Tyrer P J, Remington M
Lancet. 1979 May 12;1(8124):1014-6. doi: 10.1016/s0140-6736(79)92764-8.
106 patients with anxiety, phobic, and depressive neuroses referred to the outpatient clinics of 6 psychiatrists were randomly assigned to outpatient care or two forms of psychiatric day care. Ratings of symptoms and social adjustment were recorded before treatment and after 4 and 8 months in 89 patients. There were no important differences in the outcome of day care and outpatient treatment although patients were more satisfied with the outpatient service. Because outpatient care is more economical of time and personnel it should be preferred to psychiatric day care for many neurotic disorders.
转介到6位精神科医生门诊的106例焦虑、恐怖和抑郁性神经症患者被随机分配接受门诊治疗或两种形式的精神科日间护理。89例患者在治疗前以及治疗4个月和8个月后记录了症状和社会适应情况。尽管患者对门诊服务更满意,但日间护理和门诊治疗的结果并无重要差异。由于门诊治疗在时间和人力方面更经济,对于许多神经症性障碍来说,应优先选择门诊治疗而非精神科日间护理。