Patient characteristics and symptoms associated with perceived coercion during hospital treatment

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Patient characteristics and symptoms associated with perceived coercion during hospital treatment

Fiorillo, A. (author): Department of Psychiatry, University of Naples SUN, Naples, Italy

Giacco, D. (author): Department of Psychiatry, University of Naples SUN, Naples, Italy

De Rosa, C. (author): Department of Psychiatry, University of Naples SUN, Naples, Italy

Kallert, T. (author): Department of Psychiatry and Psychotherapy, Dresden University of Technology, Dresden, Germany; Department of Psychiatry Psychosomatic Medicine and Psychotherapy, Park Hospital Leipzig, Leipzig, Germany; Soteria Hospital Leipzig, Leipzig, Germany; Faculty of Medicine, Dresden University of Technology, Dresden, Germany

Katsakou, C. (author): Unit for Social and Community Psychiatry, Barts and the London School of Medicine and Dentistry, Queen Mary College, University of London, London, United Kingdom

Onchev, G. (author): Department of Psychiatry, Medical University of Sofia, Sofia, Bulgaria

Raboch, J. (author): Department of Psychiatry, 1st Faculty of Medicine, Charles University, Prague, Czech Republic

Mastrogianni, A. (author): Psychiatric Hospital, Thessaloniki, Greece

Del Vecchio, V. (author): Department of Psychiatry, University of Naples SUN, Naples, Italy

Luciano, M. (author): Department of Psychiatry, University of Naples SUN, Naples, Italy

Catapano, F. (author): Department of Psychiatry, University of Naples SUN, Naples, Italy

Dembinskas, A. (author): Psychiatric Clinic Vilnius Mental Health Centre, University of Vilnius, Vilnius, Lithuania

Nawka, P. (author): Psychiatric Hospital, Michalovce, Slovak Republic

Kiejna, A. (author): Psychiatric Hospital, Michalovce, Slovak Republic; Department of Psychiatry, Medical University, Wroclaw, Poland

Torres-Gonzales, F. (author): Centro Investigacin Biomedica en Red en Salud Mental (CIBERSAM), University of Granada, Granada, Spain; Hospital Regional Carlos Haya, Malaga, Spain

Kjellin, Lars, 1949- (author): Örebro universitet,Institutionen för hälsovetenskap och medicin

Maj, M. (author): Department of Psychiatry, University of Naples SUN, Naples, Italy

Priebe, S. (author): Unit for Social and Community Psychiatry, Barts and the London School of Medicine and Dentistry, Queen Mary College, University of London, London, United Kingdom

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2011-12-16
2012
English.
In: Acta Psychiatrica Scandinavica. - Malden, USA : Wiley-Blackwell. - 0001-690X .- 1600-0447. ; 125:6, s. 460-467

Related links:: https://urn.kb.se/re...; show more...; https://doi.org/10.1...; show less...

Journal article (peer-reviewed)

Abstract Subject headings

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.

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MEDICAL AND HEALTH SCIENCES: MEDICAL AND HEAL ...; and Clinical Medicin ...; and Psychiatry

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Patient characteristics and symptoms associated with perceived coercion during hospital treatment

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