Herz M I, Endicott J, Spitzer R L
Am J Psychiatry. 1976 Jul;133(7):795-801. doi: 10.1176/ajp.133.7.795.
A total of 175 newly admitted inpatients who lived with families were randomly assigned to three treatment groups: standard inpatient care (discharge at the therapist's discretion), brief hospitalization (one week or less) with transitional day care available, and brief hospitalization without day care. Outpatient aftercare was offered to all patients. There was no major differential family burden as a function of length of hospitalization. Generally, brief hospitalization had several positive effects on family functioning, primarily earlier resumtption of occupational roles and less financial burden, with few significant deleterious effects.
共有175名与家人同住的新入院患者被随机分配到三个治疗组:标准住院治疗(由治疗师酌情决定出院时间)、提供过渡性日间护理的短期住院治疗(一周或更短时间)和无日间护理的短期住院治疗。所有患者都接受门诊后续护理。住院时间长短对家庭负担没有重大差异影响。一般来说,短期住院治疗对家庭功能有几个积极影响,主要是职业角色恢复得更早和经济负担更小,几乎没有明显的有害影响。