Klusmann D, Angermeyer M C
Eur Arch Psychiatry Neurol Sci. 1986;235(4):231-42. doi: 10.1007/BF00379979.
The present study investigates the relationship between ecological factors and the community tenure patients with functional psychoses. Data were gathered from the records of three psychiatric hospitals in the city of Hamburg. The analysis controls for the effects of sociodemographic variables and variables pertaining to the last impatient treatment. Variations in readmission rates can be explained by the latter to a certain extent, but only poorly by sociodemographic variables and hardly at all by ecological factors. These findings are discussed with respect to the methodological limitations of the study and as substantive results. Two lines of interpretation are offered. Firstly, equal readmission rates may have been caused by different sets of ecological factors; secondly, patients released from mental hospital may be relatively insusceptible to the impact of ecological factors.
本研究调查了生态因素与功能性精神病患者社区居住情况之间的关系。数据收集自汉堡市三家精神病医院的记录。分析控制了社会人口统计学变量以及与上次住院治疗相关的变量的影响。再入院率的变化在一定程度上可以由后者解释，但社会人口统计学变量解释能力较差，生态因素几乎无法解释。结合研究的方法局限性和实质性结果对这些发现进行了讨论。提出了两种解释思路。首先，不同的生态因素组合可能导致了相同的再入院率；其次，从精神病院出院的患者可能对生态因素的影响相对不敏感。
