Amelie Werner1, Jan Bulla1, Jan Querengässer1, Klaus Hoffmann1, Thomas Ross1.
Abstract
OBJECTIVE: to determine the chances of discharge of forensic psychiatric patients (section 63 of the German Legal Code) diagnosed with comorbid psychiatric and somatic disorders.
METHODS: N = 364 patients were evaluated. Diagnostic groups were compared with regard to types and frequencies of comorbid diagnoses, and treatment duration.
RESULTS: Both personality disorders as main diagnoses and comorbid personality disorders were associated with prolonged inpatient treatment. Substance dependence in addition to a personality disorder was an aggravating factor. Comorbid somatic disorders affected treatment duration of patients diagnosed with a psychotic disorder.
CONCLUSIONS: Somatic comorbidity may negatively interact with the treatment of psychiatric problems in schizophrenic patients and thus affect the prospects of discharge in this patient group. © Georg Thieme Verlag KG Stuttgart · New York.
OBJECTIVE: to determine the chances of discharge of forensic psychiatric patients (section 63 of the German Legal Code) diagnosed with comorbid psychiatric and somatic disorders.
METHODS: N = 364 patients were evaluated. Diagnostic groups were compared with regard to types and frequencies of comorbid diagnoses, and treatment duration.
RESULTS: Both personality disorders as main diagnoses and comorbid personality disorders were associated with prolonged inpatient treatment. Substance dependence in addition to a personality disorder was an aggravating factor. Comorbid somatic disorders affected treatment duration of patients diagnosed with a psychotic disorder.
CONCLUSIONS: Somatic comorbidity may negatively interact with the treatment of psychiatric problems in schizophrenic patients and thus affect the prospects of discharge in this patient group. © Georg Thieme Verlag KG Stuttgart · New York.
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Mesh：
Year: 2014
PMID： 25347421 DOI： 10.1055/s-0034-1387262
Source DB: PubMed Journal: Psychiatr Prax ISSN： 0303-4259