Læknablaðið : fylgirit - 01.08.2003, Blaðsíða 82

Friday 15/8, 14:00-15:00
I POSTERS / 27TH NORDIC PSYCHIATR
P - 85 Friday 15/8,14:00-15:00
A long-term follow-up study of child and adolescent
psychiatric inpatients: Predictors of outcome
Ritva Erkolahti, MD, PhD, Child Psychiatric Clinic, Satakunta Hospital District,
Sairaalantie 3,28500 PORI, Finland. Elina Lahtinen.
ritva. erkolahti@satshp.fi
Background: Inpatient admission is an expensive psychiatric treat-
ment. Follow-up studies of the prognosis of the patients are impor-
tant.
Aims: This is a register-based study. Child psychiatric inpatients
were followed up 13-16 years after hospitalization. We wanted to
find out the predictors of outcome.
Method: The study population consisted of all 43 patients (mean
age 9 years, range 3-16 years) consecutively admitted to the child
psychiatric unit at the Satakunta Central Hospital, in Pori, Finland,
during the years 1982-1985. At the time of the follow-up in 1998, the
mean age of the former palients was 27 years (range 19-32 years).
Results: A total of 9 patients (21%) had obtained full disability
benefits, a total of 8 patients (19%) had committed criminal offen-
ces and a total of 11 patients (26%) had been admitted to an adult
psychiatric department. One patient had died (2%). A total of 24,
57% of the former child psychiatric inpatients had a non-negative
outcome, here defined as not having entered the register of delin-
quency, disability, and death, and not having been admitted to the
adult psychiatric departmenl.
Conclusions: Follow-up prognosis was related to the severity of
initial dysfunction, the age when seeking psychiatric help for the
first time, and organic and developmental problems of the child. In
addition, parental psychopathology and chronic diseases were
statistically significant predictors of outcome.
P - 86 Friday 15/8,14:00-15:00
To diagnose Asperger syndrome in adult patients
Birgitta Alexius MD, Department of Clinical Neuroscience, St Göran's Hospital,
Karolinska Institute, SE 112 81 Stockholm, Sweden
birgitta.alexius@spo.sll.se
Aims: To describe symptoms supporting a diagnosis of Asperger
syndrome in adult patients.
Method: Ten of 27 patients, half women, half men, diagnosed at a
psychiatric department constiluted the study group. The sample
was not randomised and is not representative. Data on gender; age/
symptoms at first contact; age/symptoms when diagnosed; symp-
toms that precipitated neuropsychiatric examination was assemb-
led from patients’ charts.
Results: At first contact mean age was 17.8 years for woraen and
34.0 years for men. One woman and four men had stereotypidy; two
women and one man social phobia; one woman maladaptive stress
disorder; one woman eating disorder. At time of diagnosis mean
age was 29.2 years for women; 38.6 years for men. Three women
and all men were diagnosed during treatment for conflicts with col-
leagues, neighbours or relatives; two women were suicidal. Two
women and four men were referred for neuropsychiatric examina-
tion because of communication problems; two women and one man
were tested routinely; one woman had demanded testing.
C CONGRESS
P - 87
Results of individual psychotherapy - a 3-years
prospective follow-up study of patients who have a
history of psychosis in psychiatric ambulatory care
Martti Kuokkanen, Helsinki City, Central Mental Health Unit, Helsinki, Finland
martti. kuokkanen @hel.fi
We provided intensive individual psychotherapy for young adults
with psychotic disorders in an outpatient setting in one of the health
districts of Helsinki. Initially 18 cases and controls (matched with age,
sex, diagnose, marital status, employment status, past health history,
and treatment history) were followed over 3 years (1997-2000).
Outcome criteria were hospital days and disability days in previous
year, i.e. annual GAFF- and SOFAS-results. Psychotherapy was
psychoanalytic oriented therapy 1-3 times in a week. There were two
qualified therapists and a doctor for cases. Controls received ordinary
psychiatric care with contacts 3-20 times in a year. Both cases and
controls received treatment in the form of psychotropics as indicated
(neuroleptics, antidepressive medicines). Preliminary results indicate
that the outcome was better for cases than controls.
P - 88 Friday 15/8,14:00-15:00
Transferred to an oral presentation
P - 89 Friday 15/8,14:00-15:00
Adult psychiatric patients bullied in childhood: Marital
status, level of education, and occupation
Gunilla Klensmeden Fosse MD, Department of Neuroscience, Faculty of Medicine,
Medisinsk teknisk forskningssenter, N-7489 Trondheim, Norway. Are Holen.
gunilla.fosse@medisin.ntmi.no
Background: Few studies have investigated social-demographic
condition of adult psychiatric patients that were bullied in child-
hood.
Aims: To compare adult psychiatric outpatients who had been
bullied in childhood with outpatients without such experiences with
regard to social-demographic variables.
Methods: One hundred and sixty consecutive adult patients from a
psychiatric outpatient clinic in Norway completed self-admini-
stered questionnaires about marital status, level of education, work
status, and occupation. Bullying was measured by an inventory
often used in schools.
Results: As adults, outpatients bullied in childhood were more
often single and less often ntarried or cohabiting. Bullied out-
patients also had significantly lower levels of education and were
more often out of work, and they worked significantly more fre-
quently as shop assistants than as schoolteachers and engineers.
Condusion: The findings suggest negative associations between
bullying in childhood and social and occupational function in adult
life.
82 LÆKNABLAÐIÐ / FYLGIRIT 48 2003/89