Swett C, Noones J
Harvard Medical School, Massachusetts.
Hosp Community Psychiatry. 1989 Sep;40(9):947-51. doi: 10.1176/ps.40.9.947.
A variety of demographic and clinical data collected on 142 new patients treated in an adult psychiatric outpatient clinic were analyzed to determine factors that discriminated between patients who terminated treatment prematurely during the first eight months of therapy and those who did not. High levels of paranoid ideation, lack of health insurance, and living less than 15 miles from the clinic were significantly associated with premature termination. Those factors were combined with three others--substance abuse, divorced marital status, and absence of fee reduction--in a probit regression model that correctly predicted the incidence of premature termination in 75 percent of the patients. The results suggest that patients who may be at risk for premature termination of outpatient therapy can be identified early in the course of their treatment.
对一家成人精神科门诊治疗的142名新患者收集的各种人口统计学和临床数据进行了分析，以确定在治疗的前八个月内提前终止治疗的患者与未提前终止治疗的患者之间的区分因素。偏执观念水平高、缺乏医疗保险以及居住在距离诊所不到15英里的地方与提前终止治疗显著相关。这些因素与其他三个因素——药物滥用、离婚婚姻状况和无费用减免——一起纳入了一个概率回归模型，该模型正确预测了75%的患者提前终止治疗的发生率。结果表明，在门诊治疗过程中，可以早期识别可能有提前终止治疗风险的患者。
