PMID- 29930231
OWN - NLM
STAT- MEDLINE
DCOM- 20180906
LR  - 20181202
IS  - 0353-5053 (Print)
IS  - 0353-5053 (Linking)
VI  - 30
IP  - 2
DP  - 2018 Jun
TI  - Associations between Functional Milestones and Psychiatric Admissions in an Urban 
      Area: Utility of a Cluster-Analytical Approach.
PG  - 207-215
LID - 10.24869/psyd.2018.207 [doi]
AB  - BACKGROUND: The purpose of the study was to identify homogenous subgroups, based 
      upon achievement of two functional milestones (marriage and employment) and 
      Global Assessment of Functioning (GAF) score in a sample of 848 acute patients 
      admitted to the Psychiatric Emergency Service (PES) of the Citta della Salute e 
      della Scienza di Torino, during a 24-months period. SUBJECTS AND METHODS: A 
      two-step cluster-analysis, using GAF total score and the achievements in the two 
      milestones as input data was performed. In order to examine whether the 
      identified subgroups differed in external variables that were not included in the 
      clustering process, and consequently to validate the found functional profiles, 
      chi-square tests for categorical variables and analyses of variance (ANOVA) for 
      continuous variables were performed. RESULTS: Five clusters were found. Employed 
      patients (Clusters 4 and 5) had more years of education, less illness chronicity 
      (shorter duration of illness and lower proportion of previous voluntary 
      hospitalizations), lower use of mental health resources in the last year yet 
      higher treatment adherence, larger network size, and higher ordinary discharge. 
      Married inpatients (Clusters 3 and 5) had lower frequencies of substance abuse. 
      CONCLUSIONS: The remarkably high rate of unemployment in this inpatients' sample, 
      and the evidence of associations between unemployment and poorer functioning, 
      argue for further research and development of evidence-based supported employment 
      programs, that put forth diligent effort in helping people obtain work quickly 
      and sustain; they may also help to reduce health care service use among that 
      clientele.
FAU - Montemagni, Cristiana
AU  - Montemagni C
AD  - Department of Neuroscience, University of Turin, Struttura Semplice di 
      Coordinamento a Valenza Dipartimentale (SSD), Department of Neuroscience and 
      Mental Health A.O.U. Citta della Salute e della Scienza di Torino, Torino, Italy.
FAU - Frieri, Tiziana
AU  - Frieri T
FAU - Villari, Vincenzo
AU  - Villari V
FAU - Rocca, Paola
AU  - Rocca P
LA  - eng
PT  - Journal Article
PL  - Croatia
TA  - Psychiatr Danub
JT  - Psychiatria Danubina
JID - 9424753
SB  - IM
MH  - *Achievement
MH  - Adult
MH  - Cluster Analysis
MH  - Emergency Services, Psychiatric/statistics & numerical data
MH  - Employment/statistics & numerical data
MH  - Female
MH  - Humans
MH  - Italy
MH  - Male
MH  - Marriage/statistics & numerical data
MH  - Mental Disorders/*epidemiology/psychology
MH  - Middle Aged
MH  - Patient Admission/*statistics & numerical data
MH  - *Personality Development
MH  - Psychiatric Department, Hospital/*statistics & numerical data
MH  - Risk Factors
MH  - Statistics as Topic
MH  - Substance-Related Disorders/epidemiology/psychology
MH  - Unemployment/statistics & numerical data
MH  - Urban Population/*statistics & numerical data
MH  - Utilization Review/statistics & numerical data
EDAT- 2018/06/23 06:00
MHDA- 2018/09/07 06:00
CRDT- 2018/06/23 06:00
PHST- 2018/06/23 06:00 [entrez]
PHST- 2018/06/23 06:00 [pubmed]
PHST- 2018/09/07 06:00 [medline]
AID - 10.24869/psyd.2018.207 [doi]
PST - ppublish
SO  - Psychiatr Danub. 2018 Jun;30(2):207-215. doi: 10.24869/psyd.2018.207.