Adolescents hospitalized for psychiatric disorders experience more emotional distress in adulthood

Main Category: Mental Health
Article Date: 03 Aug 2004 - 0:00 PDT


Adolescents hospitalized for psychiatric disorders are more likely to report higher levels of emotional distress as adults, and are less likely to graduate from high school and complete college or graduate school, according to an article in the August issue of The Archives of Pediatrics & Adolescent Medicine, a theme issue on mental health and one of the JAMA/Archives journals.

According to the article, adolescent psychiatric illness is associated with later psychological difficulties, family and parental stress, and lost economic and educational opportunity. More than 103,000 short-term psychiatric hospitalizations (of less than 30 days) of youths under age 15 were recorded in 2000. However, little is known about the long-term outcomes for these hospitalized psychiatric patients.

Karin M. Best, Ph.D., of the University of California, Los Angeles, and colleagues followed 70 adolescents psychiatrically hospitalized between the ages of 12 and 15 (between 1978 and 1981) for 20 years. They also followed a group of 76 public high school students as a control group.

The researchers found that psychiatrically hospitalized youths were significantly more likely to die (four deaths) and to report higher levels of emotional distress. "At 25 years of age, the psychiatrically hospitalized youths reported significantly higher emotional distress on [one of the surveys] than did the high school youths," the authors write. "Between the ages of 25 years and mid-30s, significantly fewer hospitalized youths reported increases in degree attainment (three reported a high school diploma; two reported a college degree). In contrast, 16 high school youths earned a graduate degree, and two earned a college degree."

The researchers write: "In sum, the findings of this study document the continued vulnerability of maturing youths and suggest a need for mental health services to minimize later emotional distress and mortality, together with educational support to increase high school completion and educational attainment from the time of hospital discharge to early and mid-adulthood."

(Arch Pediatr Adolesc Med. 2004;158:749-752. Available post-embargo at http://www.archpediatrics.com)

Editor's Note: Dr. Best began this work while supported by a post-doctoral training award from the National Institute of Mental Health, Bethesda, Md., through the Family Risk and Resilience Consortium. Current work is made possible by research support from the College of Letters and Science, University of California, Los Angeles. This study was completed with the assistance of grants from the National Institute of Mental Health; the National Institute of Child Health and Development, Rockville, Md.; the William T. Grant Foundation, New York, N.Y.; the John D. and Catherine T. MacArthur Foundation, Chicago, Ill.; the Spencer Foundation, Chicago; and the Lilly Endowment, Indianapolis, Ind.

For more information, contact JAMA/Archives Media Relations at 312-464-JAMA (5262) or e-mail mediarelations@jama-archives.org. To contact Karin M. Best, Ph.D., call Dan Page at 310-794-0777.

Contact: Dan Page
310-794-0777
JAMA and Archives Journals Website

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