Blumenthal S, Bell V, Neumann N U, Schüttler R, Vogel R
Rehabilitation (Stuttg). 1986 Aug;25(3):112-5.
In dealing with the issue of readmission of psychiatric patients into in-patient care, the focus had in the past primarily been on clinical variables such as diagnosis, or severity of the clinical picture. The present study, however, had centered on occupational variables, such as vocational training, occupational status, periods of gainful employment, and unemployment. This complex was studied in a sample of psychiatric patients, with analyses directed at: percentage of the initial sample readmitted after a catamnestic period of 1 and 2 1/2 yrs. resp., diagnostic groups with increased readmission incidence, and occupational variables associated with the need for readmission. Summing up, it may be stated that occupational handicaps arose in particular in the diagnostic groups of endogenous psychoses, whereas in other groups (such as neuroses, alcoholism) the issue of "social handicaps", in particular, had been in the foreground.
在处理精神病患者再次住院接受护理的问题时，过去主要关注的是临床变量，如诊断或临床表现的严重程度。然而，本研究聚焦于职业变量，如职业培训、职业状况、有收益的就业时间和失业情况。在一组精神病患者样本中对这一综合情况进行了研究，分析内容包括：在1年和2年半的随访期后再次入院的初始样本百分比、再次入院发生率增加的诊断组以及与再次入院需求相关的职业变量。总而言之，可以说职业障碍尤其出现在内源性精神病的诊断组中，而在其他组（如神经症、酗酒）中，“社会障碍”问题尤其突出。
