Predicting the Revolving Door Phenomenon

T. Haywood, D. Lewis

Research output: Contribution to journalArticlepeer-review

429 Scopus citations


Examined relationships among demographic features, diagnostic characteristics, and frequency of hospitalization of patients from state hospitals. 135 inpatients with schizophrenia ( N = 56), schizoaffective disorder ( N = 33), unipolar major depressive disorder ( N = 23), and bipolar disorder ( N  = 23) completed the Schedule for Affective Disorders and Schizophrenia and a life events history. Substance abuse and noncompliance with medication regimens were significantly associated with higher frequencies of hospitalization. A multiple regression model (which included alcohol/drug problems, medication noncompliance) and 6 sociodemographic and diagnostic variables (age, gender, race, marital status, years of education, and diagnosis) accounted for a significant proportion of the ability to predict frequency of hospitalization. Half of this predictability was due to the relationship of substance abuse and medication noncompliance with number of hospitalizations.
Original languageEnglish
JournalAmerican Journal of Psychiatry
StatePublished - Jun 1995


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