Burns T, Paykel E S, Ezekiel A, Lemon S
Department of Mental Health Sciences, St George's Hospital Medical School, London.
Br J Psychiatry. 1991 May;158:685-90. doi: 10.1192/bjp.158.5.685.
Ninety-nine neurotic patients from a controlled trial of CPN v. psychiatric out-patient aftercare were followed up seven years later. Of the 92 survivors, 76 were successfully interviewed. Few differences were found between the groups. Chronic mild symptoms and moderate social disability persisted, and tended to worsen a little. Treatment patterns persisted for one to two years beyond the original study; the CPN group had more CPN contacts, fewer psychiatric out-patient contacts and less psychiatric care. Thereafter, more out-patients were discharged from psychiatric care and care patterns for the two groups became similar. Out-patients attended more non-psychiatric out-patient clinics than the CPN group, but it is possible that this reflected pre-existing differences. About a third of patients remained in contact with the psychiatric service during follow-up.
在一项比较社区心理护理（CPN）与精神科门诊后续护理的对照试验中，99名神经症患者在七年后接受了随访。在92名幸存者中，76人成功接受了访谈。两组之间几乎没有发现差异。慢性轻度症状和中度社会残疾持续存在，且有轻微加重的趋势。治疗模式在原研究之后持续了一到两年；CPN组有更多的CPN接触、更少的精神科门诊接触和更少的精神科护理。此后，更多的门诊患者从精神科护理中出院，两组的护理模式变得相似。门诊患者比CPN组更多地前往非精神科门诊就诊，但这可能反映了先前存在的差异。在随访期间，约三分之一的患者仍与精神科服务保持联系。
