oru.sePublications
Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Patient characteristics and symptoms associated with perceived coercion during hospital treatment
Department of Psychiatry, University of Naples SUN, Naples, Italy.
Department of Psychiatry, University of Naples SUN, Naples, Italy.
Department of Psychiatry, University of Naples SUN, Naples, Italy.
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.
Show others and affiliations
2012 (English)In: Acta Psychiatrica Scandinavica, ISSN 0001-690X, E-ISSN 1600-0447, Vol. 125, no 6, p. 460-467Article in journal (Refereed) Published
Abstract [en]

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.

Place, publisher, year, edition, pages
Malden, USA: Wiley-Blackwell, 2012. Vol. 125, no 6, p. 460-467
Keywords [en]
Coercion, perceived coercion, psychiatric in-patients, hospital involuntary admissions
National Category
Medical and Health Sciences Psychiatry
Research subject
Medicine
Identifiers
URN: urn:nbn:se:oru:diva-23050DOI: 10.1111/j.1600-0447.2011.01809.xISI: 000303853700005PubMedID: 22176517Scopus ID: 2-s2.0-84860838050OAI: oai:DiVA.org:oru-23050DiVA, id: diva2:529645
Note

Funding Agencies:

European Commission 

Pfizer 

Medicom 

Available from: 2012-05-31 Created: 2012-05-31 Last updated: 2018-09-12Bibliographically approved

Open Access in DiVA

No full text in DiVA

Other links

Publisher's full textPubMedScopus

Authority records BETA

Kjellin, Lars

Search in DiVA

By author/editor
Kjellin, Lars
By organisation
School of Health and Medical Sciences, Örebro University, Sweden
In the same journal
Acta Psychiatrica Scandinavica
Medical and Health SciencesPsychiatry

Search outside of DiVA

GoogleGoogle Scholar

doi
pubmed
urn-nbn

Altmetric score

doi
pubmed
urn-nbn
Total: 34 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf