TRENDS IN RELEASE RATES OF SCHIZOPHRENIC-PATIENTS
TRENDS IN RELEASE RATES OF SCHIZOPHRENIC-PATIENTS
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DOI：
10.1016/s0010-440x(61)80011-4
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发表时间：
1961-01-01
影响因子：
7.3
通讯作者：
MORGAN, RD
中科院分区：
文献类型：
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作者：
EPSTEIN, LJ;MORGAN, RD
REYHAN 在 19.95 发表的一篇有趣的文章中，介绍了 1920 年和 1940 年住院患者的精神分裂症反应过程的某些事实。他研究的患者是 1920 年 1 月 1 日之后连续 100 名精神分裂症入院的特拉华州立医院患者，以及 19.40 年 1 月 1 日之后类似选择的样本。没有尝试区分诊断亚型。除了有关这些患者的医院调整、再次入院人数、发病特征和尝试治疗类型的信息外，还提供了有关住院时间和程度的某些数据。使用横截面技术概述了有关释放潜力的数据。换句话说，每个患者的医院状况都是在两个样本入院当年十三年后的某个时间点确定的。这些比较表明，入院 13 年后，1920 年组的 65% 和 1940 年组的 42% 仍在医院； 1920 年组的 11% 和 1940 年组的 4% 已经死亡。~ 1953 年，对这两个组的状况进行了检查，1920 年组有 44% 的成员在医院，1940 年组有 42%。本文建议遵循所有被送往加州精神卫生局精神病院的、诊断为以下情况的人员的释放模式： 1949 至 1957 财政年度期间的精神分裂症反应。这将通过类似于 Kramer、2 Pollack、Israel 和 Johnson 所描述的队列跟踪分析技术进行克隆。为了检查患者群体，传统的横断面技术能够有效地呈现任何日历期间发生的入院、出院和死亡人数等信息。队列分析技术除了提供此信息之外，还可以提供这些信息=启用队列一词通常用于表示具有一个或多个共同特征的任何群体，在本文中，它指的是在 1949 年至 1957 年的特定财政年度中首次入住加利福尼亚州立精神病院的男性或女性患者。男性和女性患者被分开呈现，以澄清有关住院时间可能存在的性别差异的问题。仅包括白种人患者，以增加入院时的年龄范围 25-44 岁，以限制复杂的退化因素以及儿童精神分裂症患者，因为在本系列中，这些患者的年龄范围无法与 Freyhan 或 Bleuler 的系列相比较。 5-44 已指定，该群体仅限于白种人，并且
REYHAN, in an interesting article in 19.95, presented certain facts about the courses of sclaizophrenic reactions in patients hospitalized in 1920 and in 1940. The patients he studied were 100 consecutive schizophrenic admissions to the Delaware State Hospital subsequent to January 1, 1920, and a similarly selected sample subsequent to January 1, 19.40. No attempt was made to distinguish between diagnostic sub-types. In addition to information about the hospital adjustment of these patients, number of their readmissions, characteristics of onset of illness, and types of therapy attempted, certain data were presented about duration and extent of hospitalization. The data concerning release potential were outlined using cross-sectional technics. In other words, the hospital status of each patient was ascertained at a point thirteen years after~ he admission year for each of the two samples. These comparisons showed that thirteen years after hospital admission 65 per cent of the 1920 group and 42 per cent of the 1940 group were in the hospital; and 11 per cent of the 1920 group and 4 per cent of the 1940 group had died.~ AZhen both groups were examined as to their status in 1953, the 1920 group had 44 per cent of its members in the hospital, and the 1940 group had 42 per cent.The present paper proposes to follow the release patterns of all persons committed to any mental hospital of the California Department of Mental Hygiene with the diagnosis of schizophrenic reaction during the fiscal years 1949 to 1957. This will be clone by means of a cohort£ ollow-up analysis" technic similar to that described by Kramer, 2 Pollack,~ and Israel and Johnson. For the purpose of examining groups of patients, the traditional cross-sectional technic ably presents such information as the numbers of admissions, discharges and deaths occurring during any calendar period. The technics of cohort analysis, in addition to supplying this information= enable one to present measures of the likelihood of release as well as to present estimates of net length of hospitalization during any period measured from date of admission. The term cohort is generally used to designate any group with one or more characteristics in common. In this paper it refers to the males or females admitted for the first time to a state mental hospital in California in a given fiscal year from 1949 to 1957. The male and female patients are being presented separately in order to clarify questions which have arisen about possible sex differences in the length of hospitalization of schizophrenic patients. Only Caucasian patients are included in order to increase the homogeneity of the cohorts. The age range, 25-44 years at admission, was chosen to limit complicating involutional factors as well as those of childhood schizoplarenia. These groups of patients, to be sure, are not comparable to either Freyhan's or Bleuler's. series in view of the fact that in the present series an age range of~ 5-44 is specified, the fact that the group is restricted to Caucasians, and