Colson D B, Allen J G, Coyne L, Deering D, Jehl N, Kearns W, Spohn H
Hosp Community Psychiatry. 1985 Feb;36(2):168-72. doi: 10.1176/ps.36.2.168.
In a study to determine which psychiatric patients are perceived by staff as most difficult to treat, clinical staff from several disciplines rated problem behaviors of 127 long-term inpatients in a private psychiatric hospital; staff also rated overall treatment difficulty, progress, and prognosis. No single patient characteristic determined staff's perception of patients as difficult to treat. Instead, four clusters of patient characteristics contributed to this perception; in decreasing order of influence, they are withdrawn psychoticism, severe character pathology, suicidal-depressed behavior, and violence-agitation. The study also showed that the patients who are considered particularly difficult are perceived as improving less and as having a poor prognosis.
在一项旨在确定哪些精神科患者被工作人员认为最难治疗的研究中，来自多个学科的临床工作人员对一家私立精神病医院127名长期住院患者的问题行为进行了评分；工作人员还对总体治疗难度、进展和预后进行了评分。没有单一的患者特征能决定工作人员对患者难以治疗的看法。相反，四类患者特征促成了这种看法；按影响程度从高到低依次为退缩性精神病态、严重性格障碍、自杀抑郁行为和暴力激越行为。该研究还表明，那些被认为特别难治疗的患者被认为改善较少且预后较差。
