Rosser R M, Birch S, Bond H, Denford J, Schachter J
Joint Academic Department of Psychiatry, University College and Middlesex Hospital Medical School, London.
J R Soc Med. 1987 Sep;80(9):549-55. doi: 10.1177/014107688708000906.
Twenty-eight patients who were admitted consecutively to a single-adult unit of the Cassel Hospital in 1977/8 were followed up 5 years after discharge. Those who were found to have improved at the end of treatment remained well 5 years later. These could be distinguished by their combination of neurotic psychopathology, considerable depression, superior intelligence, and lack of a chronic outpatient history. Patients who had improved 5 years after discharge did not show these characteristics, but had all spent at least 9 weeks on the waiting list and had the capacity to form close and helpful relationships. Patients who were judged to have improved were less dependent on the Health Service and their economic productivity was improved, often as a consequence of returning to education or training. Those who did not improve clinically continued to be admitted to hospital and tended to become less economically productive.
1977年/1978年连续入住卡塞尔医院单一成人病房的28名患者在出院5年后接受了随访。那些在治疗结束时病情有所改善的患者在5年后仍然状况良好。这些患者的特点是具有神经症性精神病理学、相当严重的抑郁、较高的智力以及没有长期门诊病史。出院5年后病情有所改善的患者没有这些特征，但他们都在等候名单上至少待了9周，并且有能力建立亲密且有益的关系。被判定病情有所改善的患者对医疗服务的依赖程度较低，并且他们的经济生产力得到了提高，这通常是由于重返教育或培训的结果。那些临床症状没有改善的患者继续住院，并且经济生产力往往会下降。
