Drake R E, Wallach M A
New Hampshire-Dartmouth Psychiatric Research Center, Lebanon.
Community Ment Health J. 1992 Feb;28(1):5-12. doi: 10.1007/BF00756697.
Mental patients often show attraction to the hospital as a living alternative. In this study, 187 aftercare patients of an urban state hospital were examined for correlates of hospital attraction. Several variables, including background characteristics, psychosocial problems, psychiatric symptoms, substance abuse, and medication noncompliance, characterized the approximately 25% of the sample who showed hospital attraction. A logistic regression model for hospital attraction indicated that past hospital tenure, problems obtaining regular meals, positive symptoms of psychosis, and severe drug abuse contributed separately to the variance. The authors discuss the implications of these findings for treatment and public policy.
精神病患者常常表现出对医院有一种作为生活选择的吸引力。在这项研究中,对一家城市州立医院的187名康复期患者进行了调查,以探究与医院吸引力相关的因素。包括背景特征、心理社会问题、精神症状、药物滥用和药物治疗不依从等几个变量,刻画了约25%表现出医院吸引力的样本特征。一个关于医院吸引力的逻辑回归模型表明,过去住院时间、难以获得规律饮食、精神病阳性症状和严重药物滥用分别对差异有影响。作者讨论了这些发现对治疗和公共政策的意义。