Holmqvist R
Department of Education and Psychology, Linköping University, Sweden.
J Nerv Ment Dis. 2000 Jun;188(6):366-71. doi: 10.1097/00005053-200006000-00007.
This paper presents, as part of a national Swedish research project, a study of associations between staff feelings toward patients and treatment outcome at 23 small psychiatric inpatient units. The outcome was measured with a composite scale based on structured interviews. Staff feelings were reported on a feeling checklist. Few and scattered correlations were found between staff feelings and treatment outcome when the whole group of patients was analyzed together. More meaningful patterns were found when data for psychotic and borderline patients were analyzed separately. For psychotic patients, positive outcome was associated with low levels of negative feelings throughout treatment. For borderline patients, positive outcome was associated with negative feelings at the beginning of treatment, followed by strong positive feelings in the later part. Staff feelings were more strongly associated with outcome for borderline patients than for psychotic patients. Patients with different structural diagnoses need different kinds of staff "feeling milieus."
作为瑞典一项全国性研究项目的一部分，本文呈现了一项针对23个小型精神科住院单元中工作人员对患者的感受与治疗结果之间关联的研究。治疗结果通过基于结构化访谈的综合量表进行衡量。工作人员的感受通过一份感受清单进行报告。当对所有患者进行整体分析时，工作人员的感受与治疗结果之间发现的相关性较少且分散。当分别分析精神病患者和边缘性人格障碍患者的数据时，发现了更有意义的模式。对于精神病患者，积极的治疗结果与整个治疗过程中低水平的负面感受相关。对于边缘性人格障碍患者，积极的治疗结果与治疗开始时的负面感受相关，随后在后期出现强烈的积极感受。与精神病患者相比，工作人员的感受与边缘性人格障碍患者的治疗结果关联更强。具有不同结构诊断的患者需要不同类型的工作人员“情感环境”。
