Richter Alwin, Blaha Lothar, Gross Werner, Schreiber Wolfgang
Bezirksklinikum Mainkofen.
Psychiatr Prax. 2004 Nov;31 Suppl 1:S35-7. doi: 10.1055/s-2004-828427.
Predicting the job performance of schizophrenic patients after discharge from hospital has been the focus of many studies within the last 30 years. In our own long-term study, we have started to follow-up 49 consecutively admitted schizophrenics taking their individual return on the so-called first employment market as primary target variable. To evaluate the respective predictive power, a set of different neuropsychological, psychopathological and psychosocial parameters was gathered in each patient. The data presented here are based on our first follow-up 18 months after discharge.
In concordance with present literature, statistical analysis revealed the following variables to be of decisive significance for successful occupational reintegration: - presence vs. absence of negative symptoms; - subjective ratings by interviewer; - baseline of both psychiatric treatment and working tenure.
A combination of these parameters provides a useful tool to assess prospectively the individual job performance of a given patient.
在过去30年里，预测精神分裂症患者出院后的工作表现一直是众多研究的重点。在我们自己的长期研究中，我们开始对49名连续入院的精神分裂症患者进行随访，将他们在所谓的第一就业市场上的个人回报作为主要目标变量。为了评估各自的预测能力，我们收集了每位患者的一系列不同的神经心理学、精神病理学和社会心理参数。这里呈现的数据基于我们在出院18个月后的首次随访。
与现有文献一致，统计分析表明以下变量对成功重返工作岗位具有决定性意义： - 阴性症状的有无； - 访谈者的主观评分； - 精神治疗和工作年限的基线。
这些参数的组合为前瞻性评估特定患者的个人工作表现提供了一个有用的工具。
