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精神分裂症队列再入院的临床相关因素

Clinical correlates of readmission in a schizophrenic cohort.

作者信息

Craig T J, Lin S P, el-Defrawi M H, Goodman A B

出版信息

Psychiatr Q. 1985 Spring;57(1):5-10. doi: 10.1007/BF01064971.

Abstract

A study of a cohort of 223 schizophrenic patients from a single catchment area followed up for two years after discharge from inpatient status revealed a significant association between the presence of two of 38 clinical problem categories (social withdrawal and drug abuse) and subsequent readmission. In addition, patients without social withdrawal who were readmitted showed a significantly greater use of aftercare services than those not readmitted, while, among those with social withdrawal, male patients were significantly more likely to be readmitted than female patients. Neither prior hospitalization nor the presence of affective symptoms were significantly associated with readmission. Clinical and research implications of these findings are discussed.

摘要

一项针对来自单一集水区的223名精神分裂症患者的队列研究,在他们出院后进行了两年的随访,结果显示38种临床问题类别中的两种(社交退缩和药物滥用)与随后的再次入院之间存在显著关联。此外,没有社交退缩症状但再次入院的患者比未再次入院的患者对后续护理服务的使用明显更多,而在有社交退缩症状的患者中,男性患者比女性患者再次入院的可能性显著更高。既往住院史和情感症状的存在与再次入院均无显著关联。文中讨论了这些发现的临床和研究意义。

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