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Hospital Admission for Severe Pediatric Dissociative Disorder

Rinaldi, Matthew, MBBS, BSc, MRCPsych*; Ilzarbe, Daniel, MD; Kyriakopoulos, Marinos, PhD, FRCPsych*†‡

The Journal of Nervous and Mental Disease: May 2019 - Volume 207 - Issue 5 - p 406–409
doi: 10.1097/NMD.0000000000000980
Original Articles
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Although children with dissociative disorders (DD) are referred to mental health inpatient units, no research exists to endorse this. We studied the outcomes of patients with DD over a 5-year period on a national inpatient unit for children up to 12 years of age. Demographic, clinical, and satisfaction data were collected and compared with the data of other inpatients not having DD. Eight patients were identified, of whom six were female. All had several comorbidities. Mean Children's Global Assessment Scale scores improved from admission to discharge (from 31 to 61, respectively). Admissions in DD were longer by 53 days (p = 0.059), and parents were statistically less satisfied about professionals' ability to listen to worries they may have about their child (p = 0.049). Referrers should expect children with DD to respond as well to inpatient interventions as those with other diagnoses but potentially with marginally longer admissions and lower parental satisfaction.

*National and Specialist Acorn Lodge Inpatient Children's Unit, Bethlem Royal Hospital, South London and Maudsley NHS Foundation Trust;

Department of Child and Adolescent Psychiatry, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK; and

Department of Psychiatry, Icahn School of Medicine at Mount Sinai, New York.

Send reprint requests to Matthew Rinaldi, MBBS, BSc, MRCPsych, Acorn Lodge, Bethlem Royal Hospital, Monks Orchard Road, Beckenham, London BR3 3BX, UK. E-mail: matthewrinaldi@nhs.net.

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