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精神状态、功能及压力与精神分裂症患者再入院的关系。

Relationship of mental status, functioning and stress to readmission of schizophrenics.

作者信息

Serban G

出版信息

Br J Soc Clin Psychol. 1975 Sep;14(3):291-301. doi: 10.1111/j.2044-8260.1975.tb00181.x.

DOI:10.1111/j.2044-8260.1975.tb00181.x
PMID:1182409
Abstract

A study was conducted to determine the interrelations among the variables of patient functioning, life stress, mental status and readmission to the hospital after release. The population consisted of 516 chronic and 125 acute schizophrenic men and women. Stress and functioning were measured by the Social Stress and Functionability Inventory for Psychotic Disorders. Mental status was assessed through the use of a standard Problem Appraisal inventory. Results demonstrated that mental status variables correlated at a low level with readmission, accounting for a minimal amount of variance, and that the factor of patient functioning had more predictive value, but its effectiveness was hampered by the long-standing cycle of admission-release-readmission in regard to chronic patients. Apparently there is no justification for considering mental status as a factor in prognosis, as some researchers have done in the past, based on the same low correlations.

摘要

一项研究旨在确定患者功能、生活压力、精神状态以及出院后再入院之间的变量关系。研究对象包括516名慢性精神分裂症患者和125名急性精神分裂症患者,涵盖男性和女性。压力和功能通过精神病性障碍社会压力与功能量表进行测量。精神状态通过使用标准问题评估量表进行评估。结果表明,精神状态变量与再入院的相关性较低,解释的方差量极少,并且患者功能因素具有更高的预测价值,但对于慢性病患者,长期的入院 - 出院 - 再入院循环阻碍了其有效性。显然,基于同样低的相关性,没有理由像一些研究人员过去那样将精神状态视为预后的一个因素。

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