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早期住院及后期行为障碍:对道格拉斯研究结果的一项重复性尝试

Early hospital admissions and later disturbances of behaviour: an attempted replication of Douglas' findings.

作者信息

Quinton D, Rutter M

出版信息

Dev Med Child Neurol. 1976 Aug;18(4):447-59. doi: 10.1111/j.1469-8749.1976.tb03684.x.

Abstract

This study confirms the findings of Douglas (1975) that single hospital admissions of children for up to a week carry no increased risk of later emotional or behavioural disturbance. The study also confirms Douglas' finding that repeated hospital admissions are significantly associated with disturbance in later childhood. The association probably applies to both emotional and conduct disorders, is most marked in the case of children from disadvantaged homes, and it may well reflect a causal influence. The validity of the finding is strengthened by the fact that detailed psychiatric assessments gave rise to much the same findings as did teacher questionnaire scores. However, in both cases, repeated hospital admissions are associated with only a small minority of disorers and account for little of the variance in children's behaviour.

摘要

本研究证实了道格拉斯(1975年)的研究结果,即儿童单次住院长达一周不会增加日后出现情绪或行为障碍的风险。该研究还证实了道格拉斯的发现,即反复住院与儿童后期的行为障碍显著相关。这种关联可能适用于情绪障碍和行为障碍,在来自贫困家庭的儿童中最为明显,而且很可能反映了一种因果影响。详细的精神病学评估得出的结果与教师问卷调查得分得出的结果大致相同,这一事实增强了该发现的可信度。然而,在这两种情况下,反复住院仅与一小部分行为障碍有关,对儿童行为差异的解释力很小。

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