Gossett J T, Barnhart D, Lewis J M, Phillips V A
Arch Gen Psychiatry. 1977 Sep;34(9):1037-42. doi: 10.1001/archpsyc.1977.01770210051004.
In the context of a long-term follow-up of 60 hospitalized adolescent psychiatric patients (26 months to four years after discharge), we examined correlates of outcome. The variables were as follows: (1) severity of psychopathology; (2) onset of symptomatology (process or reactive); (3) type of hospital treatment termination; (4) continuation of individual psychotherapy following discharge; (5) physically destructive behavior before hospitalization; and (6) energy level. Follow-up was by personal clinical interview exploring the expatient's current living conditions, peer relationships, current psychopathology and drug or alcohol use, legal difficulties, academic and work functioning, subjective contentment, and plans for the future. An evaluation was also obtained from parents and/or spouse. Statistical analyses of the interrelationships among the predictor variables and outcome demonstrated the importance of a multivariate approach.
在对60名住院青少年精神病患者进行长期随访（出院后26个月至4年）的背景下，我们研究了预后的相关因素。变量如下：（1）精神病理学严重程度；（2）症状发作类型（渐进性或反应性）；（3）医院治疗终止类型；（4）出院后个体心理治疗的延续情况；（5）住院前的身体破坏行为；以及（6）能量水平。通过个人临床访谈进行随访，探讨出院患者当前的生活状况、同伴关系、当前的精神病理学状况以及药物或酒精使用情况、法律问题、学业和工作表现、主观满意度以及未来计划。还从父母和/或配偶那里获得了评估。对预测变量和预后之间相互关系的统计分析表明了多变量方法的重要性。
