Morlino M, Martucci G, Musella V, Bolzan M, de Girolamo G
Institute of Psychiatry, University of Naples Federico II, Italy.
Acta Psychiatr Scand. 1995 Jul;92(1):1-6. doi: 10.1111/j.1600-0447.1995.tb09534.x.
The aim of this study was to explore the extent and the specific features of drop-out for patients having a first contact with an university psychiatric outpatient clinic in Italy over the course of 1 year and to determine which variables were associated with early termination of treatment. Of the 158 patients selected for this study, there was an overall 3-month drop-out rate following the first visit of 63%. Of the 59 patients who had returned once after the initial contact, 28 interrupted subsequently the treatment, although the therapist's plan included further visits. The overall drop-out rate at 3 months was thus 82%. The only 2 variables associated with drop-out rates were the patients' perception of the severity of their disorder and the psychiatric history: continuing patients were more frequently in agreement with the clinician's judgment as compared with those who dropped out and were more likely to have already been in psychiatric treatment.
本研究旨在探讨意大利一家大学精神科门诊首次接诊的患者在1年期间的脱落程度及具体特征，并确定哪些变量与治疗的早期终止相关。在本研究选取的158例患者中，首次就诊后3个月的总体脱落率为63%。在初次接触后曾复诊一次的59例患者中，有28例随后中断了治疗，尽管治疗师的计划中包括进一步复诊。因此，3个月时的总体脱落率为82%。与脱落率相关的仅有的两个变量是患者对自身疾病严重程度的认知以及精神病史：与脱落的患者相比，继续接受治疗的患者更常认同临床医生的判断，并且更有可能已经接受过精神科治疗。
