Kayton L, Beck J, Koh S D
Am J Psychiatry. 1976 Nov;133(11):1269-74. doi: 10.1176/ajp.133.11.1269.
The authors evaluated the following variables in the 2-3-year outcomes of 30 schizophrenic patients: the acute/chronic dichotomy, the presence of a postpsychotic regressive state, the quality of the convalescent environment, and the formation of a therapeutic relationship. They found that the presence of a postpsychotic regressive state was not associated with either good or poor short-term outcome; that the diagnosis of acute schizophrenia was almost invariably followed by good outcome, but a diagnosis of chronic schizophrenia had little predictive value; and that a favorable convalescent environment and the presence of a therapeutic relationship were signigicantly associated with good outcome.
作者评估了30例精神分裂症患者2至3年预后的以下变量：急性/慢性二分法、精神病后退行状态的存在、康复环境的质量以及治疗关系的形成。他们发现，精神病后退行状态的存在与短期预后的好坏均无关联；急性精神分裂症的诊断几乎总是伴随着良好的预后，但慢性精神分裂症的诊断几乎没有预测价值；而良好的康复环境和治疗关系的存在与良好的预后显著相关。
