Glick I D, Hargreaves W A, Drues J, Showstack J A, Katzow J J
Arch Gen Psychiatry. 1977 Mar;34(3):314-7. doi: 10.1001/archpsyc.1977.01770150072008.
A controlled, prospective study examined the relative effectiveness of short-term versus long-term psychiatric hospitalization. Results of a two-year follow-up of a sample of 74 nonschizophrenic subjects are reported here. Two years after admission there were no statistically reliable differences in functioning between short-term and long-term subjects with diagnoses of either affective disorders, or neurosis and personality disorders (including hysterical personality disorder). The findings reported do not support extended hospitalization for patients with these diagnoses. Caution regarding these findings is suggested by an anecdotal impression that short-term hospitalization may not have allowed for proper diagnosis and treatment for some persons in the affective disorder group.
一项对照性前瞻性研究考察了短期与长期精神科住院治疗的相对有效性。本文报告了对74名非精神分裂症患者样本进行的为期两年的随访结果。入院两年后,被诊断为情感障碍、神经症和人格障碍(包括癔症性人格障碍)的短期和长期住院患者在功能方面没有统计学上可靠的差异。所报告的研究结果不支持对这些诊断的患者进行长期住院治疗。情感障碍组的一些患者可能因短期住院而未得到恰当诊断和治疗,这一轶事性印象提示对这些研究结果需谨慎看待。