Dottl S L, Greenley J R
Mental Health Research Center, University of Wisconsin-Madison, USA.
Community Ment Health J. 1997 Aug;33(4):311-21. doi: 10.1023/a:1025047224443.
Studies of clients with severe mental illness (SMI) typically focus on individuals in larger urban areas. Less is known about clients in rural and smaller urban areas. Here we compare the psychiatric status, home and community activities of daily living, and social and vocational functioning of 1600 adult clients with SMI from 18 small-city and rural Wisconsin counties. Rural clients are less likely to have a diagnosis of schizophrenia or organic brain syndrome; have higher levels of general pathology, including more belligerent, bizarre, nervous, and depressive behaviors; and engage in fewer vocational activities than urban clients.
对患有严重精神疾病（SMI）患者的研究通常聚焦于大城市地区的个体。对于农村和较小城市地区的患者了解较少。在此，我们比较了来自威斯康星州18个小城市和农村县的1600名成年SMI患者的精神状态、家庭及社区日常生活活动，以及社会和职业功能。农村患者被诊断为精神分裂症或器质性脑综合征的可能性较小；具有更高水平的一般病理学特征，包括更多好斗、怪异、紧张和抑郁行为；并且比城市患者参与的职业活动更少。
