Hennessy K D, Greenberg R P
Office of Health Policy, U.S. Department of Health and Human Services, Washington, DC 20201.
Hosp Community Psychiatry. 1994 Oct;45(10):1034-9. doi: 10.1176/ps.45.10.1034.
The authors examined important trends and developments within the mental health field since the 1960s as reflected in articles published in Hospital and Community Psychiatry.
A total of 798 articles were reviewed, representing all contributions to the journal in 1962, 1967, 1972, 1977, 1982, 1987, and 1992. Articles were classified into one of six categories, and empirical research articles were further classified by primary topic. In addition, all articles were indexed by primary setting (hospital, community, or both); academic credentials and gender of first author, and economic or public policy focus.
The number and percentage of empirical research articles increased over time, while articles describing programs and professional roles declined. Some changes were observed in the primary topics of empirical research. Other findings reflect a shift in the setting of articles from hospitals to the community and a growth in the percentage of women who were first authors and of authors with a Ph.D. degree.
The documented growth of empirical research in psychiatry suggests a greater emphasis on methodological rigor in the design and implementation of mental health services. Moreover, increases noted in scholarly contributions by women and nonmedical professionals indicate a broadening of disciplinary perspective over time that is likely to strengthen psychiatric research and services.
作者研究了自20世纪60年代以来心理健康领域的重要趋势和发展，这些趋势和发展反映在《医院与社区精神病学》上发表的文章中。
共回顾了798篇文章，这些文章代表了该期刊在1962年、1967年、1972年、1977年、1982年、1987年和1992年发表的所有稿件。文章被分为六个类别之一，实证研究文章进一步按主要主题分类。此外，所有文章均按主要发表地点（医院、社区或两者皆有）、第一作者的学术资历和性别以及经济或公共政策重点进行索引。
实证研究文章的数量和百分比随时间增加，而描述项目和专业角色的文章数量减少。在实证研究的主要主题方面观察到了一些变化。其他研究结果反映了文章发表地点从医院向社区的转变，以及第一作者为女性和拥有博士学位的作者的百分比有所增加。
文献记载的精神病学实证研究的增长表明，在心理健康服务的设计和实施中更加注重方法的严谨性。此外，女性和非医学专业人员学术贡献的增加表明，随着时间的推移，学科视角不断拓宽，这可能会加强精神病学研究和服务。
