Allen J G, Tarnoff G, Coyne L, Spohn H E, Buskirk J R, Keller M W
Hosp Community Psychiatry. 1986 Apr;37(4):376-80. doi: 10.1176/ps.37.4.376.
The failure of research on long-term hospital treatment to show consistent relationships between length of stay and treatment outcome may reflect a need for more refined measures to evaluate long-term treatment. The authors developed an individualized method of assessing improvement in patients' major areas of impairment over the course of treatment. Using the new approach and two more traditional methods, the authors evaluated the outcome of 37 discharged long-term patients of a private psychiatric hospital who had been rated at admission and discharge on 21 variables related to ego function; affective symptoms; risk of suicide, self-destructiveness, and violence; substance abuse; level of treatment alliance; and, at discharge only, on overall level of improvement. Although the traditional methods failed to show a correlation between length of stay and most of the variables, the individualized approach found that a longer hospital stay was related to greater improvement in areas of most impaired functioning.
长期住院治疗的研究未能显示住院时间与治疗结果之间存在一致的关系，这可能反映出需要更精细的措施来评估长期治疗。作者开发了一种个性化方法，用于评估患者在治疗过程中主要受损领域的改善情况。作者使用这种新方法以及另外两种传统方法，对一家私立精神病医院的37名出院长期患者的治疗结果进行了评估，这些患者在入院和出院时就与自我功能、情感症状、自杀、自我毁灭和暴力风险、药物滥用、治疗联盟水平相关的21个变量进行了评分，并且仅在出院时对总体改善水平进行了评分。尽管传统方法未能显示住院时间与大多数变量之间存在相关性，但个性化方法发现，住院时间越长，功能受损最严重领域的改善就越大。
