Antipsychotic effect of milieu in the acute treatment of schizophrenia.
We studied 35 patients meeting DSM-III criteria for schizophrenia, paranoid or undifferentiated type, chronic with acute exacerbation. All were treated in hospital, 13 on a psychiatric intensive care unit, and 22 on an open ward. The former unit is a more structured and less stimulating one. We found those patients treated on that ward to show greater improvement in BPRS ratings during the first 2 days of hospitalization compared to the open-ward group, despite similar doses of medication being utilized. Additionally, this improvement was noted to occur among BPRS items comprising a psychotic subscale.
Cohen
S
S
Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle.
Khan
A
A
D000208:Acute Disease; D000328:Adult; D003131:Combined Modality Therapy; D003702:Delusions / Q000628:therapy; D005260:Female; D006212:Hallucinations / Q000628:therapy; D006801:Humans; D008297:Male; D008884:Milieu Therapy; D011569:Psychiatric Status Rating Scales; D012559:Schizophrenia / Q000628:therapy*; D012563:Schizophrenia, Paranoid / Q000628:therapy; D012565:Schizophrenic Psychology; D012931:Social Environment; D013405:Suicide / Q000523:psychology; D013850:Thinking