Clinical, cognitive and functional characteristics of long-stay patients with schizophrenia: a comparison of VA and state hospital patients
Clinical, cognitive and functional characteristics of long-stay patients with schizophrenia: a comparison of VA and state hospital patients
复制标题
DOI：
10.1016/s0920-9964(99)00182-6
复制
发表时间：
2000-05-25
影响因子：
4.5
通讯作者：
Davis, KL
中科院分区：
文献类型：
--
作者：
Harvey, PD;Jacobsen, H;Davis, KL
长期住院患者只占所有精神分裂症患者的一小部分，但在VA和州精神科系统中，这些患者占了与该疾病治疗相关的大部分费用。VA和州患者在几个方面可能有所不同，包括发病年龄和发病前的教育状况。关于这些样本之间的差异，几乎没有其他信息。74名长期住院的男性慢性精神病学中心患者与50名长期住院的男性退伍军人在阳性和阴性症状、认知缺陷和功能状态方面进行了比较。两个样本在阳性症状严重程度上没有差异，但状态患者有更严重的阴性和认知症状以及功能缺陷。在所有测量的变量中，自我照顾不足是唯一进入逐步判别分析的变量。两组功能变量和症状变量的相关性相同，组间差异和相关性不受教育程度差异的影响。这些数据表明，相对于州立医院的患者，退伍军人协会患者的功能和认知障碍的严重程度可能较低，但两组患者不同疾病变量之间的关系相似。(C) 2000 Elsevier Science B.V.版权所有
Long-stay patients constitute a small proportion of all patients with schizophrenia, but in both VA and state psychiatric systems these patients account for a majority of the costs associated with treatment of the illness. VA and state patients would be expected to differ in several respects, including age at onset and premorbid educational status. Little additional information is available about the differences between these samples. Seventy-four long-stay male patients at a chronic state psychiatric center were compared with 50 male veterans from long-stay psychiatric facilities on positive and negative symptoms, cognitive deficits and functional status. The two samples did not differ on positive symptom severity, but the state patients had more severe negative and cognitive symptoms as well as functional deficits. Of all of the variables measured, deficit in self care was the only variable that entered a stepwise discriminant analysis. The correlation between functional and symptomatic variables was the same in both groups, and the group differences and correlations were not influenced by differences in educational status. These data indicate that VA patients may have reduced severity of functional and cognitive impairments relative to state hospital patients, but that the relationship between the different illness variables was similar in the two groups. (C) 2000 Elsevier Science B.V. All rights reserved.