title: Adolescent psychiatric patients and their parents: comparison with a non-clinical cohort.
abstract: The study compared the psychiatric symptoms, coping skills, and family functioning of adolescent psychiatric inpatients and their primary caretakers with a non-clinical comparison group of adolescents and their primary caretakers. Participants completed measures of psychiatric symptoms, life experiences, problem-solving ability, family functioning, and anger. MANOVAs compared the adolescents and caretakers across the normative and clinical samples. A discriminate function analysis predicted membership in the clinical and non-clinical sample. Primary caretakers for the hospitalized adolescents reported significant differences in self-reported family functioning, life stress, psychiatric symptoms, and ratings of adolescent problem behaviors. These variables successfully classified 78% of the sample as inpatient or non-clinical comparison subjects. Adolescents hospitalized for psychiatric reasons did not differ from their non-clinical counterparts on self-report measures of psychiatric symptoms, distress, problem behaviors, problem solving, or trait anger. Independent of psychiatric status, adolescent self-reported family functioning and adolescent problem solving skills predicted the number of problems adolescents endorsed, the number of symptoms adolescents endorsed, and adolescent levels of trait anger. Although a brief psychiatric hospitalization seemed effective in treating adolescent mental health patients, the primary caretakers remained more symptomatic than a non-clinical cohort. Continuing to focus on the development of health care policies that are sensitive to needs of the primary caretakers will likely enhance long-term outcomes.
authors.affiliation: Department of Psychology, Central Michigan University, Mount Pleasant, MI 48859, USA. ronan1gf@cmich.edu
authors.forename: George F
authors.initials: GF
authors.lastname: Ronan
authors.forename: Laura E
authors.initials: LE
authors.lastname: Dreer
authors.forename: Jim I
authors.initials: JI
authors.lastname: Gerhart
mesh_terms: D000223:Adaptation, Psychological; D000293:Adolescent; D000294:Adolescent Behavior / Q000523:psychology*; D000296:Adolescent Psychiatry; D000328:Adult; D017677:Age Distribution; D000704:Analysis of Variance; D000786:Anger; D017028:Caregivers / Q000523:psychology*; D016022:Case-Control Studies; D015331:Cohort Studies; D005192:Family Health; D006801:Humans; D008875:Middle Aged; D010287:Parent-Child Relations; D010290:Parents / Q000523:psychology*; D012114:Residential Treatment; D012647:Self-Assessment; D013315:Stress, Psychological