Abstract • Twenty-four psychiatrically ill adolescents, unclassifiable by diagnostic criteria, were followed up after seven years. Fifteen had been ill in the interval, and the conditions of 12 of these could, as adults, be diagnosed according to established syndromes because atypical adolescent psychiatric disorder became more typical in adulthood. Nine subjects remained well. Their original disorders had been characterized by depressed mood, reactivity, and conflicts with parents. Such a clinical picture in the absence of drug or alcohol abuse had good prognosis. Among many clinical and sociological features present at the time of the original study, only the presence of a "psychotic" symptom (hallucinations, delusions, formal thought disorder, or bizarre behavior) differentiated those who would be sick at follow-up from those who would be well. Poor outcome was predicted by such a symptom regardless of what the diagnosis later turned out to be. References 1. Feighner JP, Robins E, Guze SB, et al: Diagnostic criteria for use in psychiatric research . Arch Gen Psychiatry 26:57-63, 1972.Crossref 2. Woodruff RA, Goodwin DW, Guze SB: Psychiatric Diagnosis . New York, Oxford University Press, 1974. 3. Hudgens RW: Use of the term "undiagnosed psychiatric disorder." Br J Psychiatry 119:529-532, 1971.Crossref 4. Hudgens RW: Psychiatric Disorders in Adolescents . Baltimore, Williams & Wilkins Co, 1974. 5. Masterson JF Jr: The Psychiatric Dilemma of Adolescence . Boston, Little Brown & Co, 1967. 6. Offer D: The Psychological World of the Teenager . New York, Basic Books Inc, 1969. 7. King LJ, Pittman GD: A six year follow-up study of 65 adolescent patients: Predictive value of presenting clinical picture . Br J Psychiatry 115:1437-1441, 1969.Crossref 8. Liss JL, Welner A, Robins E: Undiagnosed psychiatric patients: II. Follow-up study . Br J Psychiatry 121:647-651, 1972.Crossref
Archives of General Psychiatry – American Medical Association
Published: Mar 1, 1978
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