Views from an asylum: a retrospective case note analysis of a nineteenth century asylum

Autor:	Elvina M. Chu, Joeke van Santen, Vijay Harbishettar
Rok vydání:	2018
Předmět:	Adult Hospitals Psychiatric Male medicine.medical_specialty Bipolar Disorder Time Factors Health (social science) Social Psychology Epidemiology Social class 03 medical and health sciences 0302 clinical medicine Melancholia medicine Humans 030212 general & internal medicine Psychiatry Retrospective Studies Marital Status business.industry Mental Disorders Monomania History 19th Century History 20th Century Length of Stay Middle Aged medicine.disease Community Mental Health Services Patient Discharge 030227 psychiatry Hospitalization Psychotherapy Psychiatry and Mental health England Social Class Regression Analysis Marital status Lunatic Female Case note medicine.symptom business Mania
Zdroj:	Social Psychiatry and Psychiatric Epidemiology. 53:1141-1147
ISSN:	1433-9285 0933-7954
DOI:	10.1007/s00127-018-1575-1
Popis:	To investigate whether lifelong admission to psychiatric asylum care was usual practice before community psychiatric care was introduced. Historical archives (1838–1938) for 50 patients at the Northampton General Lunatic Asylum in England were studied. Regression analyses were performed to investigate associations between predictor variables (age, gender, marital status, social class) and outcomes (diagnoses, length of stay and admission outcomes). 30 patients (70%) were discharged into the community. 15 (31%) patients were admitted longer than 1 year. Diagnosis of mania was significantly higher in patients who were married. Trend associations were observed for melancholia being diagnosed in higher social class patients and monomania being diagnosed in unmarried patients. No associations were found between predictor variables and length of stay or admission outcomes. These findings challenge the myth that asylum incarceration was a usual practice before the advent of community care. Most patients were discharged from psychiatric asylum hospital within a year of admission even before the advent of psychotropic medication.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::5efc4b98da2b6efd44d028806def1e0d https://doi.org/10.1007/s00127-018-1575-1 Zobrazit plný text záznamu Plný text ve formátu PDF Plný text ve formátu HTML
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