Borgå P, Widerlöv B, Cullberg J, Stefansson C G
Psychosocial Research Unit, Nacka, Sweden.
Acta Psychiatr Scand. 1991 Mar;83(3):223-33. doi: 10.1111/j.1600-0447.1991.tb05529.x.
This study of long-term functionally psychotic people in Stockholm County describes the psychiatric and somatic care provided as well as social welfare support and medication in a total cohort. This group included all non-organic cases of psychosis aged 18-64 years. The group was found still to be very dependent on institutional care, with an average of 75 d of psychiatric inpatient care. Males spent twice as long as females as inpatients, and people from the urban area spent a longer time than those from the other areas. Antipsychotic medication increased from the rural to the urban area. The diagnosis of schizophrenia and early age at onset were each per se associated with higher likelihood of inpatient treatment and depot medication. Contrary to expectations, medication with antipsychotic drugs was shown to increase with illness duration.
这项针对斯德哥尔摩郡长期患有功能性精神病患者的研究，描述了整个队列中所提供的精神科和躯体护理，以及社会福利支持和药物治疗情况。该群体包括所有年龄在18至64岁之间的非器质性精神病病例。研究发现，这一群体仍非常依赖机构护理，平均有75天的精神科住院护理时间。男性住院时间是女性的两倍，市区居民的住院时间比其他地区的居民更长。抗精神病药物的使用从农村地区到城市地区呈增加趋势。精神分裂症的诊断和发病年龄早本身都与住院治疗和长效药物治疗的较高可能性相关。与预期相反，抗精神病药物的使用显示出随病程延长而增加。
