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PubMed2005

[Living with a hospitalized adolescent].

This study aimed to understand the experience of parents living with a hospitalized adolescent. Fifteen parents of hospitalized adolescents were interviewed from August to October of 2002. Data were analyzed through Martin Heidegger's phenomenological approach. Four themes were identified: the impact of the illness on the family, the feelings of the family members and the adaptation to the hospital world, religiousness and the presence of friends in the process of coping with hospitalization; changes in the adolescent. The results showed the importance of seeing the adolescent and his/her family as a being there, being-in-the-world and being-in-the-world-with-others.

Adaptation, Psychological↗
PubMedDate not supplied

Preferences of hospitalized adolescents for information providers.

The purposes of this study were to determine: (1) what are the preferences of hospitalized adolescents for information providers (parent(s), health professionals, or both parent(s) and health professionals); and (2) criteria to predict preferences, based on significant relationships between preferences and selected variables (sex, illness, length of illness, question topics, parental preference for information providers, length of hospitalization, number of previous hospitalizations, and age). A nonexperimental survey of 40 hospitalized adolescents utilized questionnaires to identify preferences of adolescents and 25 parents. Preferences were related to adolescent age and question topic. Age was statistically significant but the other variables were not. Adolescent preferences and that of their parents varied widely. Anecdotal information presented clarification of adolescent and parental preferences. The study results demonstrate that hospitalized adolescents have preferences for information providers and are willing to state those preferences when asked. Health professionals need to weigh these preferences with those of their own when delivering information to hospitalized adolescents. Replication of the study and variations of the design are suggested for further research.

Adolescent↗
PubMed2004

Reliability, diagnostic efficiency, and validity of the Millon adolescent clinical inventory: examination of selected scales in psychiatrically hospitalized adolescents.

This study examined the internal consistency, diagnostic efficiency, and validity of selected scales of the Millon adolescent clinical inventory (MACI; Millon et al., Manual for the Millon Adolescent Clinical Inventory, National Computer Systems, Minneapolis, MN, 1993). 241 psychiatrically hospitalized adolescents were administered the MACI and a battery of established self-report measures and a multidisciplinary team independently assigned DSM-IV psychiatric diagnoses at the time of discharge. The internal consistency of MACI scales ranged from 0.71 to 0.93. Conditional probabilities (sensitivity, specificity, positive predictive power, and negative predictive power) were calculated for selected disorders using independently generated clinical diagnoses as the standard. The diagnostic efficiencies for the selected scales were variable, with adequate performance for predicting classes of diagnoses but not for specific diagnoses. The MACI showed good criterion validity for most disorders, with participants with a clinical diagnosis having a significantly higher corresponding MACI scale score than participants not assigned that diagnosis. Concurrent validity, tested by correlating MACI scale scores with those of relevant, validated measures, was generally good. The MACI appears to be a psychometrically sound self-report instrument and appears valuable as a screening instrument for many problems found in adolescent psychiatric inpatients.

Adolescent↗
PubMed1999

Concurrent validity of the Millon Adolescent Clinical Inventory as a measure of depression in hospitalized adolescents.

This study examined the concurrent validity of the Millon Adolescent Clinical Inventory (MACI; Millon 1993) in the assessment of depression among 88 adolescent inpatients. Doleful Personality and Depressive Affect scales were moderately predictive of a clinical diagnosis of depression, but both scales were strongly associated with scores on the Children's Depression Inventory (Kovacs, 1992). The Suicidal Tendencies scale was weakly associated with placement on suicide precautions. Overall, these results provide moderate support for the use of the MACI in the assessment of hospitalized adolescents.

Adolescent↗
PubMed2001

Effects of race on psychiatric diagnosis of hospitalized adolescents: a retrospective chart review.

BACKGROUND: Several studies have reported that patient ethnicity influences psychiatric diagnosis, although this has only been examined in adolescents in two prior studies. One study was based on an outpatient sample and the other was a retrospective study involving a relatively small sample of inpatients. We hypothesized that, as reported in adults, African American adolescents would be diagnosed with schizophrenic spectrum disorders more frequently than Caucasians, and Caucasians correspondingly would receive more affective disorders diagnoses. METHODS: We retrospectively examined the charts of all adolescents (ages 12-18 years) admitted to the Adolescent Psychiatry Unit at Cincinnati Children's Hospital Medical Center (n = 1,001) between July 1995 and June 1998 for demographic information and discharge diagnoses. We used insurance status as a proxy for socioeconomic status. RESULTS: African American males were more commonly diagnosed with schizophrenic spectrum disorders than were African American women, Caucasian women, and Caucasian men. There were significantly more African Americans diagnosed with conduct disorder than Caucasians. In contrast, Caucasians were diagnosed with alcohol use disorders and major depression more often. CONCLUSIONS: Patient race and sex may influence clinical psychiatric diagnoses of hospitalized adolescents. Further investigations using structured interviews are necessary to determine whether the disparity in clinical diagnosis is secondary to actual gender and racial differences in the rates of illnesses in hospitalized adolescents or due to other factors that may contribute to diagnostic practices.

Adolescent↗
PubMedDate not supplied

Caring for the involuntarily hospitalized adolescent: the issue of power in the nurse-patient relationship.

TOPIC: The power relations between involuntarily hospitalized adolescents and their caregivers from the viewpoint of theory development in nursing and the concept of medicalization. PURPOSE: To contribute to the development of nursing theories that can guide nursing care of involuntarily hospitalized adolescents by examining the power relations between the adolescents and their caregivers. SOURCES: Published literature in medical sociology, and nursing and psychiatric ethics. Nursing and psychiatric literature, in which Michel Foucault's theories are used to explicate the disciplinary power of psychiatry. CONCLUSIONS: To empower involuntarily hospitalized adolescents nurses must both recognize the inevitable power imbalance and seek guidance from the egalitarian ideals of nursing. Nurses can draw from postmodern thinkers who dismiss the idea that one theory can explain human relationships.

Adolescent↗
PubMedDate not supplied

[Unveiling the daily experience of the hospitalized adolescent].

My experience in the adolescence was marked by the hospitalization process. Currently, as a nursing professional that take care of hospitalized young, there arose inquietudes that originated this study. The investigation object was the significance of the hospitalization in the adolescence, having as objective to understand this significance for the hospitalized adolescent. It was used the qualitative approach in the light of the Martin Heidegger's existential phenomenology. The setting was a specific internment unit for adolescents and the deponents were hospitalized young. This study made possible to understand that the adolescent unveiled himself as a being-with and understand of himself as a being--in the--world thrown to the death. The research pointed to the need of a real implementation of the public policies addressed to the hospitalized adolescent.

Adolescent↗
PubMed2000

Psychometric properties of the Trauma Symptom Checklist for Children (TSCC) with psychiatrically hospitalized adolescents.

A sample of 119 consecutively hospitalized adolescents, including 32 sexually abused teenagers, was assessed with the Trauma Symptom Checklist for Children (TSCC). Participants also completed the Beck Depression Inventory, Symptom Checklist-90-Revised (SCL-90-R), Adolescent-Dissociative Experience Scale, Minnesota Multiphasic Personality Inventory (MMPI), Rorschach, and the Family Environment Scale. The reliability and validity of each of the six TSCC scales and four subscales was determined. Analyses suggest that the individual scales are reliable and significantly intercorrelated. Independent measures of depression, anxiety, anger, and dissociation typically correlated significantly with the reference TSCC scales, and in fact, the Posttraumatic Stress subscale significantly discriminated the sexually abused group from the remainder of the sample. These findings suggested that with a psychiatric sample, the TSCC is a valid measure of distress.

Adolescent↗
PubMed1996

The Hopelessness Scale for Children: psychometric properties with hospitalized adolescents.

This study examined the internal consistency and factor structure of the Hopelessness Scale for Children with 201 adolescent inpatients (M age = 15.4 years). In comparison to the psychometric properties of the scale found with younger children, our findings suggest adequate, but lower, internal consistency reliability and a weak core factor structure. The results are discussed in terms of possible changes in the child scale or the alternative use of an adult measure of hopelessness with adolescents.

Adolescent↗