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首页> 外文期刊>Journal of psychiatric practice. >Who benefits the most from psychiatric day hospitals? A comparison of three clinical groups.
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Who benefits the most from psychiatric day hospitals? A comparison of three clinical groups.

机译：谁从精神科日间医院受益最多？三个临床组的比较。

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Comparison of the effects of psychiatric day hospital programs between homogenous clinical groups is an important issue that requires more attention. One group of day hospital patients who have not been included in most studies are people with cluster B personality disorders. The purpose of this study was to compare clinical and social participation outcomes in three groups of individuals treated in a psychiatric day hospital: patients with psychotic disorders, patients with mood and anxiety disorders, and patients with cluster B personality disorders. A pre-experimental, pre-test post-test design was used. During the first and last week of treatment, as well as 6 months after discharge, 20 participants in each group completed questionnaires on severity of symptoms, distress, accomplishment, satisfaction with social participation, and self-esteem. During the intervention, there was significant improvement in all groups on all variables, except for self-esteem in people with psychotic disorders, which remained stable. The patients with psychotic disorders showed significantly less improvement than the two other groups in severity of symptoms, distress, and self-esteem. Following discharge, the degree of change was comparable in the three groups on all variables based on between-groups analyses. However, based on within-group analyses, patients in the mood and anxiety disorders group continued to show significant improvement over time after discharge on self-esteem, accomplishment, and satisfaction with social participation, while no significant changes were seen in the other two groups. Although all three clinical groups made significant gains during their participation at the day hospital and maintained these gains after discharge, those with mood and anxiety disorders benefited the most from their day hospital experience.
机译：比较同类临床组之间的精神科日间医院计划的效果是一个需要更多关注的重要问题。大多数研究中未包括的一组日间住院患者是患有B群人格障碍的人。这项研究的目的是比较在精神病日间医院接受治疗的三组患者的临床和社会参与结果：精神病患者，情绪和焦虑症患者以及B群人格障碍患者。使用了实验前，测试前，测试后的设计。在治疗的第一周和最后一周以及出院后的6个月内，每组20名参与者完成了有关症状严重程度，困扰，成就，对社交参与的满意度和自尊的问卷调查。在干预过程中，除精神病患者的自尊外，所有组别的所有变量都有显着改善，并保持稳定。精神病患者的症状，困扰和自尊的严重程度明显低于其他两组。出院后，根据组间分析，所有变量的变化程度在三组中均相当。然而，根据组内分析，情绪和焦虑症组的患者出院后对自尊，成就和对社交参与的满意度随着时间的推移继续显示出显着改善，而其他两组均未见明显变化。尽管所有三个临床组在参加日间医院期间均取得了显着收益，并在出院后保持了这些收益，但患有情绪和焦虑症的人从其日间医院经验中受益最大。

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