SwePub
Sök i LIBRIS databas

  Utökad sökning

WFRF:(Fiorillo Andrea)
 

Sökning: WFRF:(Fiorillo Andrea) > Gender differences ...

LIBRIS Formathandbok  (Information om MARC21)
FältnamnIndikatorerMetadata
00005838naa a2200589 4500
001oai:DiVA.org:oru-32535
003SwePub
008131126s2013 | |||||||||||000 ||eng|
0247 a https://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-325352 URI
0247 a https://doi.org/10.1186/1471-244X-13-2572 DOI
040 a (SwePub)oru
041 a engb eng
042 9 SwePub
072 7a ref2 swepub-contenttype
072 7a art2 swepub-publicationtype
1001 a Nawka, Alexanderu Charles University, Prague, Czech Republic4 aut
2451 0a Gender differences in coerced patients with schizophrenia
264 1b BioMed Central,c 2013
338 a print2 rdacarrier
500 a Funding Agencies:European Commission (Quality of life and Management of Living Resources Programme) QLG4-CT-2002-01036Czech Ministry of Education MSM002160849; PRVOUK-P26/LF1/4; PRVOUK-P03/LF1/9
520 a Background: Despite the recent increase of research interest in involuntary treatment and the use of coercive measures, gender differences among coerced schizophrenia patients still remain understudied. It is well recognized that there are gender differences both in biological correlates and clinical presentations in schizophrenia, which is one of the most common diagnoses among patients who are treated against their will. The extent to which these differences may result in a difference in the use of coercive measures for men and women during the acute phase of the disease has not been studied.Methods: 291 male and 231 female coerced patients with schizophrenia were included in this study, which utilized data gathered by the EUNOMIA project (European Evaluation of Coercion in Psychiatry and Harmonization of Best Clinical Practice) and was carried out as a multi-centre prospective cohort study at 13 centers in 12 European countries. Sociodemographic and clinical characteristics, social functioning and aggressive behavior in patients who received any form of coercive measure (seclusion and/or forced medication and/or physical restraint) during their hospital stay were assessed.Results: When compared to the non-coerced inpatient population, there was no difference in sociodemographic or clinical characteristics across either gender. However coerced female patients did show a worse social functioning than their coerced male counterparts, a finding which contrasts with the non-coerced inpatient population. Moreover, patterns of aggressive behavior were different between men and women, such that women exhibited aggressive behavior more frequently, but men committed severe aggressive acts more frequently. Staff used forced medication in women more frequently and physical restraint and seclusion more frequently with men.Conclusions: Results of this study point towards a higher threshold of aggressive behavior the treatment of women with coercive measures. This may be because less serious aggressive actions trigger the application of coercive measures in men. Moreover coerced women showed diminished social functioning, and more importantly more severe symptoms from the " excitement/hostile" cluster in contrast to coerced men. National and international recommendation on coercive treatment practices should include appropriate consideration of the evidence of gender differences in clinical presentation and aggressive behaviors found in inpatient populations.
650 7a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Psykiatri0 (SwePub)302152 hsv//swe
650 7a MEDICAL AND HEALTH SCIENCESx Clinical Medicinex Psychiatry0 (SwePub)302152 hsv//eng
653 a Gender
653 a Schizophrenia
653 a Involuntary treatment
653 a Seclusion
653 a Restraint
653 a Forced medication
653 a Aggressive behavior
653 a EUNOMIA project
7001 a Kalisova, Lucieu Charles University, Prague, Czech Republic4 aut
7001 a Raboch, Jiriu Charles University, Prague, Czech Republic4 aut
7001 a Giacco, Domenicou Queen Mary, University of London, London, UK; University of Naples, Naples, Italy4 aut
7001 a Cihal, Liboru Central land office, Ministry of Agriculture, Prague, Czech Republic4 aut
7001 a Onchev, Georgiu Medical University of Sofia, Sofia, Bulgaria4 aut
7001 a Karastergiou, Anastasiau Psychiatric Hospital, Thessaloniki, Greece4 aut
7001 a Solomon, Zahavau University of Tel Aviv, Tel Aviv, Israel4 aut
7001 a Fiorillo, Andreau University of Naples, Naples, Italy4 aut
7001 a Del Vecchio, Valeriau University of Naples, Naples, Italy4 aut
7001 a Dembinskas, Algirdasu University of Vilnius, Vilnius, Lithuania4 aut
7001 a Kiejna, Andrzeju Medical University, Wroclaw, Poland4 aut
7001 a Nawka, Petru Psychiatric private practice, Dresden, Germany4 aut
7001 a Torres-Gonzales, Franciscou University of Granada, Granada, Spain4 aut
7001 a Priebe, Stefanu Queen Mary, University of London, London, UK4 aut
7001 a Kjellin, Larsu Örebro universitet,Institutionen för hälsovetenskap och medicin,Psychiatric Research Centre, Örebro University Hospital, Region Örebro County, Örebro, Sweden4 aut0 (Swepub:oru)lkn
7001 a Kallert, Thomas W.u Park Hospital Leipzig, Leipzig, Germany; Soteria Hospital Leipzig, Leipzig, Germany; Dresden University of Technology, Dresden, Germany4 aut
7102 a Charles University, Prague, Czech Republicb Queen Mary, University of London, London, UK; University of Naples, Naples, Italy4 org
7730 t BMC Psychiatryd : BioMed Centralg 13, s. 257-q 13<257-x 1471-244X
8564 u https://doi.org/10.1186/1471-244X-13-257y Fulltext
8564 8u https://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-32535
8564 8u https://doi.org/10.1186/1471-244X-13-257

Hitta via bibliotek

Till lärosätets databas

Kungliga biblioteket hanterar dina personuppgifter i enlighet med EU:s dataskyddsförordning (2018), GDPR. Läs mer om hur det funkar här.
Så här hanterar KB dina uppgifter vid användning av denna tjänst.

 
pil uppåt Stäng

Kopiera och spara länken för att återkomma till aktuell vy