Little is known about adolescents’ perceptions about their health-related quality of life (HRQoL) in the course of routine adolescent psychiatric treatment. The aim of this 1-year follow-up study was to investigate HRQoL and changes in it among youths receiving adolescent psychiatric outpatient treatment. The study comprised 158 girls and 82 boys aged 12–14 years from 10 psychiatric outpatient clinics in one Finnish hospital district. Same-aged population controls (210 girls and 162 boys) were randomly collected from comprehensive schools. HRQoL was measured using the 16D instrument. The questionnaire was self-administered when the adolescents entered the polyclinics (= baseline), after a treatment period of 6 months, and after 12 months. The mean age of respondents was 13.8 years (SD 0.63). At baseline, the mean HRQoL score of both female and male outpatients was significantly lower than that of population controls (p < 0.001). HRQoL of female patients was significantly worse than that of male patients (p < 0.001). In girls, HRQoL improved continuously during the 12-month follow-up, yet it remained worse than that of female population controls. Among boys, HRQoL was substantially better at the 6-month follow-up than at baseline, but this positive development was no longer seen at the 12-month follow-up. From the perspective of HRQoL, girls seem to benefit more than boys from adolescent psychiatric outpatient treatment. Possible explanations for this finding are discussed.

中文翻译：

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青少年精神科门诊患者的 CAPMH 健康相关生活质量：针对 12-14 岁芬兰男孩和女孩的 12 个月随访研究

我们对青少年在常规青少年精神病治疗过程中对其健康相关生活质量 (HRQoL) 的看法知之甚少。这项为期一年的随访研究的目的是调查接受青少年精神科门诊治疗的青少年的 HRQoL 及其变化。该研究由来自芬兰一个医院区 10 个精神科门诊的 158 名女孩和 82 名男孩组成，年龄为 12-14 岁。从综合学校随机收集同龄对照人群（210 名女孩和 162 名男孩）。HRQoL 使用 16D 仪器测量。当青少年进入综合诊所（=基线）、治疗 6 个月后和 12 个月后，自行填写问卷。受访者的平均年龄为 13.8 岁（SD 0.63）。在基线时，女性和男性门诊患者的平均 HRQoL 评分均显着低于人群对照 (p < 0.001)。女性患者的 HRQoL 显着差于男性患者 (p < 0.001)。在女孩中，HRQoL 在 12 个月的随访期间持续改善，但仍低于女性群体对照。在男孩中，6 个月随访时的 HRQoL 明显优于基线，但在 12 个月随访时不再看到这种积极的发展。从HRQoL的角度来看，女孩似乎比男孩从青少年精神科门诊治疗中受益更多。讨论了这一发现的可能解释。