Krasik E D, Logvinovich G V
Zh Nevropatol Psikhiatr Im S S Korsakova. 1977;77(11):1711-5.
The results of the studies of hospitalism formation in 173 patients with continuous-progressive schizophrenia which have been treated in the mental hospital for the period of 10-35 years, are presented. Six clinical variants of hospitalism depending upon unfavourably influencing factors of long-term isolation, inadequate medical therapy and hyperguardianship are distinguished: aspontaneous, apatho-abulic, asthenic, variant of hyperguardianship and overcautiousness, variant of a negative attitude towards a discharge, mixed. The depiction of the clinical variants of hospitalism at the remote stages of schizophrenia permits to use more differentially and effectively prophylactic measures and rehabilitative programs in relation to the patient's long-term hospitalizations.
本文呈现了对173例持续进展型精神分裂症患者住院状态形成的研究结果，这些患者在精神病院接受了10至35年的治疗。根据长期隔离、不适当的药物治疗和过度监护等不利影响因素，区分出六种住院状态的临床变体：自发型、无动-缄默型、虚弱型、过度监护和过度谨慎型、对出院持消极态度型、混合型。对精神分裂症晚期住院状态临床变体的描述有助于针对患者的长期住院情况，更有针对性且有效地采取预防措施和康复计划。
