Olbrich D, Bojanovsky J
Psychiatr Clin (Basel). 1981;14(1):56-65.
100 records of divorced inpatients were compared with 100 records of married inpatients after having been matched according to sex, age, and social background. Almost 50% of the divorced patients were hospitalized within the first year after their divorce, i.e, this is the period which should be concentrated on when taking preventive measures. The most frequent duration of the marriage was between 5 to 10 years whereas in the population it was only between 3 and 5 years. This suggests that divorces after only a few years of marriage do not have such traumatic effects. The diagnoses of psychopathic personality, alcohol and drug dependence, attempted suicide and neurotic and reactive depressions were more frequently made with divorced that with married patients. Affective psychosis and cerebral-organic illnesses, however, were not so often found. The divorced patients being hospitalized within the first year after their divorce could be divided into two subgroups. The first subgroup comprised patients with frequent diagnosis of personality disorders and attempted suicide who were hospitalized for the first time after their divorce and needed only a short-term stay in hospital. In the second subgroup were patients who had already been hospitalized before their divorce - frequently with the diagnosis of schizophrenia -; that means they became recidivous after their divorce and needed a long-term stay in hospital. Social problems were especially relevant with divorced patients.
将100名离婚住院患者的记录与100名已婚住院患者的记录在根据性别、年龄和社会背景进行匹配后进行比较。近50%的离婚患者在离婚后的第一年内住院,也就是说,这是采取预防措施时应重点关注的时期。婚姻的最常见持续时间为5至10年,而在总体人群中仅为3至5年。这表明结婚仅几年后的离婚没有如此大的创伤性影响。与已婚患者相比,离婚患者中精神病态人格、酒精和药物依赖、自杀未遂以及神经症和反应性抑郁症的诊断更为常见。然而,情感性精神病和脑器质性疾病并不那么常见。在离婚后第一年内住院的离婚患者可分为两个亚组。第一亚组包括人格障碍和自杀未遂诊断频繁的患者,他们在离婚后首次住院,只需短期住院。第二亚组是那些在离婚前就已经住院的患者——经常被诊断为精神分裂症——也就是说,他们在离婚后复发,需要长期住院。社会问题与离婚患者尤其相关。