Adolescent psychiatric hospitalization and mortality distress levels, and educational attainment - Follow-up after 11 and 20 years

被引:25
作者
Best, KM
Hauser, ST
Gralinski-Bakker, JH
Allen, JP
Crowell, J
机构
[1] Univ Calif Los Angeles, Neuropsychiat Inst & Hosp, Div Child & Adolescent Psychiat, Dept Psychiat & Behav Sci,David Geffen Sch Med, Los Angeles, CA 90095 USA
[2] Harvard Univ, Sch Med, Judge Baker Childrens Ctr, Boston, MA 02115 USA
[3] Harvard Univ, Sch Med, Dept Psychiat, Boston, MA 02115 USA
[4] Univ Virginia, Dept Psychol, Charlottesville, VA 22903 USA
[5] SUNY Stony Brook, Dept Psychiat & Behav Sci, Stony Brook, NY 11794 USA
来源
ARCHIVES OF PEDIATRICS & ADOLESCENT MEDICINE | 2004年 / 158卷 / 08期
关键词
D O I
10.1001/archpedi.158.8.749
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
Background: Adolescents with early psychiatric hospitalization are likely to be at a significant risk for long-term difficulties. Objective: To examine early adulthood outcomes of psychiatrically hospitalized adolescents. Design: Inception cohort recruited from 1978 to 1981 and observed until 2002. Setting: Northeastern United States. Participants: Adolescents (aged 12-15 years) from 2 matched cohorts were recruited and assessed repeatedly across 20 years: 70 psychiatrically hospitalized youths and 76 public high school students. Main Outcome Measures: Death, emotional distress, high school completion, and educational attainment. Results: Psychiatrically hospitalized youths were significantly more likely to die and to report higher levels of emotional distress. Hospitalized youths were significantly less likely to graduate from high school and complete college and graduate school. Conclusions: The association between psychiatric symptoms sufficient to result in psychiatric hospitalization during adolescence and later mortality, emotional distress, high school completion, and educational attainment is striking. Further study is needed to identify and understand linkages between adolescent psychiatric impairment and decrements in adult functioning, particularly the processes that may underlie these linkages. Increasing school completion and educational attainment among hospitalized youths may minimize decrements in adult adaptation.
引用
收藏
页码:749 / 752
页数:4
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