Predictors of Amelioration of Psychotic Symptoms for Children in an Inpatient Psychiatric Setting
This study explored the extent to which cognitive and Rorschach variables would be able to differentiate between children with psychotic symptoms whose symptoms remitted versus those whose symptoms did not over the course of an inpatient psychiatric hospitalization. The sample included 200 children, ages seven to twelve, who were assigned to three groups (never psychotic, good outcome, poor outcome) based on the therapist ratings on the psychotic symptoms scales of Children's Psychiatric Symptom Rating Scale (CPSRS). Children were assessed with a battery of psychodiagnostic instruments that included the Rorschach Comprehensive System (Exner 1990, 1991, 1993, 1995; Exner & Weiner, 1994), Wechsler Intelligence Scale for Children (WISCIV; Wechsler, 2003) and Conners Continuous Performance Test (CPT II; Conners et al., 2000). The findings indicate that Rorschach variables (Xa%, X-%, Level 2, FAB2, WSUM6, PTI, TPC, EII- 2) significantly differ between children who did not display any psychotic symptoms from children who experienced psychotic symptoms. However, none of the Rorschach variables differentiated the good outcome group from the poor outcome group. Similarly, several cognitive variables (WISC-IV) were able to distinguish the never psychotic group from children with psychotic symptoms. Children initially rated as having psychotic symptoms who displayed poor outcome demonstrated lower WISC-IV Comprehension scores than children with poor outcome. In addition, CPT variables (Standard Scores for Omissions and Total hits) significantly differentiated between never psychotic group of children and children in the good outcome group. Findings are discussed relative to the prognosis and treatment of children with psychotic symptoms.
Cingel, Kate, "Predictors of Amelioration of Psychotic Symptoms for Children in an Inpatient Psychiatric Setting" (2018). ETD Collection for Pace University. AAI10991929.
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