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Psychiatric Adolescent Inpatients: Eight- to Ten-Year Follow-up

Psychiatric Adolescent Inpatients: Eight- to Ten-Year Follow-up Abstract • Seventy-seven adolescent psychiatric inpatients, whose index hospitalization was at a mean age of 16, were followed up for eight to ten years after discharge. The important findings at follow-up were as follows. Twelve patients had bipolar affective disorder and were severely disabled (of these, 11 had a longterm clinical course and three committed suicide). Sixteen patients had unipolar depression: five had one depressive episode and were well throughout the follow-up period, one patient had many episodes with complete remissions, and the remaining ten patients had only partial remissions and their impairment of functioning corresponded to the severity of their symptoms. One of the ten committed suicide. Eighteen (23%) patients were psychiatrically well and functioned adequately throughout the follow-up period. Five had primary depressions, five had undiagnosed psychiatric illness, and eight were diagnosed as not having a psychiatric disorder. References 1. Hudgens RW: Psychiatric Disorders in Adolescents . Baltimore, Williams & Wilkins Co, 1974. 2. Olsen T: Follow-up study of manic-depressive patients whose first attack occurred before the age of 19 . Acta Psychiatr Scand 37( (suppl 162) ):45-51, 1961.Crossref 3. Landolt AB: Follow-up studies on circular manic-depressive reactions occurring in the young . Bull NY Acad Med 33:65-73, 1957. 4. King LJ, Pittman GD: A six-year follow-up study of 65 adolescent patients . Arch Gen Psychiatry 22:230-236, 1970.Crossref 5. Frommer E: Depressive illness in childhood . Br Med J 2:117-136, 1968. 6. Sands DE: The psychoses of adolescence . J Ment Sci 102:308-316, 1956. 7. Feighner JP, Robins E, Guze SB, et al: Diagnostic criteria for use in psychiatric research . Arch Gen Psychiatry 26:57-63, 1972.Crossref 8. Robins E, Guze SB: Classification of affective disorders: The primarysecondary, the endogenous-reactive, and the neurotic-psychotic concepts, in Williams TA, Katz MM, Shield JA Jr (eds): Recent Advances in the Psychobiology of the Depressive Illnesses: Proceedings of a Workshop Sponsored by the NIMH. US Government Printing Office, 1972, pp 283-293. 9. Mayer-Gross W, Slater E, and Roth M: Clinical Psychiatry . Baltimore, Williams & Wilkins Co, 1969, p 312. 10. Masterson JF: Prognosis in adolescent disorders schizophrenia . J Nerv Ment Dis 124:219-232, 1956.Crossref 11. Planansky K, Johnston R: The occurrence and characteristics of suicidal preoccupation and acts in schizophrenia . Acta Psychiatr Scand 47:473-483, 1971.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of General Psychiatry American Medical Association

Psychiatric Adolescent Inpatients: Eight- to Ten-Year Follow-up

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References (12)

Publisher
American Medical Association
Copyright
Copyright © 1979 American Medical Association. All Rights Reserved.
ISSN
0003-990X
eISSN
1598-3636
DOI
10.1001/archpsyc.1979.01780060088010
Publisher site
See Article on Publisher Site

Abstract

Abstract • Seventy-seven adolescent psychiatric inpatients, whose index hospitalization was at a mean age of 16, were followed up for eight to ten years after discharge. The important findings at follow-up were as follows. Twelve patients had bipolar affective disorder and were severely disabled (of these, 11 had a longterm clinical course and three committed suicide). Sixteen patients had unipolar depression: five had one depressive episode and were well throughout the follow-up period, one patient had many episodes with complete remissions, and the remaining ten patients had only partial remissions and their impairment of functioning corresponded to the severity of their symptoms. One of the ten committed suicide. Eighteen (23%) patients were psychiatrically well and functioned adequately throughout the follow-up period. Five had primary depressions, five had undiagnosed psychiatric illness, and eight were diagnosed as not having a psychiatric disorder. References 1. Hudgens RW: Psychiatric Disorders in Adolescents . Baltimore, Williams & Wilkins Co, 1974. 2. Olsen T: Follow-up study of manic-depressive patients whose first attack occurred before the age of 19 . Acta Psychiatr Scand 37( (suppl 162) ):45-51, 1961.Crossref 3. Landolt AB: Follow-up studies on circular manic-depressive reactions occurring in the young . Bull NY Acad Med 33:65-73, 1957. 4. King LJ, Pittman GD: A six-year follow-up study of 65 adolescent patients . Arch Gen Psychiatry 22:230-236, 1970.Crossref 5. Frommer E: Depressive illness in childhood . Br Med J 2:117-136, 1968. 6. Sands DE: The psychoses of adolescence . J Ment Sci 102:308-316, 1956. 7. Feighner JP, Robins E, Guze SB, et al: Diagnostic criteria for use in psychiatric research . Arch Gen Psychiatry 26:57-63, 1972.Crossref 8. Robins E, Guze SB: Classification of affective disorders: The primarysecondary, the endogenous-reactive, and the neurotic-psychotic concepts, in Williams TA, Katz MM, Shield JA Jr (eds): Recent Advances in the Psychobiology of the Depressive Illnesses: Proceedings of a Workshop Sponsored by the NIMH. US Government Printing Office, 1972, pp 283-293. 9. Mayer-Gross W, Slater E, and Roth M: Clinical Psychiatry . Baltimore, Williams & Wilkins Co, 1969, p 312. 10. Masterson JF: Prognosis in adolescent disorders schizophrenia . J Nerv Ment Dis 124:219-232, 1956.Crossref 11. Planansky K, Johnston R: The occurrence and characteristics of suicidal preoccupation and acts in schizophrenia . Acta Psychiatr Scand 47:473-483, 1971.Crossref

Journal

Archives of General PsychiatryAmerican Medical Association

Published: Jun 1, 1979

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