Stevens B
Br Med J. 1969 Oct 4;4(5674):22-4. doi: 10.1136/bmj.4.5674.22.
A large representative sample of psychotic women of reproductive age was selected from patients admitted to a London mental hospital during 1955-63 and followed up during the years of developing community care. Before first admission the probability of marriage of schizophrenics was three-quarters of that of corresponding normal women, and after admission it was just over one-third of normal. Fertility of schizophrenics was slightly reduced both before and after illness, and much of this reduction remains due to their being in hospital. The probability of marriage and fertility of women suffering from severe affective disorders was very similar to that found in the corresponding general population. Despite a lessening of differentials between patients and normal women since the impact of community care the probability of marriage of schizophrenics with abnormal personalities is still significantly reduced.
从1955年至1963年入住伦敦一家精神病院的患者中选取了一大组具有代表性的育龄期精神病女性样本，并在社区护理发展的几年中对其进行了随访。首次入院前，精神分裂症患者的结婚概率是相应正常女性的四分之三，入院后则仅略高于正常女性的三分之一。精神分裂症患者在患病前后的生育能力均略有下降，而这种下降很大程度上是由于她们住院所致。患有严重情感障碍的女性的结婚和生育概率与相应普通人群中的情况非常相似。尽管自社区护理产生影响以来，患者与正常女性之间的差异有所减小，但患有异常人格的精神分裂症患者的结婚概率仍然显著降低。
