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KMID : 0378019780210110085
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New Medical Journal
1978 Volume.21 No. 11 p.85 ~ p.90
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A Pilot Study for Change of Symptoms in Hospitalized Patients
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Abstract
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The movements spread to the world and has fostered such trends as a minium of authoritarianism and promoting the hospital environment as an intergrated organization through therapeutic experiences.
The aim of the persent study was pilot to measure the therapeutic effect of the specific treatment which has been used with a type of group therapy as the main therapeutic tool since the psychiatric ward of our department had been opened on April, 1973.
The authors reviewed 40 inpatients at the department of Neropsychiatry, Ewha medical hospital during June and July, 1977. Here the authors noted the clinical changes in the disturbances of behavior, affect, thought, perception and insight, and evaluated the therapeutic effects of group therapy.
The findings and results obtained from this study are summarized as follow;
1. The personal backgrounds of the subjective group were similar to other group with psychiatric disorder and mental illness.
2. The main treatments were to provide therapeutic milieu and group therapy, and in addition to them pharmacotherapy, individual therapy were given only in view of support.
3. The improvement of the disturbances of behavior, affect, thought and perception were 44-77% within 5 week and 65-02% within 10 week.
4. Compared with each symptom the earlist improvement was recognized in the disturbance of behavior, and was 46% within 1 week and 83% within 5 week. The lastest recognized in the disturbance of affect, and the improvement of insight developed only to the level of intellectulization during hospitalization.
5. At the early phase of hospitalization the degree of the disturbances of beahavior and perception turned over, and it of thought and affect turned over at the middle phase, and it of insight changed at the late phase.
6. The average rating score recovered obviously from 8. 6 at admission to 11.4 at discharge.
7. The group therapy and therapeutic milieu were humanistic, permissive, open, democratic, reality-oriented and living-learning situation, and were emphasized the close relations between the hospital and the patient´s family and community. Under this environment, the improvement of symptoms is more hopeful and multiple treatment is more effective.
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