Fabrega H, Ahn C, Mezzich J
University of Pittsburgh School of Medicine, PA.
Hosp Community Psychiatry. 1991 Sep;42(9):920-4. doi: 10.1176/ps.42.9.920.
Demographic and diagnostic intake data on about 10,000 patients at a public psychiatric facility were used to assess whether information recorded on various DSM-III axes could predict the frequency of patients' psychiatric hospitalizations over a follow-up period. Compared with patients who had been hospitalized only once or not at all, patients with three or more hospitalizations during the study period were more likely to be single and black and to come from lower social classes. They were more likely to have an axis I diagnosis of an alcohol-related disorder, a substance use disorder, or a psychotic disorder. When samples from the patient groups were matched on key demographic variables and primary axis I diagnosis, the multiaxial resources of DSM-III were not helpful in predicting future use of hospitalization. The results reinforce the importance of axis I diagnosis and demographic characteristics in assessing course and prognosis.
某公立精神科机构约10000名患者的人口统计学和诊断录入数据被用于评估记录在《精神疾病诊断与统计手册》第三版（DSM-III）各轴上的信息能否预测患者在随访期内的精神科住院频率。与仅住院一次或根本未住院的患者相比，在研究期间住院三次或三次以上的患者更可能单身、为黑人且来自社会阶层较低的群体。他们更可能在轴I诊断中患有酒精相关障碍、物质使用障碍或精神障碍。当根据关键人口统计学变量和主要轴I诊断对患者组样本进行匹配时，DSM-III的多轴资源无助于预测未来的住院使用情况。结果强化了轴I诊断和人口统计学特征在评估病程和预后方面的重要性。
