Factores psicosociales relacionados con la rehospitalización de pacientes con psicosis orgánica
| Autor: | María Luisa Rascón-Gasca, María Teresa Cortés-Padilla |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2001 |
| Předmět: |
medicine.medical_specialty
relapses business.industry Public Health Environmental and Occupational Health Validity Hostility Salud emotions Cohen's kappa Cronbach's alpha Mexico city attitude Medicine In patient medicine.symptom Key words business Psychiatry Psychiatric ward Psychosocial Mexico organic mental disorders psychotic |
| Zdroj: | Instituto Mexicano del Seguro Social IMSS Redalyc-IMSS |
| Popis: | Objective. To assess the relationship between psychosocial factors, frequent relapses and hospital readmissions in patients with organic psychoses. Material and Methods. A cross-sectional descriptive study was conducted among 33 patients diagnosed with organic psychosis, seen at Hospital Psiquiatrico Guillermo Dávila, of Instituto Mexicano del Seguro Social in Mexico City. Patients had been readmitted more than two occasions during 1993-1994. Data collection instruments consisted of recorded interviews, fiveminute dialogues of expressed emotions (EE), and combined questionnaires to assess perception of illness and the physician-patient relationship. The Kappa statistic and Cronbachs alpha were used to establish the validity and reliability of the measurements; descriptive and inferential methods were used for statistical data analysis. Results. A high percentage (60.9%) of patients relatives showed high level of EE, as measured by their expression of criticism, hostility, or emotional overinvolvement; 64.3% of study subjects lived for more than 35 hours per week with relatives having high EE levels. Conclusions. High EE levels were associated with frequent readmissions to the psychiatric ward. Greater perception of illness characteristics was observed among relatives than in patients. Even though a satisfactory physician-patient relationship was found, it was not conducive to improving the perception of illness nor compliance with therapy. The English version of this paper is available at: http://www.insp.mx/salud/index.html |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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