Department of Psychiatry, Oslo University Hospital, Ullevål and Institute of Psychiatry, University of Oslo, Norway.
Acta Psychiatr Scand. 2010 May;121(5):371-6. doi: 10.1111/j.1600-0447.2009.01536.x. Epub 2010 Jan 19.
To see, if voluntary admission for treatment in first-episode psychosis results in better adherence to treatment and more favourable outcome than involuntary admission.
We compared consecutively first-admitted, hospitalised patients from a voluntary (n = 91) with an involuntary (n = 126) group as to psychopathology and functioning using Positive and Negative Syndrome Scale and Global Assessment of Functioning Scales at baseline, after 3 months and at 2 year follow-up. Moreover, duration of supportive psychotherapy, medication and number of hospitalisations during the 2 years were measured.
More women than men were admitted involuntarily. Voluntary patients had less psychopathology and better functioning than involuntary patients at baseline. No significant difference as to duration of psychotherapy and medication between groups was found. No significant difference was found as to psychopathology and functioning between voluntarily and involuntarily admitted patients at follow-up.
Legal admission status per se did not seem to influence treatment adherence and outcome.
观察首发精神病患者自愿住院治疗是否比非自愿住院治疗能更好地遵医嘱和获得更好的结果。
我们比较了连续收治的自愿入院（n=91）和非自愿入院（n=126）的精神病患者的精神病症状和功能，使用阳性和阴性综合征量表（Positive and Negative Syndrome Scale）和功能总体评估量表（Global Assessment of Functioning Scales）在基线、3 个月和 2 年随访时进行评估。此外，还测量了 2 年内支持性心理治疗、药物治疗和住院次数。
更多的女性患者是非自愿入院的，而自愿入院的患者在精神病症状和功能方面优于非自愿入院的患者。两组之间的心理治疗和药物治疗时间没有显著差异。自愿和非自愿入院的患者在随访时的精神病症状和功能也没有显著差异。
法律入院状态本身似乎并没有影响治疗的依从性和结果。
