[Post hoc interviews with adolescents after voluntary and involuntary psychiatric admission].
We examined the influence of the admission mode of adolescents into inpatient psychiatric therapy - voluntary or involuntary - on the outcome. For statistics, a fully structured self-assessment form was applied some months after dismission, partly drawn up independently and partly containing items from the inventory for quality of life in children and adolescents (ILK). The initial psychological state was less favourable in patients who were admitted under constraint. However, both patient groups showed a comparable outcome. Positive effects of the patient information on their compliance and attitude towards the therapy were demonstrated, as well as a positive influence of the confidence in the therapeutic staff. Regarding the quality of life obtained at the end of treatment, the admission mode is apparently less important or is put into perspective by staff-patient-relations within the therapeutic relationship. On the other hand, the possibilities for participation and the patients' feeling to be taken seriously play a major role in improving compliance and, as a moderator variable, for therapeutic success as well. The results underline the importance of improving participation processes of hospitalized adolescent patients in psychiatry. This seems to be constitutive for a positive long-term treatment outcome.
Kühnapfel
Bernward
B
Klinik für Kinder- und Jugendmedizin, Evangelisches Krankenhaus, Hamm, Hamm. kuehnapfels@web.de
Schepker
Renate
R
D000293:Adolescent; D003134:Commitment of Persons with Psychiatric Disorders / Q000706:statistics & numerical data*; D005260:Female; D005500:Follow-Up Studies; D005858:Germany; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000523:psychology / Q000628:therapy*; D017063:Outcome Assessment, Health Care / Q000706:statistics & numerical data*; D010343:Patient Admission / Q000706:statistics & numerical data*; D010349:Patient Compliance / Q000523:psychology / Q000706:statistics & numerical data; D011788:Quality of Life / Q000523:psychology; D011795:Surveys and Questionnaires