Linn M W, Caffey E M, Klett C J, Hogarty G E, Lamb H R
Arch Gen Psychiatry. 1979 Sep;36(10):1055-66. doi: 10.1001/archpsyc.1979.01780100025002.
Schizophrenic patients referred for day treatment at the time of discharge from ten hospitals were randomly assigned to receive day treatment plus drugs or to receive drugs alone. They were tested before assignment and at 6, 12, 18, and 24 months on social functioning, symptoms, and attitudes. Community tenure and costs were also measured. The ten day centers were described on process variables every six months for the four years of the study. Some centers were found to be effective in treating chronic schizophrenic patients and others were not. All centers improved the patients' social functioning. Six of the centers were found to significantly delay relapse, reduce sumptoms, and change some attitudes. Costs for patients in these centers were not significantly different from the group receiving only drugs. More professional staff hours, group therapy, and a high patient turnover treatment philosophy were associated with poor-result centers. More occupational therapy and a sustained nonthreatening environment were more characteristic of successful outcome centers.
从十家医院出院时被转介接受日间治疗的精神分裂症患者被随机分配，一组接受日间治疗加药物治疗，另一组仅接受药物治疗。在分配前以及在6个月、12个月、18个月和24个月时，对他们进行社会功能、症状和态度方面的测试。还对社区居住时间和费用进行了测量。在为期四年的研究中，每六个月对十个日间治疗中心的过程变量进行描述。发现一些中心在治疗慢性精神分裂症患者方面有效，而其他中心则不然。所有中心都改善了患者的社会功能。发现其中六个中心能显著延迟复发、减轻症状并改变一些态度。这些中心患者的费用与仅接受药物治疗的组没有显著差异。专业工作人员工作时长更多、采用团体治疗以及高患者周转率的治疗理念与效果不佳的中心相关。更多的职业治疗和持续的无威胁环境更具成功治疗结果中心的特征。
