Peritogiannis Vaios, Grammeniati Aikaterini, Gogou Afroditi, Gioti Panagiota, Mavreas Venetsanos
Mobile Mental Health Unit of the Prefectures of Ioannina-Thesprotia, Society for the Promotion of Mental Health in Epirus.
University of Ioannina, Ioannina, Greece.
J Nerv Ment Dis. 2019 Dec;207(12):1012-1018. doi: 10.1097/NMD.0000000000001068.
The objective of the present study was to measure the very long-term outcome in community-dwelling patients with a diagnosis of psychosis and to search for possible correlations of outcome with clinical factors. The sample included 55 psychotic patients with at least 15 years of disease duration (M = 32.1 years). For the estimation of the outcome, the Health of the Nations Outcome Scale and the Clinical Global Impression Scale were used. A total of 34.5% of the patients had a good outcome, whereas 27.3% had poor outcome. Outcome was found to be correlated to symptoms, and it was significantly worse in patients living with other severely mentally ill family members. In our study, outcome was good in more than a third of patients. Both symptoms and social functioning were associated with outcome. This study may have some implications for mental healthcare delivery.
本研究的目的是测量诊断为精神病的社区居住患者的长期结局，并寻找结局与临床因素之间可能存在的相关性。样本包括55名病程至少15年的精神病患者（平均病程M = 32.1年）。为了评估结局，使用了国家健康结局量表和临床总体印象量表。共有34.5%的患者结局良好，而27.3%的患者结局较差。发现结局与症状相关，并且与其他患有严重精神疾病的家庭成员同住的患者结局明显更差。在我们的研究中，超过三分之一的患者结局良好。症状和社会功能均与结局相关。本研究可能对精神卫生保健服务有一定启示。
