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- Title
一般精神科病棟における児童思春期治療に関する後方視的検討.
- Authors
小野 和哉; 沖野 慎治; 中村 晃士; 中山 和彦
- Abstract
Specialized treatment for child and adolescent cases with psychiatric disorders is only available through a limited number of facilities in Japan, whereas treatment of psychiatric disorders in children is becoming a common occurrence in general psychiatric outpatient and inpatient units. This study was designed to investigate the range of child and adolescent cases that may adapt favorably to treatment in the general inpatient unit environment, and to establish treatment strategies for such child and adolescent patients in the general psychiatric inpatient setting. Treatment data from inpatients under 18 admitted to our hospital between 2004 and 2014 were analyzed using medical records and case conference records. A total of 156 cases were extracted. Projections regarding levels of adaptation in these cases were mostly possible within 30 days, and the effecst of treatment were largely apparent within 50 days in each case. We investigated the characteristics of the child and adolescent cases lending to good and bad adaptation to treatment in the general psychiatric inpatient unit. Advantages of inpatient treatment were improvement of acute symptoms, ease of rendering treatment assessments, and prevention of regression, whereas the disadvantage was lack of specialized functions tailored to the treatment of children and adolescents. The adaptation level of child and adolescent cases in a general psychiatric unit was mostly determinable within 30 days. Treatment goals for inpatient treatment should be set within the scope of short-term hospitalizations under 50 days in general psychiatric units, as functional problems are likely to become manifest when inpatient treatment of young patients is further prolonged in a general hospital setting.
- Publication
Japanese Journal of Child & Adolescent Psychiatry, 2015, Vol 56, Issue 3, p409
- ISSN
0289-0968
- Publication type
Article