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Prospective controlled study of psychiatric out-patient non-attendance

机译:精神科门诊非就诊的前瞻性对照研究

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Background Psychiatric clinics have high non-attendance rates and failure to attend may be a sign of deteriorating mental health. Aims To investigate why psychiatric out-patients fail to attend, and the outcome of attenders and non-attenders. Method Prospective cohort study of randomly selected attenders and non-attenders at general adult psychiatric out-patient clinics. Subjects were interviewed at recruitment and severity of mental disorder and degree of social adjustment were measured. Six and 12 months later their engagement with the clinic and any psychiatric admissions were ascertained. Results Of the 365 patients included in the study, 30 were untraceable and 224 consented to participate. Follow-up patients were more psychiatrically unwell than new patients. For follow-up patients, non-attenders had lower social functioning and more severe mental disorder than those who attended. At 12-month follow-up patients who missed their appointment were more likely to have been admitted than those who attended. Conclusions Those who miss psychiatric follow-up out-patient appointments are more unwell and more poorly socially functioning than those who attend. They have a greater chance of drop-out from clinic contact and subsequent admission.
机译:背景技术精神病诊所的出勤率很高,不能参加就诊可能是心理健康恶化的迹象。目的调查精神科门诊病人为什么不参加,以及参加者和非参加者的结果。方法对一般成人精神科门诊患者中随机选择的就诊者和非就诊者进行前瞻性队列研究。在招募时对受试者进行采访,并测量精神障碍的严重程度和社会适应程度。六个月和十二个月后,确定了他们与诊所的接触以及任何精神病入院。结果纳入研究的365位患者中,有30位是无法追踪的,有224位同意参加。随访患者比新患者精神病更严重。对于随访患者,非参加者的社会功能较参加者低,而其精神障碍更为严重。在12个月的随访中,错过约会的患者比参加活动的患者更有可能被收治。结论那些错过了精神科后续门诊就诊的人比那些参加就诊的人更不适,社交功能也更差。他们有更大的机会退出诊所联系并随后入院。

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