Collins J L, Wells J D, Pearson D
J Natl Med Assoc. 1977 Aug;69(8):555-9.
A three-year evaluation of demographic and diagnostic patterns in a large Army psychiatric in-patient facility is described. Active duty personnel accounted for 83.6 percent of patient episodes. No simple catchment area could be defined for this facility. Active duty patient episodes tended to be with younger, junior enlisted men whose sicknesses were most frequently diagnosed as schizophrenia. The diseases of blacks were diagnosed as paranoid schizophrenia more frequently than in whites. Latent schizophrenia or undifferentiated schizophrenia were diagnosed more frequently in whites than in blacks. The illnesses of active duty female military personnel were more frequently diagnosed as neurotic than as schizophrenic. Of the patient episodes during the three-year period, 12.1 percent were about dependents. They were usually the wives of older, senior enlisted men or senior officers and they stayed an average of 12 days in the hospital. On the other hand, 4.3 percent of the patient episodes were about retired personnel. They came from Walter Reed Army Medical Center (WRAMC) as did their dependents, and the most frequent diagnosis was alcoholism. Their median stay was 15 days. Subsequent studies will attempt to further clarify these initial findings.
本文描述了对一家大型陆军精神病住院设施的人口统计学和诊断模式进行的为期三年的评估。现役人员占患者发病例数的83.6%。该设施无法确定一个简单的集水区。现役患者发病例数往往集中在较年轻、军衔较低的男性士兵，他们的疾病最常被诊断为精神分裂症。黑人疾病被诊断为偏执型精神分裂症的频率高于白人。白人被诊断为潜在型精神分裂症或未分化型精神分裂症的频率高于黑人。现役女性军人的疾病被诊断为神经症的频率高于精神分裂症。在三年期间的患者发病例数中，12.1%是家属。他们通常是年龄较大、军衔较高的士兵或高级军官的妻子，平均住院12天。另一方面，4.3%的患者发病例数是退休人员。他们和他们的家属来自沃尔特·里德陆军医疗中心（WRAMC），最常见的诊断是酗酒。他们的中位住院时间为15天。后续研究将试图进一步阐明这些初步发现。
