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Factors affecting improvement of children and adolescents who were treated in the child and adolescent psychiatry inpatient unit

机译:影响儿童和青少年精神病住院患者治疗的儿童和青少年改善的因素

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Objective This study aimed to assess the correlates and predictors of improvement in general functioning of children and adolescents who are treated in the child and adolescent psychiatry (CAMHS) inpatient unit. Methods Hospital records of 308 children and adolescents who were treated for at least 1 month in the CAMHS inpatient unit from 2005–2016 were included. Associations with individual, familial, and clinical variables and the difference in Children’s Global Assessment Scale (ΔCGAS) scores at admission and discharge were evaluated. Results Positive predictors of ΔCGAS were older age and lower CGAS scores at admission, whereas high familial risk scores at admission and diagnosis of early-onset schizophrenia negatively predicted ΔCGAS (B?=?0.698, p?=?0002; B?=??0.620, p?
机译:目的本研究旨在评估在儿童和青少年精神病学(CAMHS)住院单元接受治疗的儿童和青少年总体功能改善的相关性和预测指标。方法纳入2005年至2016年在CAMHS住院单元中接受治疗至少1个月的308名儿童和青少年的医院记录。评估与个体,家族和临床变量的关联以及入院和出院时儿童全球评估量表(ΔCGAS)得分的差异。结果ΔCGAS的阳性预测因子是年龄较大且入院时CGAS得分较低,而入院时高家族风险评分和早发精神分裂症的诊断则阴性预测ΔCGAS(B≥0.698,P≥0002;B≥0.05)。分别为0.620,p << 0.001; B == 0.842,p == 0.002; B == 9.184,p == 0.000。家庭风险评分与ΔCGAS呈显着负相关(p?=?0.004,Spearman's rho?=?0.2)。结论这项研究表明,CAMHS住院治疗期间一般功能的改善在老年人中更好,而入院时一般功能则较低。然而,高家族风险和早发性精神分裂症的诊断削弱了这种改善。

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