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At least 19 recordsLinked to original sources
PubMed1979

The relationship between stressful life events and hospitalized adolescent psychiatric patients.

The nature and magnitude of psychosocial stresses preceding adolescent hospitalization were investigated. The findings indicate that the adolescent psychiatric patients have a greater magnitude of stressful life events when compared with general hospitalized adolescents and normal adolescents. The difference is found to be largely quantitative rather than qualitative. The results of the present study utilizing a combined version of Coddington's Junior High School and Senior High School Social Readjustment Rating Questionnaires is similar to previous findings on adult populations using the Social Readjustment Rating Scale.

Adolescent↗
PubMed2004

What are the characteristics of adolescent hospitalized suicide attempters?

AIM: To study the specificity of hospitalized adolescent suicide attempters. METHOD: Among a national sample of students (n = 11,718, mean age = 16.6 years) studied in 1999, 9.2% (n = 1078) made at least one suicide attempt during their life (SA); 21.9% (n = 234) of them were hospitalized (HSA). We identified the risk factors (family, school, behavioral and psychological) of SA and HSA by comparing (by gender) a) suicide attempters to non-suicide attempters and b) hospitalized suicide attempters to non-hospitalized suicide attempters. RESULTS: Both for girls and boys, the risk factors for SA varied. However, certain risk factors, particularly depressive mood, low self-esteem and poor parent-child relationships, were not associated with hospitalization. Hospitalized suicide attempters had more personal and social problems. But there is an important difference according to gender: in boys, hospitalization is related to physical fighting (OR = 2.2) and offences (OR = 3.4), in girls to running away (OR = 1.7), consumption of illegal drugs other than cannabis (OR = 2.0), having a living standard outside average (OR = 2.0) and going to a private school (OR = 1.7). CONCLUSION: Suicide attempters with problem behavior are more at risk of being hospitalized than others. However, the difference between hospitalized and non-hospitalized subjects was smaller than expected.

Adolescent↗
PubMed1986

Depressive symptoms and life events in physically ill hospitalized adolescents.

To study life events and depressive symptoms in adolescents hospitalized for physical illness, we administered the Coddington Life Events Survey and the Beck Depression Inventory (BDI) to 43 acutely ill adolescents, 42 chronically ill adolescents, and 140 adolescents from a general population. There were no differences between the three groups in total BDI, Psychological BDI, and Coddington Life Change Categories adjusted for hospitalization. The Somatic BDI was significantly greater in the acutely ill and chronically ill than in the general population sample (p less than 0.01). In the chronically ill, the Family Life Change score correlated with the psychological BDI (r = 0.44, p less than 0.01) but the Undesirable Life Change score did not. In the acutely ill and the general population, the Undesirable Life Change Score correlated with the Psychological BDI (r = 0.44, p less than 0.01), (r = 0.43, p less than 0.01) but the Family Life Change Score did not.

Acute Disease↗
PubMed1987

Panic and depressive disorders among psychiatrically hospitalized adolescents.

Sixty-one adolescents hospitalized on an inpatient psychiatric unit were evaluated to determine whether they met criteria for panic and affective disorders according to Research Diagnostic Criteria. Ten (16%) and 15 (24%) met criteria for definite or possible panic disorder. Fifteen (24.5%) had major depressive disorder (MDD) endogenous subtype, 10 (16%) had MDD nonendogenous subtype, 8 (13%) had minor depressive disorder (mDD), and 27 (44%) had no diagnosable mood disorder. Four adolescents with definite panic disorders were diagnosed as having MDD endogenous subtype, three MDD, two mDD, and one had no diagnosable depressive disorder. The mean total score on the Hamilton Rating Scale for Depression (HRSD) was significantly higher among those subjects with definite panic attacks compared with those with either possible or no panic. Patients with definite panic disorder showed significant increases on the HRSD items of guilt, decreased work and interest, psychological and somatic anxiety, and weight loss compared to these samples.

Adolescent↗
PubMed1991

Individual and family characteristics of middle class adolescents hospitalized for alcohol and other drug abuse.

The frequency of alcohol and drug use, abuse and severity of dependence, and personality and family characteristics in 280 female and male hospitalized adolescents in treatment for chemical dependence and 120 middle class adolescents were examined. A MANOVA showed that parents' drug and alcohol use was a main effect, increasing frequency of use and severity of dependence upon alcohol and drugs in both groups of adolescents. Sexual and physical abuse studied in the patient group also functioned as a main effect. Patients reported significantly less family interests, and participation in intellectual, cultural and social activities, but more control than the comparison group. It was concluded that adolescent alcohol and other drug abuse is part of a biopsychosocial syndrome of problem behavior, which includes the problem behavior of parents and the interacting family unit.

Alcoholism↗
PubMed2002

Diagnostic efficiency of borderline personality disorder criteria in hospitalized adolescents: comparison with hospitalized adults.

OBJECTIVE: The authors examined the diagnostic efficiency of borderline personality disorder criteria in adolescent inpatients. For comparison, diagnostic efficiency of borderline personality disorder criteria was also examined in a group of concurrently recruited adult inpatients. METHOD: Adolescents (N=123) and adults (N=106) were reliably assessed with the Personality Disorder Examination, a semistructured diagnostic interview for DSM-III-R personality disorders. Sixty-five adolescents and 50 adults met diagnostic criteria for borderline personality disorder. Conditional probabilities were calculated to determine which borderline personality disorder criteria were most efficient as inclusion criteria and as exclusion criteria. Adolescents and adults were analyzed separately, and the results were compared. RESULTS: There were no significant differences between groups with regard to the base rates of the borderline personality disorder diagnosis nor for any borderline personality disorder criterion. The best inclusion criterion for the adolescents was abandonment fears, though for the adults all symptoms were approximately equivalent in this regard. The most efficient exclusion criterion was uncontrolled anger for the adolescents and impulsiveness for the adults. CONCLUSIONS: In hospitalized patients, borderline personality disorder and its symptoms appear to be as frequent for adolescents as for adults. Despite these surface similarities between groups with respect to symptom patterns, several differences were found at the level of the diagnostic efficiency for individual borderline personality disorder criteria. These differences may shed light on the nature of borderline psychopathology during adolescence.

Adolescent↗
PubMedDate not supplied

[Premorbid adjustment of 100 hospitalized adolescent patients].

Premorbid adjustment of 100 hospitalized adolescent patients and its correlation with some clinical variables was assessed and compared with a group of 100 healthy adolescents. The hospitalized group of patients was divided into four diagnostic subgroups according to the diagnostic criteria of ICD 9: psychoses, neuroses, conduct and personality disorders and anorexia nervosa. The following assessment tools were used: Premorbid Adjustment Scale in Polish adaptation of A. Grzywa, List of demographic variables, List of Organic Risk Factors, Inventory of Developmental Psychopathology and the Brief Psychiatric Research Scale (BPRS). SPSS was used to analyze the results. The results confirmed the hypothesis of different levels of premorbid adjustment in hospitalized and healthy adolescents as well as in hospitalized adolescents and original control group of the research of A. Grzywa. Contrary to our expectations and data from the literature premorbid adjustment was lowest in the group of patients with conduct disorders and not as was expected in the group of psychotic adolescents. It was also confirmed that the differences in the level of premorbid adjustment between the group of hospitalized adolescents and control groups were smaller in the period of early childhood than in later developmental periods. Pronounced difficulties in adjustment were observed in all diagnostic subgroups in the period of late adolescence.

Adaptation, Psychological↗
PubMed1978

A comparison of self-esteem, dogmatism and fantasy in psychiatric inpatient adolescents and their parents with non-hospitalized adolescents and their parents.

Forty in-patient adolescents and 40 non-hospitalized adolescents, comparable in age, sex, education, birth position and socioeconomic level, and their parents were administered the Rokeach Dogmatism Scale, Barksdale Self-Esteem Evaluation Scale, the Singer and Antrobus Imaginal Process Inventory, and the Elms Empathic Fantasy Scale. Distinct differences were found between the in-patient adolescent and his/her parents in aspects of fantasy, empathy, dogmatism, and self-esteem, while the non-hospitalized adolescents were very similar in fantasy with both parents. In addition, both parents of the nonhospitalized adolescents had greater levels of self-esteem with less dogmatism evident in the fathers. The results are discussed in terms of the identification process and modeling, the socialization process with its suppression or reduction of taboo drive manifestations and fantasy as a means of achieving unattainable drives.

Adolescent↗
PubMed1981

The hospitalized adolescent interaction scale: an instrument to measure patient behavior on an adolescent medicine ward.

The Hospitalized Adolescent Interaction Scale was developed to assess the behavior of adolescents on an adolescent unit. This 30-item checklist was utilized to measure the behavior of patients hospitalized on adolescent units in two hospitals. The type and level of behavior of the adolescents were similar at the two hospitals. Adolescents spent only a small percentage of their time interacting with each other (3-8%), while over half their time was spent in solitary activities (33-37%) or doing nothing at all (21-17%). In rank order, the four most frequent activities at both institutions were: (1) television on, (2) visitor in room, (3) patient watching TV, and (4) visitor and patient talking.

Adolescent↗
PubMed1995

Identifying anxiety disorders in adolescents hospitalized for alcohol abuse or dependence.

In structured clinical interviews of 43 adolescents hospitalized for alcohol abuse or dependence, 17 subjects met criteria for an anxiety disorder, with social phobia (N = 9) and posttraumatic stress disorder (N = 7) most common. Of these 17 subjects, only four were identified in hospital records as having an anxiety disorder. In a comparison of 30 hospitalized adolescents with a matched control group of 30 adolescents from the community, the hospitalized adolescents had a higher rate of anxiety disorders, psychoactive substance use disorders, disruptive behavior disorders, and mood disorders.

Adolescent↗
PubMedDate not supplied

Animal-assisted therapy with hospitalized adolescents.

PROBLEM: To ascertain the effects of animal-assisted therapy on hospitalized adolescents. METHODS: Thirty adolescents hospitalized in a 16-bed psychiatric unit. Data collection included patient journals, interviews with 15 patients, and anecdotal notes from observations and staff reports. The ethnographic method was used for data analysis. FINDINGS: Categories identified from the data include the dog as a component of the milieu, as friend, and as therapist. The dog served as a catalyst for interactions, and often had human qualities ascribed to him by the adolescents. CONCLUSION: This study provides new information that can enhance patient care.

Adolescent↗
PubMed1988

Psychosocial research and the hospitalized adolescent: approaches and challenges.

Hospitalized adolescents regularly become participants in psychosocial research within acute-care hospital settings. Examples of studies within the four common approaches used to examine and describe the behaviors of this group (instructional, theoretical, informational, experimental) are briefly described. The impact of various illness states (acute, chronic, terminal) and the readiness of the adolescent to be involved in such research are also discussed. The measurement of adolescent behavior and appropriate instrumentation are presented as areas of challenge for future psychosocial research.

Adolescent↗
PubMed1986

Hospitalized adolescents in a general-hospital psychiatric unit: their demographic and clinical characteristics.

This paper presents a profile of adolescents aged 13 to 19 years with acute psychiatric symptoms requiring hospitalization in a general-hospital psychiatric unit. Their demographic, clinical, and psychosocial characteristics are described and their use of available services during the acute phase of their period of distress is reviewed. The establishment of specialized treatment units for adolescents within the general hospital is endorsed and the implications of the role of general-hospital psychiatric unit for the partial hospitalization of adolescents with psychiatric problems are discussed.

Adolescent↗
PubMed1988

Positive and negative experiences of hospitalized adolescents.

Examination of the behaviors of 66 hospitalized adolescents during a 28-day period following release from two acute-care hospitals was undertaken. In addition to three standardized measures, hospitalized subjects completed the Hospitalization Self Report Instrument, designed to record positive and negative experiences while hospitalized. Four categories of positive experiences and six categories of negative experiences are described. Of note are statements suggesting personal learning and benefit from being alone and inactive while hospitalized. Discussion of developmental aspects in relation to adolescent hospitalization are explored.

Adolescent↗
PubMedDate not supplied

Music listening preferences and preadmission dysfunctional psychosocial behaviors of adolescents hospitalized on an in-patient psychiatric unit.

This study investigated the relationship between music listening preferences and preadmission, dysfunctional psychosocial behaviors (PDPB) of 60 adolescents who were hospitalized on an in-patient psychiatric unit. Findings were that hospitalized adolescents who primarily listened to music with negative lyrics/themes had a history of more PDPB than hospitalized adolescents who primarily listened to music that did not contain negative lyrics/themes; and hospitalized adolescents who primarily listened to heavy metal music had a history of more PDPB than hospitalized adolescents who primarily listened to other types of music.

Adolescent↗
PubMed1982

A ten-year comparison of fathers' and mothers' reactions toward their hospitalized adolescents.

Difficulties confronting parents of hospitalized adolescents are reviewed. Fathers' and mothers' reactions to their child's illness and hospitalization are compared to those of 10 years ago. Differences in attitudes and behavior over the decade are believed to be more attributable to the cultural climate than to the variability in the sample. The more pronounced changes were found among fathers, who currently showed less hostility toward the hospital and patient and a greater ability to express a range of feelings. Compared to 10 years ago, the fathers were more motivated to visit by concern than by duty and evidenced greater ease on the ward and more involvement with their children. Paternal and maternal roles appeared to overlap far more than previously, to the benefit to both.

Adolescent↗
PubMed1985

Spiritual and religious concerns of the hospitalized adolescent.

One of the tasks of adolescence is the development of a value system. The way in which these values are expressed in relationship to illness in adolescence, however, has not been studied. The authors conducted a social science survey to study the spiritual concerns of hospitalized adolescents. One hundred and fourteen hospitalized adolescents, ranging in age from 11 to 19, answered a Likert scale questionnaire on Spiritual and Religious Concerns (SRQ). Analysis of variance was performed to correlate responses with sex, race, religion, type of school, and severity of illness. A subgroup of hospitalized adolescents, those with more serious disease, experienced intensified spiritual and religious concerns. In response to the questionnaire, over 15% of the patients requested further help. Our findings suggest that training in adolescent health care and the provision of services to teenagers ought to include teaching in the area of spiritual and religious values of teenagers, with emphasis on the hospitalized adolescent.

Adolescent↗
PubMedDate not supplied

[Organic risk factors and developmental psychopathology in a group of 100 hospitalized adolescents].

In the Psychiatric Clinic for Children and Adolescents, a group of 100 hospitalized adolescents were assessed with respect to organic risk factors and developmental psychology, using original questionnaires drawn up by the clinic. Pathology during infancy, early childhood and the results of psychological tests assessing changes in the C.N.S. differentiated 4 diagnostic subgroups: psychoses, neuroses, anorexia and conduct and personality disorders. Organic risk factor indicators were most frequent in the subgroup of conduct and personality disorders. Some indicators of developmental pathology such as speech impediments, eating disorders and conduct disorders, correlated highly with psychiatric diagnosis during adolescence.

Adolescent↗