Andreoli A, Gognalons M V, Abensur J, Olivier C, Mühlebach A L, Tricot L, Garrone G
Département de Psychiatrie, l'Université de Genève.
Schweiz Arch Neurol Psychiatr (1985). 1989;140(5):439-58.
This is a preliminary study focusing on a 2 years follow-up of 78 patients addressed to psychiatric hospitalization and psychodynamically oriented crisis intervention. Relationship between psychopathological, clinical and interactional profile at first medical interview and clinical/social assessment at 1 and 2 years follow-up were studied, indicating different predictors for long-term treatment (DSM III R diagnosis and psychotic symptoms scores) and global improvement (age and sex) as well as poorer outcome for social functioning than for symptomatic measures. Comment is also provided on the observed high concordance between clinical predictions at crisis treatment completion and research staff assessments at 1 and 2 years follow-up. The evaluated crisis intervention model was found to provide a valuable setting to structure acute psychiatric episode treatment and long-term care, even though transition from clinical recovery to effective social-interpersonal reinvestments was observed to raise problems in the addressed psychiatric population.
这是一项初步研究，重点关注了78名接受精神病住院治疗和心理动力学导向危机干预的患者，进行了为期两年的随访。研究了首次医学访谈时的精神病理学、临床和互动特征与1年及2年随访时的临床/社会评估之间的关系，结果表明长期治疗（DSM III R诊断和精神病症状评分）和总体改善（年龄和性别）的预测因素不同，且社会功能的预后比对症状的测量结果更差。还对危机治疗结束时的临床预测与1年及2年随访时研究人员评估之间观察到的高度一致性进行了评论。尽管观察到在所研究的精神病患者群体中，从临床康复过渡到有效的社会人际再投入会引发问题，但所评估的危机干预模型被发现为构建急性精神病发作治疗和长期护理提供了一个有价值的环境。
