PMID- 28978249
OWN - NLM
STAT- MEDLINE
DCOM- 20180820
LR  - 20180820
IS  - 1471-1788 (Electronic)
IS  - 1365-1501 (Linking)
VI  - 22
IP  - 2
DP  - 2018 Jun
TI  - The influence of coercive measures on patients' stances towards psychiatric 
      institutions.
PG  - 115-122
LID - 10.1080/13651501.2017.1383437 [doi]
AB  - OBJECTIVE: To examine the impact of coercive interventions (CI) on patients' 
      evaluations of psychiatric hospitals as adversaries versus allies. METHODS: 
      Self-constructed interviews were conducted relating to quantitative and 
      subjective aspects of coercion and the attitude towards psychiatry of 79 patients 
      with psychotic and bipolar disorders. The Coercion Experience Scale (CES) and the 
      Admission Experience Survey (AES) were used to establish the subjective impact of 
      CI. Instruments measuring psychopathological symptoms and the Global Assessment 
      of Functioning (GAF) were applied alongside the Schedule for the Assessment of 
      Illness (SAI) and the Beck Cognitive Insight Scale (BCIS). Using a logistic 
      regression approach, considered influencing factors such as number, type and 
      patients' subjective experiences of CI, cognitive and clinical insight, 
      psychopathological symptoms and patients' global perceptions of their 
      hospitalisation were analysed for their predictive value of patients' attitudes 
      towards psychiatry. RESULTS: Binary logistic regression revealed that the 
      subjective experience of CI and the perception of fairness and effectiveness 
      during the treatment process predict patients' attitudes towards psychiatry to a 
      greater extent than symptom-related measures or the quantity of CI. Patients 
      presenting a higher degree of self-reflectiveness perceive psychiatric 
      institutions more likely as allies. CONCLUSIONS: The manner in which coercion is 
      subjectively experienced has direct influence on patients' perceptions of 
      psychiatry.
FAU - Mielau, Juliane
AU  - Mielau J
AD  - a Department of Psychiatry, Psychotherapy and Psychosomatics , Alexianer 
      Krankenhaus Hedwigshohe , Berlin , Germany.
FAU - Altunbay, Jasmin
AU  - Altunbay J
AD  - b Department of Psychiatry and Psychotherapy , Charite Universitatsmedizin , 
      Berlin , Germany.
FAU - Lehmann, Anja
AU  - Lehmann A
AD  - b Department of Psychiatry and Psychotherapy , Charite Universitatsmedizin , 
      Berlin , Germany.
FAU - Bermpohl, Felix
AU  - Bermpohl F
AD  - b Department of Psychiatry and Psychotherapy , Charite Universitatsmedizin , 
      Berlin , Germany.
FAU - Heinz, Andreas
AU  - Heinz A
AD  - b Department of Psychiatry and Psychotherapy , Charite Universitatsmedizin , 
      Berlin , Germany.
FAU - Montag, Christiane
AU  - Montag C
AD  - b Department of Psychiatry and Psychotherapy , Charite Universitatsmedizin , 
      Berlin , Germany.
LA  - eng
PT  - Journal Article
DEP - 20171005
PL  - England
TA  - Int J Psychiatry Clin Pract
JT  - International journal of psychiatry in clinical practice
JID - 9709509
SB  - IM
MH  - Adult
MH  - Bipolar Disorder/*psychology/therapy
MH  - Coercion
MH  - Female
MH  - *Hospitals, Psychiatric
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Patient Acceptance of Health Care/*psychology
MH  - Psychotic Disorders/*psychology/therapy
MH  - Restraint, Physical/*psychology
OTO - NOTNLM
OT  - Coercive interventions
OT  - cognitive insight
OT  - perception of psychiatry
OT  - psychotic disorders
EDAT- 2017/10/06 06:00
MHDA- 2018/08/21 06:00
CRDT- 2017/10/06 06:00
PHST- 2017/10/06 06:00 [pubmed]
PHST- 2018/08/21 06:00 [medline]
PHST- 2017/10/06 06:00 [entrez]
AID - 10.1080/13651501.2017.1383437 [doi]
PST - ppublish
SO  - Int J Psychiatry Clin Pract. 2018 Jun;22(2):115-122. doi: 
      10.1080/13651501.2017.1383437. Epub 2017 Oct 5.