Carmin C N, Ownby R L
Anxiety Disorders Center, St. Louis University School of Medicine, MO 63104.
Hosp Community Psychiatry. 1994 Mar;45(3):248-52. doi: 10.1176/ps.45.3.248.
Important relationships exist between chronic psychiatric patients' symptoms of disorder and their readiness to be discharged from inpatient treatment. Behavioral rating scales can supplement clinical decision making by standardizing information about patients' functioning. The authors assessed whether two different behavioral measures described the same dimensions of disordered behavior in an older chronic patient population.
Multivariate correlation analysis (canonical analysis) was used to assess relationships between items on the Brief Psychiatric Rating Scale and the scales in the Discharge Readiness Inventory.
Three significant correlation variates were found. The variates reflected patterns of positive psychiatric symptomatology with a low level of psychosocial competence, a low level of symptomatology with a low level of psychosocial competence, and paranoid symptomatology with a high level of psychosocial competence.
The presence or absence of psychiatric symptomatology and possibly the type of symptomatology are relevant in assessing patients' readiness for discharge.
慢性精神疾病患者的症状与其住院治疗出院意愿之间存在重要关系。行为评定量表可通过规范有关患者功能的信息来辅助临床决策。作者评估了两种不同的行为测量方法是否描述了老年慢性患者群体中紊乱行为的相同维度。
采用多变量相关分析(典型分析)来评估简明精神病评定量表上的项目与出院意愿量表之间的关系。
发现了三个显著的相关变量。这些变量反映了精神症状呈阳性且社会心理能力水平较低、症状水平较低且社会心理能力水平较低以及偏执症状且社会心理能力水平较高的模式。
精神症状的存在与否以及可能的症状类型在评估患者出院意愿时具有相关性。