Hillis G, Alexander D A, Eagles J M
Department of Mental Health, Medical School, Foresterhill, Aberdeen, Scotland.
Int J Soc Psychiatry. 1993 Summer;39(2):100-7. doi: 10.1177/002076409303900203.
Failure to complete psychiatric treatment is an extensive and wasteful problem. This retrospective case note study of 252 patients, suffering from a neurotic disorder, investigated which clinical and sociodemographic factors were associated with premature termination of psychiatric treatment. It was found that a history of deliberate self harm was strongly linked with the patients discontinuing their treatment. Other clinical factors, viz, diagnosis, duration of illness, a history of alcohol abuse and a family history of psychiatric illness were not however associated with premature termination of treatment. Older patients and those who were married were least likely to end treatment in this fashion, but sex of the patient, employment status, and distance from the hospital had no such link. Belonging to socioeconomic group 5 was significantly associated with premature termination although no other associations with social groupings were found.
未完成精神科治疗是一个广泛且浪费资源的问题。这项对252名患有神经症的患者进行的回顾性病例记录研究，调查了哪些临床和社会人口统计学因素与精神科治疗的提前终止有关。研究发现，蓄意自我伤害史与患者停止治疗密切相关。然而，其他临床因素，即诊断、病程、酗酒史和精神疾病家族史，与治疗提前终止并无关联。年龄较大的患者和已婚患者以这种方式结束治疗的可能性最小，但患者的性别、就业状况以及与医院的距离并无此类关联。属于社会经济第5组与治疗提前终止显著相关，不过未发现与其他社会分组的关联。
