de Château P
Academisch Centrum Kinder- en Jeugd-psychiatrie Oost-Nederland, Nijmegen.
Prax Kinderpsychol Kinderpsychiatr. 1998 Sep;47(7):477-85.
From 1953 through 1955 a total of 2364 individuals between o and 18 years were discharged from the Stockholm Child Guidance Clinics. Among these patients 125 (68 boys, 57 girls) were under the age of 3 years. A follow-up study was conducted 30 years later on this sample using records from psychiatric clinics and data from official registers of problematic behaviours. The majority of the infants when seen at the Child Guidance Clinics were judged to be mentally healthy or to have shown mild environmental reactions. However sixty per cent of these patients were identified in at least one of the registers during the follow-up period. Thus the initial evaluation was not prognostic of the future development. Boys developed mainly social maladjustment, whereas girls more often applied for psychiatric care during the follow-up. Significant prognostic factors in the 1950s were gender and parental psychiatric diagnosis.
1953年至1955年期间,共有2364名0至18岁的儿童从斯德哥尔摩儿童指导诊所出院。在这些患者中,125名(68名男孩,57名女孩)年龄在3岁以下。30年后,利用精神病诊所的记录和问题行为官方登记数据,对该样本进行了随访研究。在儿童指导诊所就诊时,大多数婴儿被判定为心理健康或表现出轻度环境反应。然而,在随访期间,这些患者中有60%在至少一份登记册中被识别出来。因此,最初的评估并不能预测未来的发展。男孩主要出现社会适应不良,而女孩在随访期间更多地申请精神科护理。20世纪50年代的重要预后因素是性别和父母的精神科诊断。