The correlation between psychosocial characteristics and psychiatric hospital admission rates of patients with paranoid schizophrenia
Abstract
To identify the correlation between psychosocial characteristics of patients with paranoid schizophrenia placed under medical supervision and rates of their admissions to psychiatric hospitals, 80 patients (50 men and 30 women) aged 42,8±10.9 years have been studied. The results showed that psychosocial characteristics such as age, level of education attained, having a job and work experience, financial and marital statuses and social circle latitude were in inversely proportional relationship with the rate of hospital admissions. Multiple regression analysis showed the duration of disease and social circle latitude to be the most important predictors of the frequency of hospital admissions. The obtained results indicate that reduction in hospital admission numbers can be achieved by providing the patient with the combination of medical, psychosocial and family therapies, as well as employment assistance and rehabilitation of communication skills.
About the Authors
V. E. Pashkovskiy
Northwestern State Medical University named after I.I.Mechnikov of the Ministry of Health of the Russian Federation
Russian Federation
Russian Federation
A. G. Sofronov
Northwestern State Medical University named after I.I.Mechnikov of the Ministry of Health of the Russian Federation
Russian Federation
Russian Federation
I. D. Fedorovskiy
Northwestern State Medical University named after I.I.Mechnikov of the Ministry of Health of the Russian Federation
Russian Federation
Russian Federation
L. G. Serasetdinova
Neuropsychiatric outpatient department № 5
Russian Federation
Russian Federation
I. V. Lemeshev
Northwestern State Medical University named after I.I.Mechnikov of the Ministry of Health of the Russian Federation
Russian Federation
Russian Federation
A. E. Dobrovolskaya
Northwestern State Medical University named after I.I.Mechnikov of the Ministry of Health of the Russian Federation
Russian Federation
Russian Federation
References
1. Букреева Н.Д., Сорокина В.А., Ракитянская Е.А. и др. Оптимизация оказания психиатрической помощи больным шизофренией (организационные и клинико-экономические аспекты) // Психическое здоровье. - 2016. - № 4. - С. 3-14.
2. Васильева Е.А. Больные шизофренией с высокой обращаемостью за психиатрической помощью, не обусловленной клиническими показаниями. Сообщение 1 // Социальная и клиническая психиатрия.-2006. - т. 16. - в. 2. - С. 15-21.
3. Гурович И.Я., Шмуклер А.Б. Опросник для оценки социального функционирования и качества жизни психически больных // Социальная и клиническая психиатрия. - 1994. - № 2. - С. 35
4. Гурович И.Я., Краснов В.Н., Шмуклер А.Б Современное состояние психиатрической помощи: неотложные и долговременные задачи // Социальная и клиническая психиатрия. - 2015. - Т. 25. - В. 3. - С. 5-9.
5. Казаковцев Б.А. О реформе психиатрической помощи // Независимый психиатрический журнал. - 2004. - № 4. - С. 28-31.
6. Коцюбинский А.П., Бутома Б.Г., Еричев А.Н. Тенденции развития внебольничных форм обслуживания психически больных в нашей стране и за рубежом // Обозрение психиатрии и медицинской психологии имени В.М. Бехтерева. - 2013. - № 1. - C. 6-15.
7. Реброва О.Ю. Статистический анализ медицинских данных. Применение пакета прикладных программ STATISTICA. - М.: МедиаСфера. - 2002. - 312 с.
8. Течение и исходы шизофрении в позднем возрасте // под ред. Э.Я. Штернберга. - М.: Медицина. - 1981. - 192 с.
9. Drake R., Goldman H., Leff H. et.al. Implementing Evidence-Based Practices in Routine Mental Health Service Settings // Psychiatr. Serv. - 2001. - 52. - P. 179-182.
10. Lal S., Malla A. Service Engagement in First-Episode Psychosis: Current Issues and Future Directions // Can. J. Psychiatry. - 2015. - Vol. 60. - № 8. - P. 341-345.
11. van der Lee A, de Haan L, Beekman A. Schizophrenia in the Netherlands: Continuity of Care with Better Quality of Care for Less Medical Costs // PLoS One. - 2016. - Jun 8. - Vol. 11. - № 6. - e0157150.
12. Lehman A.F The role of mental health service research in promoting effective treatment for adults with schizophrenia // J. Ment. Health Policy Econ. - 1998. - N 4. - P. 199-204.
13. Lehman A., Steinwachs D. Patterns of usual care for schizophrenia: initial results from the Schizophrenia Patient Outcomes Research Team (PORT) Client Survey // Schizophrenia Bull. - 1998. - Vol. 24. - P. 11-20. (discussion - P. 20-32).
14. Lehman A.F., Kreyenbuhl J., Buchanan R.W., et.al. The Schizophrenia Patient Outcomes Research Team (PORT): updated treatment recommendations 2003//Schizophr Bull. - 2004. - Vol. 30. - N2. - P. 193-217.
15. Mojtabai R Trends in Contacts With Mental Health Professionals and Cost Barriers to Mental Health Care Among Adults With Significant Psychological Distress in the United States: 1997-2002 // American Journal of Public Health. - 2005. - Vol. 95. - P. 2009-2014.
16. Mojtabai R., Olfson M., Sampson N.A. et. al. Barriers to mental health treatment: results from the National Comorbidity Survey Replication//Psychol. Med. - 2011. - Vol. 41. - P. 1751-1761.
17. Sareen J., Jagdeo A., Cox B. et.al. Perceived barriers to mental health service utilization in the United States, Ontario, and the Netherlands//Psychiatric. Services. - 2007. - Vol. 58. - P. 357-364.
18. Wang P., Lane M., Olfson M. et al. Twelve-Month Use of Mental Health Services in the United States: Results From the National Comorbidity Survey Replication//Arch. Gen. Psychiat. - 2005. - Vol. 62. - P. 629-640.
Review
For citations:
Pashkovskiy V.E., Sofronov A.G., Fedorovskiy I.D., Serasetdinova L.G., Lemeshev I.V., Dobrovolskaya A.E. The correlation between psychosocial characteristics and psychiatric hospital admission rates of patients with paranoid schizophrenia. V.M. BEKHTEREV REVIEW OF PSYCHIATRY AND MEDICAL PSYCHOLOGY. 2017;(2):48-53. (In Russ.)
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