Leff J, Thornicroft G, Coxhead N, Crawford C
Institute of Psychiatry, London.
Br J Psychiatry Suppl. 1994 Nov(25):13-7.
A group of 114 long-stay patients in Friern and Claybury Hospitals was assessed while in hospital, and then again one year and five years after discharge to community placements. Neurotic symptoms, verbal and non-verbal behaviour and, most notably, negative symptoms all improved between the two community follow-up interviews. Patients were living under much less restrictive conditions in the community, and their appreciation of this freedom continued to grow over the years. Their social networks were enriched by an increase in the number of friends in the first year after discharge and in the number of confidants in the subsequent four years. There were no adverse outcomes, but these conclusions cannot yet be said to apply to all long-stay residents of mental hospitals.
对弗赖恩医院和克莱伯里医院的114名长期住院患者在住院期间进行了评估,出院后安置到社区一年和五年后又再次进行评估。在两次社区随访访谈期间,神经症症状、言语和非言语行为,最明显的是阴性症状都有所改善。患者在社区中的生活限制条件大大减少,并且他们对这种自由的认同感多年来持续增强。出院后的第一年,朋友数量增加,随后四年知己数量增加,他们的社交网络得到了丰富。没有出现不良后果,但目前还不能说这些结论适用于所有精神病院的长期住院患者。