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  1. A long-term follow-up study of adolescent psychiatric in-patients. Part III. Predictors of disability.

    Article - En anglais

    A total of 1095 adolescent psychiatric in-patients were followed up 15-33 years after hospitalization by record linkage to the National Register of Disability Benefits.

    On the basis of hospital records, all patients were rediagnosed according to DSM-IV and scored on data postulated to have predictive power with regard to disability.

    The factors were investigated by Kaplan-Meyer survival analysis and Cox regression.

    A psychotic or organic disorder, low score on DSM-IV Axis V (GAF) and the use of psychotropic medication at hospitalization were among the strong predictors of later disability, as were low IQ, poor achievement at school, somatic disorders, and self-harming behaviour (all P<0.01).

    Cox analysis showed that, of these, the following factors remained strong and independent predictors of disability :

    • psychotic and organic disorders (relative risk (RR)=3.1,95% confidence interval (CI)=2.4-4.0),

    • IQ<90 (RR=1.8, CI=1.5-2.3) ;

    • and GAF<30 (RR=1.9, Cl=1.5-2.4).

    Former adolescent psychiatric in-patients with a psychotic or organic disorder had a very high risk of later disability (71-81%), whereas those with other psychiatric diagnoses, and with IQ>=90 and GAF>=30 at hospitalization, had a relatively low risk of disability (22-29%).

    Mots-clés Pascal : Trouble psychiatrique, Adolescent, Homme, Prédiction, Evolution, Etude longitudinale, Long terme, Facteur risque, Maladie, Epidémiologie, Santé mentale

    Mots-clés Pascal anglais : Mental disorder, Adolescent, Human, Prediction, Evolution, Follow up study, Long term, Risk factor, Disease, Epidemiology, Mental health

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 99-0283139

    Code Inist : 002B18C14. Création : 16/11/1999.