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Teenage School Refusers Grow Up: A Follow-up Study of 168 Subjects, Ten Years on Average after In-Patient Treatment

Published online by Cambridge University Press:  29 January 2018

Ian Berg*
Affiliation:
Belmont Grove, Leeds LS2 9NS, and Yorkshire Regional Health Authority. University of Leeds
Ann Jackson
Affiliation:
Yorkshire Regional Training Scheme
*
Correspondence

Abstract

Efforts were made to follow up 168 young teenage school refusers ten years, on average, after they had been treated as inpatients in an adolescent psychiatric unit. Almost half were well or much improved throughout the follow-up period. Outcome was most satisfactory in intellectually bright children treated under the age of 14 and among those who were well or substantially better shortly after discharge. Thirty per cent of the group had received treatment for psychiatric illness, 14% had seen a psychiatrist and 5% had been admitted to hospital for psychiatric treatment during the follow-up period. Thirty per cent appeared to be disturbed at the time that they were reviewed. The ‘decennial-inception’ and ‘point-prevalence’ rates for psychiatric disorder appeared unduly high by comparison with local and national rates of disturbance.

Type
Papers
Copyright
Copyright © 1985 The Royal College of Psychiatrists 

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Footnotes

An abridged version of this paper was presented by Ian Berg at the Annual Meeting of the Royal College of Psychiatrists, Cardiff, 12 July 1984.

References

Berg, I (1970) A follow-up study of school phobic adolescents admitted to an inpatient unit. Journal of Child Psychology and Psychiatry, 11, 3747.CrossRefGoogle Scholar
Berg, I (1983) School non-attendance. In Handbook of Psychiatry. Volume 4: The Neuroses and Personality Disorders (eds. Russell, G. F. M. & Hersov, L. A.). Cambridge: Cambridge University Press.Google Scholar
Berg, I., Butler, A. & Hall, G. (1976) The outcome of adolescent school phobia. British Journal of Psychiatry, 128, 8085.CrossRefGoogle ScholarPubMed
Berg, I. & Fielding, D. (1978) An evaluation of hospital inpatient treatment in adolescent school phobia. British Journal of Psychiatry, 132, 500505.CrossRefGoogle ScholarPubMed
Berg, I., Marks, I., McGuire, R. & Lipsedge, M (1974) School phobia and agoraphobia. Psychological Medicine, 4, 428434.CrossRefGoogle ScholarPubMed
Burns, L. E. & Thorpe, G. L. (1977) The epidemiology of fears and phobias (with particular reference to the National Survey of Agoraphobics). Journal of International Medical Research, 5, Supplement 5, 17.Google Scholar
Coolidge, J. C., Brodie, R. D. & Feeney, B. (1964) A ten-year follow-up study of 66 school phobic children. American Journal of Orthopsychiatry, 34, 675684.CrossRefGoogle Scholar
Finlay-Jones, R. A. & Burvill, P. W. (1978) Contrasting demographic patterns of minor psychiatric morbidity in general practice and the community. Psychological Medicine, 8, 455466.CrossRefGoogle ScholarPubMed
Forrest, G. & Berg, I (1982) Leeds Scales and the G.H.Q. in women who had recently lost a baby. British Journal of Psychiatry, 141, 429430 (correspondence).CrossRefGoogle Scholar
Gelder, M. G. (1983) Anxiety and phobic disorders, depersonalization, and derealization. In Handbook of Psychiatry. Volume 4: The Neuroses and Personality Disorders (ed. Russell, G. F. M. & Hersov, L. A.). Cambridge: Cambridge University Press.Google Scholar
Grimes, J. A. (1975) The probability of admission to a mental illness hospital or unit. In In-Patient Statistics from the Mental Health Enquiry for England DHSS Statistical and Research report series No. 20. London: Her Majesty's Stationary Office.Google Scholar
Kerr, T. A., Roth, M., Scapira, K. & Gurney, C. (1972) The assessment and prediction of outcome in affective disorders. British Journal of Psychiatry, 121, 167174.CrossRefGoogle ScholarPubMed
S. A. S. Institute (1982) Statistical Analysis System, User's Guide: Basics and Statistics. Cary, North Carolina: S. A. S. Institute.Google Scholar
Snaith, R. P., Bridge, G. W. K. & Hamilton, M. (1976) The Leeds Scales for the self-assessment of anxiety and depression. British Journal of Psychiatry, 128, 156165.CrossRefGoogle ScholarPubMed
Tyrer, P. & Tyrer, S. (1974) School refusal, truancy and adult neurotic illness. Psychological Medicine, 4, 416421.CrossRefGoogle ScholarPubMed
Wadsworth, M. E. J. (1984) MRC National Survey of Health and Development: personal communication.Google Scholar
Waldron, S. (1976) The significance of childhood neuroses for adult mental health: a follow-up study. American Journal of Psychiatry, 133, 532538.Google ScholarPubMed
Waller, D. & Eisenberg, L. (1980) School refusal in childhood—a psychiatric-paediatric perspective. In Out of School (ed. Hersov, L. & Berg, I.). Chichester: John Wiley.Google Scholar
Warren, W. (1960) Some relationships between the psychiatry of children and of adults. Journal of Mental Science, 106, 815826.CrossRefGoogle ScholarPubMed
YRHA (1984) Yorkshire Regional Health Authority: personal communication.Google Scholar
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