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精神分裂症的心理治疗。治疗中断者的情况。

Psychotherapy of schizophrenia. What happens to treatment dropouts.

作者信息

Katz H M, Frank A, Gunderson J G, Hamm D

出版信息

J Nerv Ment Dis. 1984 Jun;172(6):326-31.

PMID:6544804
Abstract

Sixty-nine nonchronic schizophrenic patients who had dropped out of psychotherapy were studied with regard both to reasons for dropping out and their subsequent clinical course, assessed by means of a retrospective, semistructured interview. Their 2-year outcomes were compared with those of a group of similar patients who remained in psychotherapy. It was found that the patients who dropped out were markedly heterogeneous in terms of their reasons for dropping out, and their subsequent outcomes. As a group, they received an unexpectedly substantial amount of subsequent psychiatric treatment, and after 2 years did not generally differ from those remaining in psychotherapy on measures of social or occupational functioning.

摘要

对69名退出心理治疗的非慢性精神分裂症患者进行了研究,通过回顾性半结构化访谈评估了他们退出治疗的原因及其后续临床病程。将他们的两年期结果与一组继续接受心理治疗的类似患者的结果进行了比较。结果发现,退出治疗的患者在退出原因和后续结果方面存在明显的异质性。总体而言,他们在后续接受了大量意外的精神科治疗,并且在两年后,在社会或职业功能指标方面与继续接受心理治疗的患者总体上没有差异。

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