Patient characteristics and symptoms associated with perceived coercion during hospital treatment
- PMID: 22176517
- DOI: 10.1111/j.1600-0447.2011.01809.x
Patient characteristics and symptoms associated with perceived coercion during hospital treatment
Abstract
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.
© 2011 John Wiley & Sons A/S.
Similar articles
-
Why do some voluntary patients feel coerced into hospitalisation? A mixed-methods study.Psychiatry Res. 2011 May 15;187(1-2):275-82. doi: 10.1016/j.psychres.2011.01.001. Epub 2011 Jan 26. Psychiatry Res. 2011. PMID: 21272940
-
Perceived coercion among patients admitted to acute wards in Norway.Nord J Psychiatry. 2002;56(6):433-9. doi: 10.1080/08039480260389352. Nord J Psychiatry. 2002. PMID: 12495538
-
Clinical correlates and predictors of perceived coercion among psychiatric inpatients: A prospective pilot study.Asian J Psychiatr. 2016 Aug;22:34-40. doi: 10.1016/j.ajp.2016.04.004. Epub 2016 Apr 25. Asian J Psychiatr. 2016. PMID: 27520892
-
Coerced medication in psychiatric inpatient care: literature review.J Adv Nurs. 2008 Dec;64(6):538-48. doi: 10.1111/j.1365-2648.2008.04832.x. J Adv Nurs. 2008. PMID: 19120567 Review.
-
Coercion in psychiatry.Curr Opin Psychiatry. 2008 Sep;21(5):485-9. doi: 10.1097/YCO.0b013e328305e49f. Curr Opin Psychiatry. 2008. PMID: 18650692 Review.
Cited by
-
Revisiting the psychometric properties of the McArthur admission experience survey: Validating the Portuguese version using a bifactor approach.Heliyon. 2024 Jan 9;10(2):e24114. doi: 10.1016/j.heliyon.2024.e24114. eCollection 2024 Jan 30. Heliyon. 2024. PMID: 38293471 Free PMC article.
-
Predicting coercion during the course of psychiatric hospitalizations.Eur Psychiatry. 2023 Jan 26;66(1):e22. doi: 10.1192/j.eurpsy.2023.3. Eur Psychiatry. 2023. PMID: 36700423 Free PMC article.
-
Effects of Recovery-Orientation on the Use of Forced Medication and Maximum Daily Drug Dose: The "Weddinger Modell".Front Psychiatry. 2021 Dec 15;12:789822. doi: 10.3389/fpsyt.2021.789822. eCollection 2021. Front Psychiatry. 2021. PMID: 34975584 Free PMC article.
-
Effect of standardized post-coercion review on subjective coercion: Results of a randomized-controlled trial.Eur Psychiatry. 2021 Dec 7;64(1):e78. doi: 10.1192/j.eurpsy.2021.2256. Eur Psychiatry. 2021. PMID: 34872630 Free PMC article. Clinical Trial.
-
An exploration of perceived coercion into psychological assessment and treatment within a low secure forensic mental health service.Psychiatr Psychol Law. 2020 Apr 7;27(4):578-600. doi: 10.1080/13218719.2020.1734981. eCollection 2020. Psychiatr Psychol Law. 2020. PMID: 33679199 Free PMC article.
Publication types
MeSH terms
LinkOut - more resources
Full Text Sources