Patients’ perception of coercion with respect to antipsychotic treatment of psychotic disorders and its predictors
| Autor: | Tilman Steinert, Nancy Thilo, Erich Flammer, Sophie Hirsch |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Hospitals
Psychiatric medicine.medical_specialty Health (social science) Social Psychology Epidemiology Coercion Psychological intervention Poison control Perceived coercion Insight into illness Suicide prevention Symptom severity 03 medical and health sciences 0302 clinical medicine Patient Admission Injury prevention Brief Psychiatric Rating Scale Medicine Humans Psychiatry Patient and staff perspectives Original Paper Attitude towards medication business.industry Mental Disorders Human factors and ergonomics social sciences 030227 psychiatry Psychiatry and Mental health Psychotic Disorders Perception business 030217 neurology & neurosurgery Psychopathology Antipsychotic Agents |
| Zdroj: | Social Psychiatry and Psychiatric Epidemiology |
| ISSN: | 1433-9285 0933-7954 |
| Popis: | Purpose The present study investigates perceived coercion in psychiatric inpatients under prescribed antipsychotic medication without a court order. The objective of this study was to investigate whether and to what extent involuntary and voluntary inpatients feel coerced to take their medication and which factors affect perceived coercion. Methods Voluntarily and involuntarily admitted patients (55 and 36, respectively) were interviewed about the extent of perceived coercion. In addition, socio-demographic and clinical data were collected. The Admission Experience Scale (aAES) was used to assess perceived coercion concerning medication. To measure insight into illness, attitude towards medication, and symptom severity, we used a questionnaire on insight into illness (FKE-10), the Drug Attitude Inventory (DAI-10), and the Brief Psychiatric Rating Scale (BPRS-24), respectively. Results Voluntarily treated patients experienced significantly less coercion when taking prescribed medication in inpatient settings than involuntarily treated patients. The experience of coercion was not related to socio-demographic or clinical variables nor to the BPRS-24 score, but to insight into illness and attitude towards medication. Patients who had experienced at least one coercive measure during the index hospital stay showed a higher level of perceived coercion. Conclusion Perceived coercion related to medication is dependent on insight into illness and experience of previous coercive interventions rather than on the severity of psychopathological symptoms. These findings are very similar to a previous study in a forensic psychiatric sample. Having experience of at least one coercive measure seems to be a decisive aspect of the extent of the patients’ perceived coercion. |
| Databáze: | OpenAIRE |
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