Research view
Title: | Clinical variables and factors affecting duration of hospitalization in a sample of patients with affective and nonaffective psychoses |
Author: | Nashaat A.M. Abdel-Fadeel, Mohamed A. Abdelhameed and Mohamed Taha |
Abstract: |
Backgrounds
Duration of hospitalization (DOH) and length of stay in psychiatric hospitals are
important factors affecting psychiatric patients and their families, in addition to their
impact on the healthcare system policy and budget.
Objectives
The aims of this study were to identify the sociodemographic and clinical factors
implicated in determining DOH and to study the effect of global functioning and
insight on length of stay in psychiatric hospitals.
Patients and methods
A total of 129 inpatients diagnosed with affective and nonaffective psychoses were
recruited from Minia Psychiatry Hospital. Data regarding their demographic and
clinical manifestations were collected, including previous and current admissions.
Their severity of illness was assessed with Positive and Negative Syndrome Scale,
the level of initial functioning was evaluated by Clinical Global Impression Scale,
and the details of their insight were measured by Scale to assess Unawareness of
Mental Disorder.
Results
Female participants tended to have longer DOH than males, whereas males tended
to have higher number of previous hospitalizations than females. Divorced and
single patients had significantly longer DOH than married patients. DOH of current
admission was found to increase with increasing severity of mental illness,
decreased awareness of mental disorders, deceased awareness of achieved
effects of medications, and decreased awareness of social consequences of
mental illness. Number of hospitalizations was found to significantly increase
with younger age at onset, longer duration of illness, higher number of previous
episodes, whereas it was found to decrease with higher total number of received
electroconvulsive therapies.
Conclusion
Sex and marital status have an effect on DOH. Increased severity of mental illness
and disturbance of insight increase DOH and so does the initial decrease in global
functioning.
Keywords:
duration of hospitalization, global functioning, insight, psychosis
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Journal: | Egypt J Psychiatr 38:112–119 |
Text: | |
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