Title of article :
Outcome and length of stay in psychiatric hospitalization,
the experience of the University Clinic of Turin
Author/Authors :
Paola Rocca، نويسنده , , C. Mingrone، نويسنده , , T. Mongini ?
C. Montemagni، نويسنده , , L. Pulvirenti، نويسنده , , G. Rocca ?
F. Bogetto، نويسنده ,
Issue Information :
ماهنامه با شماره پیاپی سال 2010
Abstract :
Background Given the current tendency to shorten psychiatric
hospitalization and change its organization, an
issue could be raised regarding its outcomes.
Purpose To analyze features related to length of stay in a
short-term inpatient treatment, to study outcomes and to
evaluate the diagnosis-specific effects of hospitalization.
Method A sample of 310 consecutive hospitalized
patients, with psychotic disorder, depressive disorder and
bipolar disorder (DSM IV-TR), was recruited at the University
Psychiatric Clinic, Service for Cognitive Disorders,
Department of Neuroscience, University of Turin. Severity
of illness was rated using the brief psychiatry rating scale
(BPRS). We evaluated relations between length of stay and
clinical and socio-demographic features (linear regression)
and possible differences confronting BPRS scores at
admission and discharge in the different diagnostic subgroups
(ANOVA for repeated measures).
Results All the sample of patients showed a significant
improvement in symptomatology during hospitalization.
Worse symptomatology in anxiety-depression domain of
BPRS at admission in the whole sample was positively
correlated with length of stay. A longer length of stay was
also shown in patients with diagnosis of depressive disorder.
Finally, a different pattern of improvement of BPRS
(total score and domains) was shown between the different
diagnostic groups.
Conclusion Brief hospitalization in our service was
shown to be highly effective. Different diagnostic groups
had different response to hospitalization, showing faster
improvement in characteristic symptomatology, but the
anxiety-depression domain showed the highest percentage
of change for all the diagnostic groups. We therefore
suppose that hospitalization has two effects: a specific (due
to tailored therapies) and a non-specific one (due to nonspecific
therapy and to a placebo-like effect
Keywords :
Hospitalization Outcome Length of stay Psychiatry
Journal title :
Social Psychiatry and Psychiatric Epidemiology (SPPE)
Journal title :
Social Psychiatry and Psychiatric Epidemiology (SPPE)