PMID- 12395141
OWN - NLM
STAT- MEDLINE
DCOM- 20030213
LR  - 20061115
IS  - 0933-7954 (Print)
IS  - 0933-7954 (Linking)
VI  - 37
IP  - 11
DP  - 2002 Nov
TI  - How the inner world is reflected in relation to perceived ward atmosphere among 
      patients with psychosis.
PG  - 519-26
AB  - BACKGROUND: This study focused on how cognitive ability, personality traits, 
      self-rated psychiatric symptoms, and social functioning were related to the way 
      in which patients with psychosis perceived supportive aspects of the ward 
      atmosphere. METHODS: Patients at a psychiatric rehabilitation unit (PRU) in 
      southern Sweden completed a ward atmosphere questionnaire (COPES), rated their 
      psychiatric symptoms (SCL-90), self-image (SASB), and were tested on cognitive 
      functioning (WAIS-R) and global social functioning (GAF). They were diagnosed 
      according to ICD-10. Data were analysed by means of logistic regression analyses. 
      RESULTS: Self-monitoring and restraining (self-control), one cluster in the SASB, 
      was the strongest factor associated with how the patients perceived the ward 
      atmosphere. A perceived high level of self-control indicated high levels of 
      perceived Support, Practical orientation, and Order and organisation of the ward 
      atmosphere. A high level of self-rated paranoid symptoms (SCL-90) increased the 
      risk of perceiving a high level of Anger and aggression and a low level of 
      Program clarity. Regarding cognitive ability (WAIS-R), two factors were important 
      for predicting perceived ward atmosphere. A low level of social competence was 
      associated with a low level of perceived Order and organisation. Furthermore, a 
      low level of abstract thinking was related to a low level of perceived Anger and 
      aggression, while a high level of abstract thinking was associated with a low 
      level of Program clarity. Patients with schizophrenia exhibited a lower level of 
      Self-monitoring and restraining than patients with other psychoses. CONCLUSION: 
      The results from this study indicate that individual factors such as 
      self-control, paranoid symptoms and social competence may be important for how 
      the ward atmosphere is perceived. This is important knowledge when monitoring the 
      ward atmosphere to better fit a unit's target group.
FAU - Jansson, Jan-Ake
AU  - Jansson JA
AD  - Department of Psychology, University Hospital, Lund University, Lund, Sweden. 
      jan-ake.jansson@arb.lu.se
FAU - Eklund, Mona
AU  - Eklund M
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PL  - Germany
TA  - Soc Psychiatry Psychiatr Epidemiol
JT  - Social psychiatry and psychiatric epidemiology
JID - 8804358
SB  - IM
MH  - Adult
MH  - Cognition Disorders/diagnosis/etiology
MH  - Female
MH  - Hospitalization
MH  - Hospitals, Psychiatric/*standards
MH  - Humans
MH  - Male
MH  - Mental Health Services/*standards
MH  - Middle Aged
MH  - Neuropsychological Tests
MH  - Personality Disorders/diagnosis/etiology
MH  - Psychotic Disorders/*psychology/*rehabilitation
MH  - *Self Concept
MH  - *Social Environment
MH  - *Social Perception
EDAT- 2002/10/24 04:00
MHDA- 2003/02/14 04:00
CRDT- 2002/10/24 04:00
PHST- 2002/10/24 04:00 [pubmed]
PHST- 2003/02/14 04:00 [medline]
PHST- 2002/10/24 04:00 [entrez]
AID - 10.1007/s00127-002-0584-1 [doi]
PST - ppublish
SO  - Soc Psychiatry Psychiatr Epidemiol. 2002 Nov;37(11):519-26. doi: 
      10.1007/s00127-002-0584-1.