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精神科住院患者的治疗期望

Treatment expectancy among psychiatric inpatients.

作者信息

Collins J, Hyer L

出版信息

J Clin Psychol. 1986 Jul;42(4):562-9. doi: 10.1002/1097-4679(198607)42:4<562::aid-jclp2270420404>3.0.co;2-4.

Abstract

Treatment expectation (TE) is an important variable in treatment outcome. This study addressed two issues: The relationship of TE to treatment outcome and an identification of background and treatment variables most related to TE. As part of a cooperative study at 18 Veterans Administration Medical Centers on 79 general psychiatric wards, psychiatric inpatients were given the Veterans Adjustment Scale (VETS), and a significant other was mailed a Personal Adjustment and Role Skills Scale (PARS) at admission and 3 months after discharge. A Treatment Expectation measure was obtained from the VETS Scale at admission. Background and treatment factors also were obtained. Selected analyses controlled for the effects of patient input characteristics allowing for better outcome measures. Analyses also were cross validated. Results show that TE is related to treatment outcome and that a coterie of background and treatment variables are related to TE. Three factors especially influence TE-age, high vigor, and less alienation.

摘要

治疗期望(TE)是治疗结果中的一个重要变量。本研究探讨了两个问题:TE与治疗结果的关系,以及确定与TE最相关的背景和治疗变量。作为在18个退伍军人管理局医疗中心的79个普通精神科病房开展的一项合作研究的一部分,对精神科住院患者进行了退伍军人适应量表(VETS)测试,并在入院时和出院后3个月给一位重要他人邮寄了一份个人适应和角色技能量表(PARS)。在入院时从VETS量表中获得治疗期望测量值。还获取了背景和治疗因素。选定的分析对患者输入特征的影响进行了控制,以便得出更好的结果测量值。分析也进行了交叉验证。结果表明,TE与治疗结果相关,并且一系列背景和治疗变量与TE相关。有三个因素尤其影响TE——年龄、高活力和较少的疏离感。

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