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Titolo:
Six-month outcome following a relapse of schizophrenia
Autore:
Bergen, J; Hunt, G; Armitage, P; Bashir, M;
Indirizzi:
Rozelle Hosp, Rozelle, NSW 2039, Australia Rozelle Hosp Rozelle NSW Australia 2039 osp, Rozelle, NSW 2039, Australia Univ Sydney, Fac Nursing, Sydney, NSW 2006, Australia Univ Sydney Sydney NSW Australia 2006 ursing, Sydney, NSW 2006, Australia Univ Sydney, Dept Psychol Med, Sydney, NSW 2006, Australia Univ Sydney Sydney NSW Australia 2006 ol Med, Sydney, NSW 2006, Australia
Titolo Testata:
AUSTRALIAN AND NEW ZEALAND JOURNAL OF PSYCHIATRY
fascicolo: 6, volume: 32, anno: 1998,
pagine: 815 - 822
SICI:
0004-8674(199812)32:6<815:SOFARO>2.0.ZU;2-N
Fonte:
ISI
Lingua:
ENG
Soggetto:
SUBSTANCE-ABUSE; NEUROLEPTIC WITHDRAWAL; PSYCHIATRIC-PATIENTS; MENTALLY-ILL; DISORDERS; MEDICATION; DRUG; ALCOHOL; MODEL; ANTIPSYCHOTICS;
Keywords:
community mental health services; inpatient treatment; outcome; schizophrenia;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Social & Behavioral Sciences
Clinical Medicine
Citazioni:
33
Recensione:
Indirizzi per estratti:
Indirizzo: Bergen, J Rozelle Hosp, POB 1, Rozelle, NSW 2039, Australia Rozelle Hosp POB 1 Rozelle NSW Australia 2039 SW 2039, Australia
Citazione:
J. Bergen et al., "Six-month outcome following a relapse of schizophrenia", AUST NZ J P, 32(6), 1998, pp. 815-822

Abstract

Objective: To analyse clinical data on patients with schizophrenia on admission to acute care and 6 months later in order to identify factors associated with frequent hospitalisations and poor outcome. Method: Information was collected from the medical records of 99 patients with schizophrenia consecutively admitted to acute care in hospital or by community based 24 h Crisis Teams and prospectively studied for 6 months. Results: One-quarter of patients were being admitted to acute care within 3 months of their last hospital discharge and only 34 patients were compliant with their neuroleptic medication 3 months prior to the index admission. Twenty-one patients were managed entirely by the Crisis Teams, 27 patientsreceived inpatient care only and the remainder (n = 51) had both types of acute care. Six months after admission, 42 patients had been discharged anddid not require further acute care, 29 patients had been re-admitted at least once and three patients had been transferred to an inpatient rehabilitation unit and, therefore, remained in hospital over the entire period. Of the remaining 25 patients, one committed suicide 2 months after discharge and the other patients were not contactable by Community Mental Health Teams at the 2 and/or 6 month follow up. Conclusions: Some of the factors associated with relapse identified in thepresent study were non-compliance with medication, stress, inadequate social support and substance abuse. The poor outcome in patients with frequent relapses emphasises the need to reduce the occurrences of schizophrenic symptoms to provide a better quality of life. The 25% of patients dropping outof care soon after a relapse indicates that more should be done to engage these people in long-term treatment programs.

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Documento generato il 30/05/20 alle ore 14:56:22