Zisook S, Hammond R, Jaffe K, Gammon E
Int J Psychiatry Med. 1978;9(3-4):339-50. doi: 10.2190/54n9-6a3p-l4eq-vtp6.
Treatment attrition in a psychiatric outpatient department was evaluated. Of eighty-two consecutive new patients, fifty-three (65%) showed up for a second appointment while twenty-nine (35%) failed to return. None of the demographic variables or specific categories of patient requests differentiated continuers from non-continuers; nor was attrition significantly influenced by feeling one's problems were understood, symptomatic improvement or receiving the kind of intervention originally desired. Treatment continuers were more likely to have been referred by other hospital clinics or psychiatric care facilities, and more often had previous outpatient contact, but these differences did not reach statistical significance. The only outcome measures significantly related to continuation were: perceiving one's feelings understood in the initial session, feeling satisfied with the interview, and planning to return for the next appointment. Theoretical and practical implications of these findings are discussed.
对一家精神科门诊部的治疗损耗情况进行了评估。在连续就诊的82名新患者中，有53名（65%）前来参加第二次预约，而29名（35%）未复诊。人口统计学变量或患者请求的特定类别均无法区分继续治疗者和未继续治疗者；感觉自己的问题被理解、症状改善或接受最初期望的干预类型也未对损耗产生显著影响。继续治疗的患者更有可能是由其他医院诊所或精神科护理机构转诊而来，并且更常曾有过门诊就诊经历，但这些差异未达到统计学意义。与继续治疗显著相关的唯一结果指标是：在初次就诊时感觉自己的感受被理解、对访谈感到满意以及计划复诊。讨论了这些发现的理论和实际意义。
