Abstract
Concordance between psychiatric patients and significant others for pre- and posthospital adjustment has been a problem. This is especially so for older patients. Self and other ratings for younger and older psychiatric patients were compared at admission (younger n = 5729, older n = 1088) and for community adjustment after treatment (younger n = 1914, older n = 492). Community adjustment ratings by self and others were used on admission and highly sensitive residual scores accounting for pretreatment differences were used after discharge. Substantial discordance for pretreatment ratings between patients and significant others was noted. For posttreatment adjustment, ratings were more concordant. In both cases age was not an influencing factor. Finally, background and treatment factors that differentiated concordant from discordant younger and older patients were noted. These reflected societal patterns for age.
Get full access to this article
View all access options for this article.