Cohen S, Khan A
Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle.
Gen Hosp Psychiatry. 1990 Jul;12(4):248-51. doi: 10.1016/0163-8343(90)90062-h.
We studied 35 patients meeting DSM-III criteria for schizophrenia, paranoid or undifferentiated type, chronic with acute exacerbation. All were treated in hospital, 13 on a psychiatric intensive care unit, and 22 on an open ward. The former unit is a more structured and less stimulating one. We found those patients treated on that ward to show greater improvement in BPRS ratings during the first 2 days of hospitalization compared to the open-ward group, despite similar doses of medication being utilized. Additionally, this improvement was noted to occur among BPRS items comprising a psychotic subscale.
我们研究了35名符合精神分裂症、偏执型或未分化型、慢性伴急性加重的DSM-III标准的患者。所有患者均在医院接受治疗，13名在精神科重症监护病房，22名在开放式病房。前一个病房结构更严谨，刺激性更小。我们发现，与开放式病房组相比，在该病房接受治疗的患者在住院的头两天BPRS评分有更大改善，尽管使用的药物剂量相似。此外，这种改善在构成精神病性子量表的BPRS项目中也有体现。
