Robert P, Benoist P, Gueniffey S, Khouri F, Lagier C, Darcourt G
Clinique de Psychiatrie et de Psychologie Médicale, Hôpital Pasteur, Nice.
Ann Med Psychol (Paris). 1989 Jan;147(1):15-33.
383 psychotics patients were selected in 1975 according to the french classification (INSERM). These initial population was simultaneously subdivided according 2 types of criteria: Diagnosis criteria (DSM III Axis 1), Psychosocial adaptation criteria (DSM III axis V). For each subjects we investigates in 1985 evolution of following data previously collected in 1975: Diagnosis and psychosocial adaptation, Marital status and presence of social welfare work, Treatment variable (Hospitalization and out patient department care, neuroleptic treatment). Results indicate than: psychosocial adaptation criteria are better than diagnosis criteria for outcome judgment. most of the time there is no correlation between high quantity of care and better outcome, furthermore some time there is a correlation between high quantity of care and negative outcome, We must consider, as one explanation of this fact, that it's the more severe patients who use the higher quantity of care.
1975年,根据法国分类标准(国家卫生与医学研究所)选取了383名精神病患者。这些初始人群同时根据两种标准进行细分:诊断标准(《精神疾病诊断与统计手册》第三版第一轴)、社会心理适应标准(《精神疾病诊断与统计手册》第三版第五轴)。对于每个受试者,我们在1985年调查了1975年之前收集的以下数据的变化情况:诊断和社会心理适应、婚姻状况和社会福利工作情况、治疗变量(住院和门诊护理、抗精神病药物治疗)。结果表明:社会心理适应标准在结果判断方面优于诊断标准。大多数情况下,大量护理与更好的结果之间没有相关性,此外,有时大量护理与负面结果之间存在相关性。我们必须考虑,作为这一事实的一种解释,即使用大量护理的是病情更严重的患者。