The Outcome of Severe Internalizing and Disruptive Disorders from Preschool into Adolescence:A Follow-up Study.

IF 0.5 4区医学 Q4 PSYCHIATRY

Israel Journal of Psychiatry and Related Sciences Pub Date : 2015-01-01

Sara Spitzer, Ornit Freudenstein, Miriam Peskin, Sam Tyano, Assaf Shrira, Tova Pearlson, Aviad Eilam, Gil Zalsman, Tamar Green, Doron Gothelf

{"title":"The Outcome of Severe Internalizing and Disruptive Disorders from Preschool into Adolescence:A Follow-up Study.","authors":"Sara Spitzer, Ornit Freudenstein, Miriam Peskin, Sam Tyano, Assaf Shrira, Tova Pearlson, Aviad Eilam, Gil Zalsman, Tamar Green, Doron Gothelf","doi":"","DOIUrl":null,"url":null,"abstract":"Purpose: In this study we aimed to examine the outcome of children's severe psychiatric disorders from preschool into later childhood and adolescence.Method: Forty preschool children (28 boys and 12 girls) treated in a tertiary referral mental health center, evaluated at admission and 5.5 ± 1.2 years thereafter.Results: Seven (58.3%) children diagnosed with internalizing disorders at baseline were free of any psychiatric diagnosis at follow-up (p=0.02). Conversely, only one child (8.3%) diagnosed with comorbid disruptive-internalizing disorders at baseline was free of any psychiatric disorder at follow-up (p=1.0). Seven (43.7%) children diagnosed with disruptive disorders at baseline were free of psychiatric diagnoses at follow-up (p=0.02).Limitations: The small sample size and naturalistic nature of the study.Conclusion: The trajectories of severe psychiatric disorders at preschool years are similar to those reported in community samples and differ according to the baseline diagnosis. Children with internalizing disorders show a much better recovery rate than those with comorbid disruptive and internalizing disorders.","PeriodicalId":49288,"journal":{"name":"Israel Journal of Psychiatry and Related Sciences","volume":null,"pages":null},"PeriodicalIF":0.5000,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Israel Journal of Psychiatry and Related Sciences","FirstCategoryId":"3","ListUrlMain":"","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"PSYCHIATRY","Score":null,"Total":0}

引用次数: 0

Abstract

Purpose: In this study we aimed to examine the outcome of children's severe psychiatric disorders from preschool into later childhood and adolescence.

Method: Forty preschool children (28 boys and 12 girls) treated in a tertiary referral mental health center, evaluated at admission and 5.5 ± 1.2 years thereafter.

Results: Seven (58.3%) children diagnosed with internalizing disorders at baseline were free of any psychiatric diagnosis at follow-up (p=0.02). Conversely, only one child (8.3%) diagnosed with comorbid disruptive-internalizing disorders at baseline was free of any psychiatric disorder at follow-up (p=1.0). Seven (43.7%) children diagnosed with disruptive disorders at baseline were free of psychiatric diagnoses at follow-up (p=0.02).

Limitations: The small sample size and naturalistic nature of the study.

Conclusion: The trajectories of severe psychiatric disorders at preschool years are similar to those reported in community samples and differ according to the baseline diagnosis. Children with internalizing disorders show a much better recovery rate than those with comorbid disruptive and internalizing disorders.

本刊更多论文

学龄前至青春期严重内化和破坏性障碍的结局:一项随访研究。

目的:在本研究中，我们旨在探讨儿童严重精神障碍从学龄前到儿童后期和青春期的结局。方法:40名学龄前儿童(男28名，女12名)在某三级转诊心理健康中心接受治疗，入院时和入院后5.5±1.2年进行评估。结果:7名(58.3%)在基线时被诊断为内化障碍的儿童在随访时没有任何精神病学诊断(p=0.02)。相反，只有一名儿童(8.3%)在基线时被诊断为合并症破坏性内化障碍，在随访时没有任何精神障碍(p=1.0)。7名(43.7%)在基线时被诊断为破坏性障碍的儿童在随访时没有精神病学诊断(p=0.02)。局限性:本研究样本量小，属自然主义性质。结论:学龄前儿童严重精神障碍的发展轨迹与社区样本相似，但根据基线诊断存在差异。内化障碍患儿的康复率明显高于破坏性和内化障碍患儿。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Israel Journal of Psychiatry and Related Sciences PSYCHIATRY-

CiteScore

0.80

自引率

25.00%

发文量

审稿时长

>12 weeks

期刊介绍： THE ISRAEL JOURNAL OF PSYCHIATRY publishes original articles dealing with the all bio-psycho-social aspects of psychiatry. While traditionally the journal has published manuscripts relating to mobility, relocation, acculturation, ethnicity, stress situations in war and peace, victimology and mental health in developing countries, papers addressing all aspects of the psychiatry including neuroscience, biological psychiatry, psychopharmacology, psychotherapy and ethics are welcome. The Editor also welcomes pertinent book reviews and correspondence. Preference is given to research reports of no more than 5,000 words not including abstract, text, references, tables and figures. There should be no more than 40 references and 4 tables or figures. Brief reports (1,500 words, 5 references) are considered if they have heuristic value. Books to be considered for review should be sent to the editorial office. Selected book reviews are invited by the editor.