The DOI matches its Crossref record.
Predicting the "revolving door" phenomenon among patients with schizophrenic, schizoaffective, and affective disorders
Abstract
OBJECTIVE: A subpopulation of chronically mentally ill patients, sometimes referred to as "revolving door" patients, are frequently readmitted to psychiatric units. This study examined the relationships among demographic features, diagnostic characteristics, and frequency of hospitalization of patients from four state hospitals. METHOD: Two semistructured, standardized instruments, the Schedule for Affective Disorders and Schizophrenia and a life events history, were administered to 135 inpatients who met the Research Diagnostic Criteria for schizophrenia (N = 56), schizoaffective disorder (N = 33), unipolar major depressive disorder (N = 23), and bipolar disorder (N = 23). Criminal history was assessed by arrest records. The main outcome measure was the number of hospitalizations. RESULTS: Chi-square and trend test analyses indicated that substance abuse and noncompliance with medication regimens were significantly associated with higher frequencies of hospitalization. A multiple regression model, which included alcohol/drug problems, medication noncompliance, and six sociodemographic and diagnostic variables (age, gender, race, marital status, years of education, and diagnosis) accounted for a significant proportion of the ability to predict frequency of hospitalization. Half of this predictability was due to the relationship of substance abuse and medication noncompliance with number of hospitalizations. CONCLUSIONS: Alcohol/drug problems and noncompliance with medication were the most important factors related to frequency of hospitalization. Preventing these behaviors through patient education may reduce rehospitalization rates.
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Cited by
Drake, R. E., Mueser, K. T., Brunette, M. F., & McHugo, G. J. (2004) · Psychiatric Rehabilitation Journal · doi:10.2975/27.2004.360.374 · Cited by 459
Svarstad, B. L., Shireman, T. I., & Sweeney, J. K. (2001) · Psychiatric Services · doi:10.1176/appi.ps.52.6.805 · Cited by 281
Kessing, L. V., Hansen, M. G., Andersen, P. K., & Angst, J. (2004) · Acta Psychiatrica Scandinavica · doi:10.1046/j.1600-0447.2003.00266.x · Cited by 258
Substance use disorders in schizophrenia: review, integration, and a proposed model
Blanchard, J. (2000) · Clinical Psychology Review · doi:10.1016/s0272-7358(99)00033-1 · Cited by 240
Cognitive-behavioral therapy for medication-resistant psychosis: A meta-analytic review
Burns, A. M. N., Erickson, D. H., & Brenner, C. A. (2014) · Psychiatric Services · doi:10.1176/appi.ps.201300213 · Cited by 199
Fontanella, C. A. (2008) · American Journal of Orthopsychiatry · doi:10.1037/a0012557 · Cited by 134
Swann, A. C. (2010) · Annals of the New York Academy of Sciences · doi:10.1111/j.1749-6632.2009.05146.x · Cited by 109
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Mortlock, K. S., Deane, F. P., & Crowe, T. P. (2011) · Journal of Substance Abuse Treatment · doi:10.1016/j.jsat.2011.01.002 · Cited by 41
Brown, E. S., Todd, J. P., Hu, L. T., Schmitz, J. M., Carmody, T. J., Nakamura, A., Sunderajan, P., Rush, A. J., Adinoff, B., Bret, M. E., et al. (2015) · American Journal of Psychiatry · doi:10.1176/appi.ajp.2015.14070857 · Cited by 36
Graca, J., Klut, C., Trancas, B., Borja-Santos, N., & Cardoso, G. (2013) · Psychiatric Services · doi:10.1176/appi.ps.000782012 · Cited by 34
The role of psychometric data in predicting inpatient mental health service utilization
Averill, P. M., Hopko, D. R., Small, D. R., Greenlee, H. B., & Varner, R. V. (2001) · Psychiatric Quarterly · doi:10.1023/a:1010396831037 · Cited by 29
Socio–economic correlates of relapsed patients admitted in a Nigerian mental health institution
Gbiri, C. A., Badru, F. A., Ladapo, H. T. O., & Gbiri, A. A. (2011) · International Journal of Psychiatry in Clinical Practice · doi:10.3109/13651501.2010.506954 · Cited by 20
Factors associated with frequent psychiatric admissions in a general hospital in Spain
Martínez-Ortega, J. M., Gutiérrez-Rojas, L., Jurado, D., Higueras, A., Diaz, F. J., & Gurpegui, M. (2012) · International Journal of Social Psychiatry · doi:10.1177/0020764011413061 · Cited by 16
Philogene-Khalid, H. L., Cunningham, E., Yu, D., Chambers, J. E., Brooks, A., Lu, X., & Morrison, M. F. (2020) · Addictive Behaviors · doi:10.1016/j.addbeh.2020.106489 · Cited by 15
Mittal, D., Owen, R., Lacro, J., Landes, R., Edlund, M., Valenstein, M., & Jeste, D. (2009) · European Psychiatry · doi:10.1016/s0924-9338(09)71404-x · Cited by 4
Metadata
- Venue
- American Journal of Psychiatry
- Published
- 1995-06-01
- Volume
- 152
- Issue
- 6
- Pages
- 856-861
- ISSN
- 0002-953X (ISSN-L)
- 1535-7228
- OpenAlex
- W1962951813
- Cited by
- 486
- References
- 0
- FWCI
- 14.14
- Type
- journal article
- Language
- en
- Open access
- closed
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