Glick I D, Hargreaves W A, Drues J, Showstack J A
Am J Psychiatry. 1976 May;133(5):509-14. doi: 10.1176/ajp.133.5.509.
The authors compared treatment results for 141 schizophrenic patients randomly assigned to short-term or long-term hospitalization. Test results indicated that the long-term group was functioning significantly better one year after admission according to global measures only. The authors caution that the differences between the two groups, although statistically reliable, were modest and may have been confounded by the amount of psychotherapy the patients received after hospitalization. Although there appears to be a general advantage to the long-term approach, further work will be needed to identify patient subgroups for whom this more expensive treatment is cost effective.
作者比较了141名随机分配到短期或长期住院治疗的精神分裂症患者的治疗结果。测试结果表明，仅根据总体指标，长期住院组在入院一年后功能显著更好。作者提醒说，两组之间的差异虽然在统计学上可靠，但幅度较小，可能被患者住院后接受的心理治疗量所混淆。虽然长期治疗方法似乎有总体优势，但还需要进一步研究，以确定哪些患者亚组采用这种更昂贵的治疗具有成本效益。
