Open Access, Peer-reviewed
pISSN 1015-4817
eISSN 2289-0963
    J Korean Neuropsychiatr Assoc. 2015 Feb;54(1):76-83. Korean.
    Published online Feb 28, 2015.
    https://doi.org/10.4306/jknpa.2015.54.1.76
    Copyright © 2015 Korean Neuropsychiatric Association
    Original Article

    A Study on Factors Related to Long-term Hospitalization in Patients with Chronic Schizophrenia

    Oak-Jin Jang, MD,1,2 Byung-Dae Lee, MD, PhD,2 and Young-In Chung, MD, PhD2
      • 1Department of Psychiatry, Bugok National Hospital, Changnyeong, Korea.
      • 2Department of Psychiatry, Pusan National University School of Medicine, Yangsan, Korea.
    • Address for correspondence: Young In Chung, MD, PhD Department of Psychiatry, Pusan National University School of Medicine, 49 Busandaehak-ro, Mulgeum-eup, Yangsan 626-870, Korea. Tel +82-55-360-2460, Fax +82-55-360-2932, Email: yichung@pusan.ac.kr
    Received July 16, 2014; Revised July 30, 2014; Accepted December 08, 2014.

    Abstract

    Objectives

    The purpose of this study is to investigate the factors related to long-term hospitalization of schizophrenia.

    Methods

    The subjects were inpatients with schizophrenia who were constantly hospitalized for more than 12 months and their caregivers. They were compared with schizophrenia with no previous experience of sustained hospitalization for more than 12 months and their caregivers. Demographic and clinical data, Korea version of the Positive and Negative Symptom Scale, functional disability and family burden scale were analyzed.

    Results

    In this study long-term hospitalization of schizophrenia was influenced by the following measures. First, primary caregivers variables such as parents/non-parents and cohabitation with patients, second, negative symptom severity of passive/apathetic social withdrawal and lack of spontaneity and flow of conversation, and third, functional disability of go to hospital/take a dose regularly and using public transportation/facilities were associated with long-term hospitalization. And they were significant in logistic regression analysis.

    Conclusion

    The above results suggest that long-term hospitalization of schizophrenic patients in Korea might be affected by caregiver's factor, negative symptoms, and functional disability.

    Keywords
    Schizophrenia; Long-term hospitalization; Caregiver's factor; Negative symptom; Functional disability

    Tables

    Table 1
    Comparison of demographic and clinical characteristics between inpatients and outpatients

    Table 2
    Comparison of demographic characteristics between primary caregivers of inpatients and outpatients

    Table 3
    Comparison of PANSS, functional disability scale and family burden scale

    Table 4
    Logistic regression analysis of demographic and clinical characteristics for long term hospitalization

    Notes

    The authors have no financial conflicts of interest.

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    MeSH Terms
    Caregivers
    Hospitalization*
    Humans
    Inpatients
    Korea
    Logistic Models
    Schizophrenia*
    Metrics
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