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La relación entre el nivel educativo de los pacientes y el proceso terapéutico en una comunidad terapéutica de pacientes agudos

Published online by Cambridge University Press:  12 May 2020

I. Isohanni
Affiliation:
Instituto Politécnico de Oulu
P. Nieminen
Affiliation:
Facultad de Medicina, Universidad de Oulu
M. Isohanni
Affiliation:
Departamento de Psiquiatría, Universidad de Oulu, Finlandia
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Resumen

La asistencia custodial tradicional en los hospitales mentales ha dado paso a hospitalizaciones breves y diversos entornos de tratamiento activo de pacientes internos, por ejemplo, las comunidades terapéuticas. Pero ¿son los pacientes con un buen nivel educativo los únicos que pueden utilizar esta clase de asistencia psicosocial compleja e incluso exigente? Se evaluó a un total de 1.538 pacientes y sus primeras admisiones desde 1977 hasta 1993 en una sala terapéutica comunitaria cerrada en el Departamento de Psiquiatría de la Universidad de Oulu (Finlandia) para analizar la asociación del nivel educativo del paciente con algunas características del tratamiento y la evolución. Los niveles educativos eran: educación no profesional (46% de todos los pacientes), profesional baja (39%) y profesional superior (15%). No hubo diferencias estadísticamente significativas en las variables de tratamiento y evolución de los pacientes en ningún nivel educativo. El resultado indica el logro de una meta del tratamiento en el modelo de comunidad terapéutica, a saber, la igualdad del paciente a pesar de las diferencias de nivel educativo. Este resultado puede ser especialmente importante para las personas con educación más baja.

Type
Artículo original
Copyright
Copyright © European Psychiatric Association 1997

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References

Bibliografia

Aro, S, Ar, H, Salinto, M, Keskimäki, I. Educational level and hospital use in mental disorders. A population based study. Acta Psychiatr Scand 1995; 91: 305–12.CrossRefGoogle ScholarPubMed
Cernovsky, ZZ, Landmark, J, Helmes, E. Are schizophrenic symptoms different in patients with higher educanon? Psychol Rep 1994; 5: 1552–4.CrossRefGoogle Scholar
Faris, RE, Dunham, HW. Mental Disorders in Urban Areas. An Ecological Study of Schizophrenia and Other Psychoses, 2nd edn, 1960. New York: Hafner, 1939.Google Scholar
Fienberg, SE. The Analysis of Cross-Classified Categorical Data. Cambridge: MIT Press, 1980: 110–16Google Scholar
Hollingshead, AB, Redlich, FC. Social Class and Mental Illness. New York: Wiley, 1958.CrossRefGoogle Scholar
Isohanni, M. The Psychiatric Ward asa Therapeutic Community. Acta Universitatis Oulensis D lll . Oulu: University of Oulu, 1983.Google Scholar
Isohanni, M, Nieminen, P. Predicting inmmediate outcome on a closed psychiatric ward functioning as a therapeutic community. Psychiatria Fennica 1989; 20: 1323.Google Scholar
Isohanni, M, Nieminen, P. Relationship between involuntary admission and its influence on the therapeutic community. Acta Psychiatr Scand 1990; 81: 240–4.CrossRefGoogle Scholar
Isohanni, M, Nieminen, P. The determinants of participation in individual psychotherapy in an acute patients’ therapeutic community. Nordic J Psychiatr 1992a; 46: 295301.CrossRefGoogle Scholar
Isohanni, M, Nieminen, P. Participation in group psychotherapy in a therapeutic community for acute patients. Acta Psychiatry Scand 1992b; 86: 495501.CrossRefGoogle Scholar
Isohanni, M, Mäkikyrö, T, Moring, Jet al. A comparison of clinical and research DSM-III-R diagnosis of schizophrenia in an Finnish national birth cohort. Soc Psych Epid (in press).Google Scholar
Kuoppasalmi, K, Lönnqvist, J, Pylkkanen, K, Huttunen, M. Classification of mental disorders in Finland. A comparison of the Finnish classification of mental disorders in 1987 with DSM-III-R. Psychiatria Fennica 1989; 20: 6581.Google Scholar
Lehtinen, V, Veijola, J, Lindholm, Tet al. Stability and Changes of Mental Health in the Adult Finnish Population. Turku: Publications of the Social Insurance Institution, Finland, 1993; 36 [English summary]: 299313.Google Scholar
Margo, GM, Manring, JM. The current literature on inapatient psychotherapy. Hosp Community Psychiatry 1989; 40: 909–15.Google ScholarPubMed
Nieminen, P. Therapeutic Community Research and Statistical Data Analysis. Acta Universatis Ouluensis D 360. Oulu: University of Oulu, 1996.Google Scholar
Nieminen, P, Isohanni, M, Winblad, I. Length of hospitalisation in acute patients’ therapeutic community ward. Acta Psychiatr Scand 1994; 90: 466–72.CrossRefGoogle ScholarPubMed
Norusis, JE, SPSS for Windows. Advanced Statistics. Release 5.0. Chicago: SPSS Inc, 1992: 259–74Google Scholar
Saarento, O. Factors Releated to Treated Incidence in Psychiatric Services and Utilization of Psychiatric Impatient Care. A Nordic Comparative Study on Sectorized Psychiatry. Acta Universitatis Ouluensis D 365. Oulu: University of Oulu, 1996.Google Scholar
Salokangas, R. First-contact rate for schizophrenia in community psychiatric care. Consideration of the oestrogen hypothesis. Eur Arch Psychiatr Clin Neurosci 1993; 242: 337–46.CrossRefGoogle ScholarPubMed
Tienari, P, Wynne, L, Moring, Jet al. Genetic vulnerability or family environment? Implications from the Finnish adoptive family study of schizophrenia. Psychiatria Fennica 1993; 24: 2341.Google Scholar
Turner, RJ, Morton, O, Wagenfeld, MO. Occupational mobility and schizophrenia. An assessment of the social causation and social selection hypotheses. Am Psychol Rev 1967; 32: 104–13.Google ScholarPubMed
Wiersma, D, Giel, R, De Jong, A, Sloff, CJ. Social class and schizophrenia in a Dutch cohort. Psychol Med 1983; 13: 141–50.CrossRefGoogle Scholar
Wieselgren, IM, Lindström, LH. A prospective 1-5 year outcome study in first-admitted and readmitted schizophrenic patients; relationship to hereditary, premorbid adjustment, duration of disease and educational level at Index admission and neuroleptic treatment. Acta Psychiatr Scand 1996; 93: 919.CrossRefGoogle Scholar