Patient characteristics and symptoms associated with perceived coercion during hospital treatment
- 16 December 2011
- journal article
- research article
- Published by Wiley in Acta Psychiatrica Scandinavica
- Vol. 125 (6), 460-467
- https://doi.org/10.1111/j.1600-0447.2011.01809.x
Abstract
Fiorillo A, Giacco D, De Rosa C, Kallert T, Katsakou C, Onchev G, Raboch J, Mastrogianni A, Del Vecchio V, Luciano M, Catapano F, Dembinskas A, Nawka P, Kiejna A, Torres‐Gonzales F, Kjellin L, Maj M, Priebe S. Patient characteristics and symptoms associated with perceived coercion during hospital treatment. Objective: Large numbers of psychiatric patients either are involuntarily admitted to hospital treatment or feel coerced despite a legally voluntary admission. For ethical and clinical reasons, their perceived coercion should be reduced as far as possible. There is however limited evidence on patient characteristics associated with perceived coercion during hospital treatment. This study aimed to identify i) sociodemographic and clinical characteristics associated with perceived coercion at admission and ii) changes in symptoms and global functioning associated with changes in perceived coercion over time. Method: Three thousand and ninety three in‐patients who were involuntarily admitted or felt coerced to hospital treatment despite a legally voluntary admission were recruited in the European evaluation of coercion in psychiatry and harmonization of best clinical practice – EUNOMIA project in 11 European countries. Perceived coercion, global functioning and symptoms were assessed after admission and at a 3‐month follow‐up. Results: Involuntary admission, female gender, poorer global functioning and more positive symptoms were associated with higher levels of perceived coercion at admission. Perceived coercion significantly decreased over time, and the improvements in global functioning and positive symptoms were associated with reduction in perceived coercion. Conclusion: Female patients perceive more coercion in psychiatric hospital treatment. Effective treatment for positive symptoms and improving patients’ global functioning may lead to a reduction in perceived coercion.Keywords
This publication has 33 references indexed in Scilit:
- Variation in use of coercive measures in psychiatric hospitalsEuropean Psychiatry, 2011
- Systematic review and meta‐analysis of the clinical factors associated with the suicide of psychiatric in‐patientsActa Psychiatrica Scandinavica, 2011
- Evaluating depressive symptoms and their impact on outcome in schizophrenia applying the Calgary Depression ScaleActa Psychiatrica Scandinavica, 2010
- A 2‐year follow‐up of involuntary admission’s influence upon adherence and outcome in first‐episode psychosisActa Psychiatrica Scandinavica, 2010
- Excess use of coercive measures in psychiatry among migrants compared with native DanesActa Psychiatrica Scandinavica, 2010
- Understanding empowerment, meaning, and perceived coercion in individuals with serious mental illnessJournal of Clinical Psychology, 2009
- Beliefs about medications: measurement and relationship to adherence in patients with severe mental disordersActa Psychiatrica Scandinavica, 2008
- Are important patient‐rated outcomes in community mental health care explained by only one factor?Acta Psychiatrica Scandinavica, 2007
- Outcomes of involuntary hospital admission – a reviewActa Psychiatrica Scandinavica, 2006
- Perceived coercion among patients admitted to acute wards in NorwayNordic Journal of Psychiatry, 2002