Kelly C, McCreadie R G, MacEwan T, Carey S
Department of Psychological Medicine, Gartnavel Royal Hospital, Glasgow.
Br J Psychiatry. 1998 Jun;172:513-7. doi: 10.1192/bjp.172.6.513.
In recent years there has been a shift to 'community care' and the introduction of several 'atypical' antipsychotic drugs. We report the impact of these changes.
In Nithsdale, Dumfries and Galloway, Scotland, the population of patients with schizophrenia was identified in 1996. This census replicated a study carried out in 1981. The population with schizophrenia were compared on clinical and social variables. The whereabouts in 1996 of the 1981 population was determined.
In comparison with the 1981 population, more patients in 1996 had positive, negative and non-schizophrenic symptoms. More showed tardive dyskinesia. Social adjustment had not changed. They had spent less time in hospital; fewer (13%) were living with their parents; and fewer (8%) were employed. By 1996, 35% of the 1981 cohort had died (standardised mortality rate male-154; female-162).
The mental health of a community of people with schizophrenia living in a rural area in 1996 was poorer than in 1981.
近年来，医疗模式已转向“社区护理”，并引入了几种“非典型”抗精神病药物。我们报告了这些变化所产生的影响。
在苏格兰邓弗里斯和加洛韦的尼斯代尔，于1996年确定了精神分裂症患者群体。此次普查重复了1981年进行的一项研究。对精神分裂症患者群体在临床和社会变量方面进行了比较。确定了1981年那批患者在1996年的去向。
与1981年的患者群体相比，1996年有更多患者出现阳性、阴性和非精神分裂症症状。更多患者表现出迟发性运动障碍。社会适应情况没有变化。他们住院时间减少；与父母同住的人数减少（13%）；就业人数减少（8%）。到1996年，1981年那批患者中有35%已经死亡（标准化死亡率男性为154；女性为162）。
1996年生活在农村地区的精神分裂症患者群体的心理健康状况比1981年更差。
