Predictors of participation in community outpatient psychosocial rehabilitation in schizophrenia.

Predictors of participation in community outpatient psychosocial rehabilitation in schizophrenia.
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DOI:
10.1007/s10597-010-9343-z
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发表时间:
2011-12
影响因子:
2.7
通讯作者:
Wexler BE
Wexler BE
中科院分区:
医学4区
文献类型:
--
作者:
Kurtz MM;Rose J;Wexler BE

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本研究调查了人口统计学、临床和神经认知因素预测从密集的社区门诊精神分裂症或分裂情感性障碍患者的社会心理康复计划中退出。127名患有精神分裂症或分裂情感性障碍的门诊患者参与了研究。记录年龄、性别、教育程度和种族/民族等人口统计学变量,并在研究开始时进行正式的症状测量和神经认知评估,包括结晶语言能力、持续视觉警觉性、语言学习、语言流畅性和解决问题的测量。37%的样本退出了这个项目。在最后一个多变量模型中,年龄较小、语言流畅性分数较低且住院次数较多的患者更有可能退出。讨论了这些发现的意义。
This study investigated demographic, clinical and neurocognitive factors predicting drop-out from an intensive, community outpatient psychosocial rehabilitation program for people with schizophrenia or schizoaffective disorder. One-hundred and twenty-seven outpatients with DSM-IV schizophrenia or schizoaffective disorder participated. Demographic variables of age, sex, education and race/ethnicity were recorded and formal symptom measures and a neurocognitive assessment consisting of measures of crystallized verbal ability, sustained visual vigilance, verbal learning, verbal fluency and problem-solving were administered at study entry. Thirty-seven percent of the sample dropped-out of the program. In a final multivariate model, younger age, and lower verbal fluency scores in clients with a history of a high number of hospitalizations predicted a greater likelihood of drop-out. The implications of these findings are discussed.
DOI: 10.1016/s0920-9964(03)00179-8
发表时间: 2004-05-01
影响因子: 4.5
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