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A Six Year Follow-Up Study of Sixty-Five Adolescent Patients: Predictive Value of Presenting Clinical Picture

Published online by Cambridge University Press:  29 January 2018

Lucy J. King
Affiliation:
Department of Psychiatry, School of Medicine, Washington University, St. Louis, Missouri, U.S.A.
Glen D. Pittman
Affiliation:
Department of Psychiatry, School of Medicine, Washington University, St. Louis, Missouri, U.S.A.

Extract

Diagnosis of adolescent psychiatric patients is complicated by the absence of history of function in an adult role and by the assumed presence of psychological turmoil, thought to be normal at this age. Information about prognosis, always a useful part of clinical management, is especially important in counselling adolescent patients and their families about the prospects for education, vocation, and marriage.

†Patients came from both rural and urban areas of several neighbouring states. Parents or guardians of approximately one-third were teachers, salesmen, or shopkeepers and of another third, skilled labourers or farmers. The remainder were approximately equally divided between the well-to-do at one extreme and unskilled labourers at the other. That this sample provided a wider distribution among social strata than most private hospitals or most public hospitals is borne out by the fact that some patients who were subsequently hospitalized again were treated in private hospitals while others were admitted to public facilities (state hospitals).

Type
Research Article
Copyright
Copyright © Royal College of Psychiatrists, 1969 

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References

Annesley, P. T. (1961). ‘Psychiatric illness in adolescence: presentation and prognosis.’ J. merit. Sci., 107, 268–78.Google ScholarPubMed
Cassidy, W. L., Flanagan, N. B., Spellman, M., and Cohen, M. E. (1957). ‘Clinical observations in manic-depressive disease.’ J. Amer. med. Ass., 164, 1535–46.Google ScholarPubMed
Clayton, P. J., Pitts, F. N. Jr., and Winokur, G. (1965). ‘Affective disorder, IV. mania.’ Compr. psychiat., 6, 313–22.Google ScholarPubMed
Diagnostic and Statistical Manual of Mental Disorders. Second Edition (1968). Amer. Psychiat. Ass., Washington.Google Scholar
Eitinger, L., Laane, C. L., and Lanofeldt, G. (1958). ‘The prognostic value of the clinical picture and the therapeutic value of physical treatment in schizophrenia and the schizophreniform states.’ Acta psychiat. neurol. Scand., 33, 3353.CrossRefGoogle Scholar
Gittleson, N. L. (1966). ‘The effect of obsessions on depressive psychosis.’ Brit. J. Psychiat., 112, 253259.CrossRefGoogle ScholarPubMed
King, A. (1963). ‘Primary and secondary anorexia nervosa syndromes.’ Brit. J. Psychiat., 109, 470–9.CrossRefGoogle ScholarPubMed
Masterson, J. F. Jr. (1967). The Psychiatric Dilemma of Adolescence. Boston.Google Scholar
O'Neal, P., Robins, L. N., King, L. J., and Schaefer, J. (1962). ‘Parental deviance and the genesis of sociopathic personality.’ Amer. J. Psychiat., 118, 1114–23.CrossRefGoogle ScholarPubMed
Perley, M. J., and Guze, S. B. (1962). ‘Hysteria—the stability and usefulness of clinical criteria.’ New Eng. J. Med., 266, 421–6.Google ScholarPubMed
Pitts, F. N. Jr. and McClure, J. N. Jr. (1967). ‘Lactate metabolism in anxiety neurosis.’ New Eng. J. Med., 277, 13291335.CrossRefGoogle ScholarPubMed
Pollitt, J. (1957). ‘Natural history of obsessional states.’ Brit. med. J., i, 194–8.Google Scholar
Purtell, J. J., Robins, E., and Cohen, M. E. (1951). ‘Observations on clinical aspects of hysteria.’ J. Amer. med. Ass., 146, 902–9.Google ScholarPubMed
Robins, L. N. (1966). Deviant Children Grown-Up. Baltimore.Google Scholar
Stephens, J. H., Astrup, C., and Mangrum, J. C. (1966). ‘Prognostic factors in recovered and deteriorated schizophrenics.’ Amer J. Psychiat., 122, 1116–21.CrossRefGoogle ScholarPubMed
Vaillant, G. E. (1964). ‘Prospective prediction of schizophrenic remission.’ Arch. gen. Psychiat. (Chic), 11, 509–18.Google ScholarPubMed
Warren, W. (1965a). ‘A study of adolescent psychiatric in-patients and the outcome six or more years later, I. Clinical histories and hospital findings.’ J. Child Psychol. Psychiat., 6, 117.CrossRefGoogle ScholarPubMed
Warren, W. (1965b). ‘A study of adolescent psychiatric in-patients and the outcome six or more years later, II. The follow-up study.’ J. Child Psychol. Psychiat., 6, 141–60.Google ScholarPubMed
Wheeler, E. O., White, P. D., Reed, E. W., and Cohen, M. E. (1950). ‘Neurocirculatory asthenia (anxiety neurosis, effort syndrome, neurasthenia).’ J. Amer. med. Ass., 142, 878–88.CrossRefGoogle ScholarPubMed
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