Outcome of short-term hospitalization in a psychosomatic ward

Lung Cheng Huang, Shih Cheng Liao, Yue Joe Lee, Mei Chih Tseng, Chia Hsuan Wu, Ming Been Lee

研究成果: 雜誌貢獻文章同行評審

1 引文 斯高帕斯(Scopus)

摘要

Background and Purpose: This study investigated the short-term outcome of patients with common mental disorders (CMDs) admitted to a psychosomatic ward. Multidimensional outcome measurements were used, including psychological symptoms, global functioning, and service satisfaction. Methods: A total of 56 consecutive patients with CMDs admitted to a 33-bed psychosomatic ward for crisis intervention or due to refractory conditions unresponsive to treatment at outpatient clinics were enrolled. Structured measurements including psychological symptoms, personality traits, family functioning and global functioning, at admission and discharge, were used to assess outcome. Baseline social functioning was measured at admission. Perspective on life satisfaction and satisfaction with therapy were assessed at discharge. Univariate analysis and multiple regression models that employed the stepwise method were used to determine the predictors of outcome. Results: Psychological symptoms, global functioning and family function demonstrated significant improvement after hospitalization (p<0.05). Personality traits remained stable during hospitalization. Baseline social functioning, educational level, marital status, comorbid mental disorder, length of hospital stay, and neuroticism were significantly associated with psychological stress at discharge (adjusted R 2 = 0.51). Higher educational level and male gender were significantly correlated with better global functioning at discharge (adjusted R2 = 0.18). Perspective on life satisfaction and improvement of family functioning predicted satisfaction with therapy during the index hospitalization (adjusted R2 = 0.19). Conclusions: This study demonstrated a significant improvement after short-term hospitalization in a psychosomatic ward. Demographic and clinical variables were able to predict the outcome measurement of symptoms, functioning and service satisfaction. This study also suggested that individual psychotherapy is a useful approach to the treatment of hospitalized patients with CMDs.

原文英語
頁(從 - 到)816-823
頁數8
期刊Journal of the Formosan Medical Association
104
發行號11
出版狀態已發佈 - 2005

ASJC Scopus subject areas

  • 醫藥 (全部)

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