CLINICIANS' SELF-REPORTED REACTIONS TO PSYCHIATRIC EMERGENCY PATIENTS EFFECT ON TREATMENT DECISIONS
CLINICIANS' SELF-REPORTED REACTIONS TO PSYCHIATRIC EMERGENCY PATIENTS EFFECT ON TREATMENT DECISIONS
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DOI：
10.1007/bf01064915
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发表时间：
1990-01-01
期刊：
影响因子：
--
通讯作者：
COMBS H
中科院分区：
文献类型：
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作者：
GILLIG P M;HILLARD J R;COMBS H
在两个城市精神病急救服务的硕士级社会工作临床医生自我评价他们的认知反应和有意识的感觉，对共783名患者。对患者的负面自我报告的影响与他们表现出明显的精神病症状，最终诊断为药物滥用，冲动，失业或有犯罪行为史有关。而临床医生的反应未进入住院预测模型，其中家人和朋友的意见、精神病理学程度、自杀意念和缺乏社会支持是患者是否住院的主要预测因素。
Masters-level social work clinicians at two urban psychiatric emergency services self-rated their cognitive reactions and conscious feelings toward a total of 783 patients. Negative self-reported affect toward patients was related to their displaying overt psychotic symptoms, having a final diagnosis of substance abuse, being impulsive, unemployed, or having a history of criminal behavior. However, clinicians' reactions did not enter into the model predicting hospitalization, which included opinion of family and friends, degree of psychopathology, suicidal ideation and lack of social supports as the major predictors of whether or not a patient would be hospitalized.