Læknablaðið : fylgirit - 01.08.2003, Blaðsíða 56

I ABSTRACTS / 27TH NORDIC PSYCHIATRIC CONGRESS
S-XXVI/4 Friday 16/8 11:00-12:30
An lcelandic version of the Problem Gambling Severity
Index: A Psychometric evaluation
Danícl Þór Ólason Dr., University of Iceland, Department of Psychology, Odda,
Sturlugötu, 101 Reykjavík, Iceland. Herdís Finnbogadóttir, Margrét A. Hauksdóttir,
Sigríður K. Bárudóttir.
dto@hi.is
Iiackground: In spite of considerably high rates of gambling partici-
pation in Iceland there exists little information on the prevalence of
problem gambling In Iceland.
Aims: This paper presents a psychometric evaluation of the Problem
Gambling Severity Index (PGSI-Ferris & Wynne, 2001) and reports
the rate of problem gambling among university students in Iceland.
Method: Students from seven universities in Iceland were surveyed
concerning their gambling behaviour. Tlie final sample consisted of
1.266 students (mean age = 26), 35% males and 65% females.
Results: About 75% of the students had gambled at least once
during the past 12 months, with gambling more common among
males (83%) than females (71%). The nine items from the PGSI
were entered into a PC analysis revealing a clear one-factor struc-
ture with satisfactory alpha coefficient (0,84). Students were classi-
fied into the following gambler sub-types: (1) non-problem gambler
(86,3%), (2) low risk gambler (11,4%), (3) moderate risk gambler
(1,9%) and (4) problem gambler (0,03%). Finally, comparing the
PGSI with a DSM-IV diagnostic measure revealed satisfactory
classification accuracy of the PGSI.
Conclusions: Tlte results suggest that the PGSI is a reliable and
accurate measure of problem gambling and provides sound basis
for future epidemiological studies within the Icelandic population.
S - XXVII /1 Friday 16/8,11:00-12:30
A long-term follow-up study of adolescent psychiatric in-
patients
Kjelsberg E, MD, Centre for Research and Education in Forensic Psychiatry and
Sogn Centre for Child and Adolescent Psychiatry, SSBU, PO Box 26, Vinderen, N-
0319 Oslo, Norway
ellen. kjelsherg@psykiatri. uio.no
Background: Little is known about the long-term outcome in
adolescent mental disorders.
Aims: To investigate the adult outcome in adolescent psychiatric in-
patients.
Method: A total of 1095 patients, close to 86% of all patients ad-
mitted to the Adolescent Department at the National Centre for
Child and Adolescent Psychiatry in Oslo, Norway, during the years
1963-81 were followed-up 15-33 years later. On the basis of hospital
records, all patients were re-diagnosed according to DSM-IV and
scored on a variety of background data hypothesised to have pre-
dictive power as to later outcome. At follow-up, register linkage to
the national registers of disability, criminality, and causes of death
were carried out. Survival analysis was used to explore possible
predictors of criminality, disability, and death.
Rcsults: 52% of the patients had entered the criminal register at
follow-up, close to 39% had received disability pension, and 13.6%
were dead. This constitutes markedly increased proportions, com-
pared to age and gender matched groups in the general population.
Only about 23% of the patients had avoided entering any of the
above registers. Distinct risk factors for the different outcomes
were identified.
Condusions: The study found poor adult outcome, defined as crimi-
nal activity, disability, and early death, in a large proportion of
adolescent psychiatric in-patients, particularly males with externa-
lising disorders.
S - XXVII / 2 Saturday 16/8,11:00-12:30
Child psychiatric patients in adulthood: Psychiatric
services use, mortality and criminality
Ulf Engqvist, Licentiate of Medicine and Social Worker, Karolinska Institutet, De-
partment of Women and Child Health and Östersunds Hospital, Child and Adoles-
cent Psychiatric Unit. Lillfjallvagen 32, S-831 71 Östersund, Sweden
ulf.ensqvist@jll.se
Objective: To describe psychiatric services use, mortality and crimi-
nality in a sample of 1420 child psychiatric patients in a Swedish
County Council. Observation times vary between 12-33 years.
Method: Examination of hospital records and linkage to official
registers.
Results: Slighlly more than a third, or 36%, were later admitted to
psychiatric care. Connections between diagnoses are weak. 35%
were known in national prison and probation administration re-
gisters and 2.7 % are deceased, the majority of them due to suicide,
overdose of narcotics or accidents. 57 % have a poor outcome, i.e.
they have had psychiatric contact and/or developed criminality and/
or are deceased.
Condusions: A smaller group of adolescents with severe mental ill-
ness will be in need of further, often long term, psychiatric care. Tlie
majority of the child psychiatry patients, however, have had unspeci-
fied mental symptoms that not have been signs of proper mental
illness. The risk of premature death and developing later criminality
is considerable. Patients admitted to child and adolescent psychiatry
due lo conduct disorder have a considerable risk for premature death
and criminality. Attempted suicide among child and adolescent
patients is a poor predictor for a later accomplished suicide.
S - XXVII / 3 Saturday 16/8,11:00-12:30
Depression in childhood and adolescence and the risk of
personality disorder in adulthood
Anne-Liis von Knorring
No abstract received.
S-XXVII/4 Saturday 16/8,11:00-12:30
Long term follow-up studies on adolescent onset
anorexia nervosa
Bruno Hágglöf, MD, PhD, Professor of Child and Adolescent Psychiatry, Umeá
University, SE-901 85 Umeá, Sweden
Bruno.Hagglof@psychiat.umu.se
Background: Tlte purpose of the study was to investigate the long-
56 LÆKNABLAÐIÐ / FYLGIRIT 48 2003/89