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回归家庭及其对近期出院精神科患者再次住院的影响。

Return to the family and its consequence for rehospitalization among recently discharged mental patients.

作者信息

Blumenthal R, Kreisman D, O'Connor P A

出版信息

Psychol Med. 1982 Feb;12(1):141-7. doi: 10.1017/s0033291700043397.

Abstract

This study examined the contribution that living arrangements made to the rehospitalization rates of mental patients discharged to the community during the first 7 months they spent there. Over 20,000 mental patients discharged from psychiatric facilities in the state of New York were categorized on the basis of the living arrangements to which they were discharged. These included living alone, parental, marital, other relatives or friends, and domiciliary settings. The sample was divided in half and results of the analysis of the first sample were replicated on the second sample. Analysis of covariance and multiple regression techniques revealed that patients discharged to marital settings were rehospitalized less than those discharged to other settings, and that there were no differences in the return rates among the remaining settings. The major predictor of rehospitalization was the number of previous hospitalizations. The implications of these findings for further research on supportive as well as stressful parameters of community and family settings are discussed.

摘要

本研究调查了生活安排对精神病人出院后在社区度过的前7个月内再次住院率的影响。纽约州超过20000名从精神病院出院的精神病人根据其出院后的生活安排进行了分类。这些安排包括独居、与父母同住、已婚、与其他亲属或朋友同住以及在收容机构生活。样本被分成两半,对第一个样本的分析结果在第二个样本上进行了重复验证。协方差分析和多元回归技术表明,出院后与配偶同住的病人再次住院的次数少于出院后与其他对象同住的病人,并且其余生活安排的病人再次住院率没有差异。再次住院的主要预测因素是之前的住院次数。文中讨论了这些研究结果对进一步研究社区和家庭环境中的支持性及压力性参数的意义。

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