Hostname: page-component-cd9895bd7-jkksz Total loading time: 0 Render date: 2024-12-31T16:31:42.088Z Has data issue: false hasContentIssue false
  • English
  • Français

Clinical Change as a Function of Brief Admission to Hospital in a Controlled Study Using the Present State Examination

Published online by Cambridge University Press:  29 January 2018

Angela Knights ,
S. R. Hirsch  and
S. D. Platt
Angela Knights
Affiliation:
Charing Cross Hospital Medical School, London W6 8RF
S. R. Hirsch
Affiliation:
Charing Cross Hospital
S. D. Platt
Affiliation:
MRC Unit for Epidemiological Studies in Psychiatry, Royal Edinburgh Hospital
Get access Rights & Permissions [Opens in a new window]

Summary

A randomized controlled trial of brief hospital admission failed to show any difference on clinical measures when compared with standard admission for all psychiatric patients admitted from a catchment area over one year. Psychotic and neurotic symptoms were examined separately and together, using the Present State Examination (PSE) a week after admission and three months later. Clinical outcome was not related to length of stay in hospital or psychiatric diagnosis. This study shows how the PSE can be used to measure change in clinical state for a heterogenous group of psychiatric patients.

Type
Research Article
Information
The British Journal of Psychiatry , Volume 137 , Issue 2 , August 1980 , pp. 170 - 180
Copyright
Copyright © Royal College of Psychiatrists, 1980 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Burhan, A. S. (1967) Short-term hospital treatment: a study. Hospital and Community Psychiatry, 20, 369–70.Google Scholar
Caffey, E. M., Jones, R. D., Diamond, L. S., Burton, E. & Bowen, W. T. (1968) Brief hospital treatment of schizophrenia—early results of a multiple hospital study. Hospital and Community Psychiatry, 19, 282–87.Google ScholarPubMed
Caffey, E. M., Galbrecht, C. R. & Klett, C. J. (1971) Brief hospitalization and after care in the treatment of schizophrenia. Archives of General Psychiatry, 24, 81–6.Google Scholar
Davis, E. B., Butts, H. F. & Lindo, T. (1972) Some implications of time limited general hospital psychiatric inpatient treatment for outcome of hospitalization. Community Mental Health Journal, 8 (2), 92–101.Google Scholar
Deiter, J. B., Hanford, D. B., Hummel, R. T. & Lubach, J. E. (1965) Brief inpatient treatment—a pilot study. Mental Hospitals, 16, 29–32.Google Scholar
Glick, I. D., Hargreaves, W. A. & Goldfield, W. D. (1974) Short vs. long hospitalization: a prospective controlled study. I. Preliminary results of one year follow-up of schizophrenics. Archives of General Psychiatry, 30, 363–9.Google Scholar
Glick, I. D., Hargreaves, W. A., Raskin, M. & Kutner, S. J. (1975) Short vs. long hospitalization: a prospective controlled study. II. Results for schizophrenic in-patients. American Journal of Psychiatry, 132: 4, 385–90.Google Scholar
Glick, I. D., Hargreaves, W. A., Drues, J. & Showstack, J. A. (1976) Short vs. long hospitalization: a controlled study. III. Inpatient results for non-schizophrenics. Archives of General Psychiatry, 33, 78–83.Google Scholar
Glick, I. D., Hargreaves, W. A., Drues, J. & Showstack, J. A. (1976) Short vs. long hospitalization: a prospective controlled study. IV. One year follow-up results for schizophrenic patients. American Journal of Psychiatry, 133:5, 509–14.Google Scholar
Glick, I. D., Hargreaves, W. A., Drues, J. & Showstack, J. A. (1976) Short vs. long hospitalization: a prospective controlled study. V. One year follow-up results for non-schizophrenic patients. American Journal of Psychiatry, 133:5, 515–17.Google Scholar
Glick, I. D., Hargreaves, W. A., Drues, J., Showstack, J. A. & Katzow, J. J. (1977) Short vs. long hospitalization: a prospective controlled study. VII. Two year follow-up results for non-schizophrenics. Archives of General Psychiatry, 34, 314–17.Google Scholar
Guido, J. A. & Payne, D. H. (1967) 72-hour psychiatric detention. Clinical observation and treatment in a county general hospital. Archives of General Psychiatry, 16, 233–8.CrossRefGoogle Scholar
Hargreaves, W. A., Glick, I. D., Drues, J., Showstack, J. A. & Feigenbaum, E. (1977) Short vs. long hospitalization: a prospective controlled study. VI. Two year follow-up results for schizophrenics. Archives of General Psychiatry, 34, 305–11.Google Scholar
Herz, M. I., Endicott, J. & Spitzer, R. L. (1975) Brief hospitalization of patients with families: initial results. American Journal of Psychiatry, 132:4, p 413.Google Scholar
Herz, M. I., Endicott, J. & Spitzer, R. L. (1976) Brief vs. standard hospitalization: The families. American Journal of Psychiatry, 133, 795–801.Google Scholar
Herz, M. I., Endicott, J. & Spitzer, R. L. (1977) Brief hospitalization: a two-year follow-up. American Journal of Psychiatry, 134:5, 502–7.Google Scholar
Hirsch, S. R., Platt, S. D., Knights, A. & Weyman, A. (1979) Shortening hospital stay for psychiatric care: effect on patients and their families. British Medical Journal, i, 442–6.Google Scholar
Lehrman, N. (1961) Follow-up of brief and prolonged hospitalization. Comprehensive Psychiatry, 2, 227–40.Google Scholar
Mendel, W. M. (1966) Effect of length of hospitalization on rate and quality of remission from acute psychotic episodes. Journal of Nervous and Mental Disease, 145, 226–33.Google Scholar
Mendel, W. M. & Rapport, S. (1963) Outpatient treatment for chronic schizophrenic patients. Archives of General Psychiatry, 8, 100–6.Google Scholar
Newson-Smith, J. G. B. & Hirsch, S. R. (1979) Psychiatric symptoms in self-poisoning patients. Psychological Medicine, 9, 493–9.Google Scholar
Rabiner, E. L., Wells, F. & Jager, J. (1973) A model for the brief hospital treatment of the disadvantaged psychiatrically ill. American Journal of Orthopsychiatry, 43 (5), 774–82.Google Scholar
Rosen, B., Katzoff, A., Carrillo, C. & Klein, D. (1976) Clinical effectiveness of short vs. long psychiatric hospitalization. Archives of General Psychiatry, 33, 1316–22.Google Scholar
Singer, J. E. & Grob, M. C. (1975) Short-term versus long-term hospitalization in a private psychiatric facility. A follow-up study. Hospital and Community Psychiatry, 26, 745–6.Google Scholar
Smith, W. G., Kaplan, J. & Silker, D. (1974) Community mental health and the seriously disturbed patient. First admission outcomes. Archives of General Psychiatry, 1, 693–6.Google Scholar
St.Clair, C. H. (1975) Short term follow-up after brief in-patient treatment. Hospital and Community Psychiatry, 26, 741–4.Google Scholar
Weisman, G., Feirstein, A. & Thomas, C. (1969) Three day hospitalization—a model for intensive intervention. Archives of General Psychiatry, 21, 620–9.CrossRefGoogle ScholarPubMed
Wing, J. K., Cooper, J. E. & Sartorius, N. (1974) The Measurement and Classification of Psychiatric Symptoms. Cambridge University Press.Google Scholar
Wing, J. K., Mann, S. A., Leff, J. P. & Nixon, J. M. (1978) The concept of a ‘case’ in psychiatric population surveys. Psychological Medicine, 8, 203–17.Google Scholar
Wing, J. K., Nixon, J. M., Mann, S. A. & Leff, J. P. (1977) Reliability of the PSE (ninth edition) used in a population study. Psychological Medicine, 7, 505–16.CrossRefGoogle ScholarPubMed
Submit a response

eLetters

No eLetters have been published for this article.