Prince Jonathan D
Department of Social Work, Rutgers, State University of New Jersey, New Brunswick, New Jersey, USA.
J Nerv Ment Dis. 2007 Feb;195(2):170-4. doi: 10.1097/01.nmd.0000253796.08183.52.
While persons with multiple hospitalizations for schizophrenia have been found to differ from those with fewer, it remains unclear whether differences exist in illness awareness (personal understanding of psychopathology) or therapeutic alliance with inpatient staff (treatment involvement). This cross-sectional descriptive study therefore examined whether inpatients with more extensive hospitalization history 1) have less illness awareness and therapeutic alliance (perhaps contributing to the recidivism), 2) have more awareness and alliance (possibly because they have learned from experience), or 3) do not differ relative to persons with fewer inpatient stays. Results from staff and patient interviews (N=307) suggest that illness awareness is greater in persons with more hospitalizations, while therapeutic alliance appears to weaken. Individuals with greater recidivism may therefore need less help than others in building a self-knowledge of psychopathology that may already have developed. Instead, enhanced engagement in care may be more important after multiple disappointing relapses.
虽然已发现因精神分裂症多次住院的患者与住院次数较少的患者存在差异，但尚不清楚在疾病认知（对精神病理学的个人理解）或与住院 staff 的治疗联盟（治疗参与度）方面是否存在差异。因此，这项横断面描述性研究调查了具有更广泛住院史的住院患者是否 1）疾病认知和治疗联盟较少（可能导致复发），2）具有更多的认知和联盟（可能是因为他们从经验中学习），或者 3）与住院次数较少的患者相比没有差异。 staff 和患者访谈（N = 307）的结果表明，住院次数较多的人疾病认知更强，而治疗联盟似乎减弱。因此，复发率较高的个体在建立可能已经发展起来的精神病理学自我认知方面可能比其他人需要更少的帮助。相反，在多次令人失望的复发后，加强护理参与可能更重要。
