CHILDRENS BEHAVIORAL ADAPTATION EARLY IN PSYCHIATRIC-HOSPITALIZATION

CHILDRENS BEHAVIORAL ADAPTATION EARLY IN PSYCHIATRIC-HOSPITALIZATION
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DOI:
10.1111/j.1469-7610.1994.tb01216.x
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发表时间:
1994-05-01
期刊:
JOURNAL OF CHILD PSYCHOLOGY AND PSYCHIATRY AND ALLIED DISCIPLINES
影响因子:
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通讯作者:
KOPLEWICZ, HS
KOPLEWICZ, HS
中科院分区:
其他
文献类型:
--
作者:
BLADER, JC;ABIKOFF, H;KOPLEWICZ, HS

文献摘要

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行为模式随着时间的推移进行了评估,在第一个24天住院的98名儿童精神病患者。工作人员完成了日常行为监测和评级。在此期间,患者被分类为改善、不变或恶化。34%的患者最初表现出良好的控制行为,但在平均6.8天后明显恶化。这一结果从经验上支持了“蜜月期”现象,其他患者在初始阶段表现出改善(15%),无变化(30%)或无法可靠分类(21%)。因此,许多儿童住院患者入院后症状迅速稳定,但大量患者随后恶化。这些结果的临床,科学和管理的影响进行了讨论。
Behavioral patterns over time were assessed during the first 24 days of hospitalization for 98 child psychiatric inpatients. Staff completed daily behavioral monitoring and ratings. Patients were categorized as improved, unchanged or deteriorated during this time. Thirty-four percent of patients initially exhibited well-controlled behavior, but then significantly worsened after a period averaging 6.8 days. This result empirically supports the ''honeymoon'' phenomenon, Other patients showed either improvement during the initial period (15%), no change (30%), or could not be reliably classified (21%). Therefore, many child inpatients show rapid symptom stabilization after admission, but a large number then worsen. Clinical, scientific and administrative implications of these results are discussed.