Hargreaves W A, Glick I D, Drues J, Showstack J A, Feigenbaum E
Arch Gen Psychiatry. 1977 Mar;34(3):305-11. doi: 10.1001/archpsyc.1977.01770150063007.
A controlled, prospective study examined the relative effectiveness of short-term versus long-term psychiatric hospitalization. The results of a two-year follow-up of a sample of 141 schizophrenic patients are reported here. The differences favoring long-term subjects that were apparent at one year postadmission had decreased by two years postadmission. However, there appears to be an interaction between prehospital functioning and length of hospital stay, with subjects who had good prehospital functioning doing better at two years when assigned to long-term hospitalization. Subjects with poor prehospital functioning did about equally well, regardless of length of stay, and may even have showed some tendency to do better with a shorter hospital stay. This reversal of effect was more prominent for women, although this sex difference was not statistically significant.
一项对照性前瞻性研究考察了短期与长期精神科住院治疗的相对有效性。本文报告了对141名精神分裂症患者样本进行的为期两年的随访结果。入院后一年时明显有利于长期住院患者的差异在入院两年时有所减小。然而，院前功能与住院时间之间似乎存在交互作用，院前功能良好的患者在接受长期住院治疗时，两年后的情况更好。院前功能较差的患者，无论住院时间长短，表现大致相同，甚至可能在较短住院时间时表现出更好的趋势。这种效果的逆转在女性中更为明显，尽管这种性别差异在统计学上并不显著。
