotic adolescents. It was also confirmed that the differences in the level of premorbid adjustment between the group of hospitalized adolescents and control groups were smaller in the period of early childhood than in later developmental periods. Pronounced difficulties in adjustment were observed in all diagnostic subgroups in the period of late adolescence.
对100名住院青少年患者的病前适应情况及其与一些临床变量的相关性进行了评估,并与100名健康青少年组成的对照组进行了比较。根据国际疾病分类第9版(ICD 9)的诊断标准,将住院患者组分为四个诊断亚组:精神病、神经症、品行与人格障碍以及神经性厌食症。使用了以下评估工具:A. Grzywa波兰语改编版的病前适应量表、人口统计学变量列表、有机风险因素列表、发展性精神病理学量表以及简明精神病学研究量表(BPRS)。采用社会科学统计软件包(SPSS)对结果进行分析。结果证实了住院青少年与健康青少年以及住院青少年与A. Grzywa研究中的原始对照组病前适应水平不同的假设。与我们的预期以及文献数据相反,品行障碍患者组的病前适应水平最低,而非如预期的精神病青少年组。还证实,住院青少年组与对照组在幼儿期病前适应水平的差异小于后期发育阶段。在青春期后期,所有诊断亚组均观察到明显的适应困难。