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Ideally, programs for adolescents in psychiatric hospitals should be based on empirical studies of long‐term effectiveness of different treatment techniques. This paper reviews the literature and isolates six variables significantly related to long‐term outcome. Components of the process‐reactive variable are examined separately for predictive ability, and other variables that suggest directions for research are presented. Multivariate research designs examining combinations of refined outcome predictors are suggested.
Although the development of psychiatric residents has been studied extensively, continuing changes in psychiatrists after graduation from training have not. The authors present results of a survey research study of 263 psychiatrists recently graduated from a wide variety of training programs. The psychiatrists reported alarming symptoms of stress during this period, yet they used effective coping mechanisms and perceived themselves as increasing in growth, mastery, and confidence. Their overall contenment with their personal and professional lives effective coping mechanisms were those involving the establishment of support systems with loved ones.
Procedural problems inhibiting follow‐up research on psychiatric patients are discussed, and solutions offered, in the areas of ethical concerns, study design, selection of variables, collection of data, and researcher‐clinician relationship. Early communication with patients about methods and goals, and maintenance of rapport and feedback between research and treatment staffs may overcome many difficulties of long‐term research, and even aid treatment.
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