Patrick J
J Clin Psychol. 1984 Mar;40(2):546-9. doi: 10.1002/1097-4679(198403)40:2<546::aid-jclp2270400227>3.0.co;2-d.
Demonstrated that a generalized measure of locus of control (the Rotter I-E Scale) is not as effective in predicting outcome of hospitalization as a direct assessment of psychiatric patients' (N = 103) willingness to admit to having problems. The addition of diagnostic classification to patients' acknowledgment of problems did not improve the discriminative capacity of the latter with regard to length of hospitalization or readmission within 1 year. Patients' acceptance of responsibility for their problems was not related significantly to length of stay or readmission, except in the presence of severe pathology (as indicated by diagnostic classification). Implications for therapeutic strategies based on these findings were presented.
结果表明,一种通用的控制点测量方法(Rotter内外控量表)在预测住院结果方面,不如直接评估精神科患者(N = 103)承认自身问题的意愿有效。在患者对问题的承认中加入诊断分类,并未提高后者在预测住院时长或1年内再入院方面的区分能力。患者对自身问题承担责任的情况与住院时长或再入院情况并无显著关联,除非存在严重病变(由诊断分类表明)。文中还基于这些发现提出了对治疗策略的启示。