A psychiatric hospital 100 years ago: I. A comparative study of treatment outcomes then and now.

Hospital & community psychiatry Pub Date : 1994-10-01 DOI:10.1176/ps.45.10.1021

R C Evenson, R A Holland, D W Cho

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引用次数: 4

Abstract

Objective: The authors' goal was to compare distribution of diagnoses, length of stay, and readmission rates for every 16th patient admitted to the St. Louis County Insane Asylum (now St. Louis State Hospital) between 1886 and 1904 with those for every 16th patient admitted to the hospital between 1978 and 1980.

Methods: A sample of 369 cases was drawn from the archival admission records, and 380 cases were selected from recent admissions. Descriptive data from the archival records were used to make DSM-III diagnoses. Data on length of stay and number of readmissions were collected from case records.

Results: The historical sample had fewer cases of major mental illness, longer mean lengths of stay, and fewer mean readmissions than the modern sample.

Conclusions: Differences in the clinical characteristics of the two samples may be explained by differences between the two periods in treatment philosophies, admitting policies, and presence of alternative resources for accommodating long-term chronic patients.

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100年前的一家精神病院:1 .当时与现在治疗效果的比较研究。

目的:作者的目标是比较1886年至1904年间圣路易斯县精神病院(现圣路易斯州立医院)每16名患者的诊断分布、住院时间和再入院率，以及1978年至1980年间每16名患者的再入院率。方法:选取我院档案入院病例369例，近期入院病例380例。档案记录中的描述性数据用于DSM-III诊断。从病例记录中收集住院时间和再入院人数的数据。结果:与现代样本相比，历史样本的主要精神疾病病例较少，平均住院时间更长，平均再入院次数更少。结论:两个样本的临床特征差异可能是由于两个时期的治疗理念、入院政策和长期慢性患者的替代资源存在差异。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Hospital & community psychiatry

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