RESUMEN
Two groups of schizophrenic patients with diametrically opposed illness outcomes were compared, 14 months after discharge, with respect to 21 parameters. The first group comprised patients who relapsed and were readmitted into hospital and the second group comprised patients who achieved satisfactory occupational rehabilitation in the community. Satisfactory occupational rehabilitation was positively associated and relapse was negatively associated with the following parameters: compliance to maintenance pharmacotherapy, satisfactory work record, compulsory admission into hospital, living apart from parents or spouse after discharge, illness precipitated by stressful events, longer duration of hospitalization and more advanced age at onset of illness. The authors express the view that awareness of the parameters influencing short-term social outcome might contribute to a more efficient management of schizophrenic patients.
Asunto(s)
Esquizofrenia/rehabilitación , Psicología del Esquizofrénico , Ajuste Social , Adulto , Femenino , Humanos , Masculino , Pronóstico , Recurrencia , Rehabilitación Vocacional/psicologíaRESUMEN
Factors related to occupational rehabilitation of 40 psychiatric patients (and a subgroup of 30 schizophrenic patients) hospitalized at the Day Hospital of Athens' University Department of Psychiatry were studied. Rehabilitation was negatively associated to a statistically significant degree with: chronicity of illness, time spent in unemployment, and male sex. Time spent in unemployment was also negatively related to rehabilitation at the previous employment setting. More women than men were rehabilitated. Duration of illness and duration of present hospitalization were longer for men, commitment to the hospital's daily schedule was stronger for women, and male patients had more absences from treatment sessions in comparison to female patients.