타의 입원 및 자의 입원 환자에 관한 비교 연구

A Comparison of Voluntary and Involuntary Patients

Thirty one involuntary, twenty seven voluntary and four unknown patients were interviewed, immediately following admission within one week and prior to discharge, to assess attitudinal changes and their relationship to patient characterestics and treatment outcome. The results were as follows 1. The number of the committed patients were more than that of the voluntary patients among males and the number of the voluntary patients were more a few than that of the committed patients among females. 2. The ratio of the committed vs the voluntary patients were 8 : 3 among male schizophrenics and was not significantly different from that of female ones. 3. The committed were more likely to stay in hospital longer than the voluntary patients. The mean duration of hospitalization were also longer among the committed than the voluntary pationts. 4. The frequency of previous admission tends to be smaller among the committed patients than among the voluntary ones. 5. On the whole, the after hospitalization-score was lower than the before-hospitalization score, indicating that the patients attitudes were positive at the time of discharge. 6. The schizophrenic patients expressed a more positive attitude at discharge than at admission, the neurotics a more negative attitude and those with the affective disorder significantly a negative attitude. 7. At initial admission the subjects expressed a positive attitude, whereas they expressed a negative attitude at the subsequent admissions. 8. Those patients whose hospital stays were short tended to express a positive attitude, and vice versa.