tailieunhanh - Báo cáo y học: " Accumulated coercion and short-term outcome of inpatient psychiatric care"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Accumulated coercion and short-term outcome of inpatient psychiatric care | Kjellin and Wallsten BMC Psychiatry 2010 10 53 http 1471-244X 10 53 BMC Psychiatry RESEARCH ARTICLE Open Access Accu mulated coercion and short-term outcome of inpatient psychiatric care Lars Kjellin 1 and Tuula Wallsten2 Abstract Background The knowledge of the impact of coercion on psychiatric treatment outcome is limited. Multiple measures of coercion have been recommended. The aim of the study was to examine the impact of accumulated coercive incidents on short-term outcome of inpatient psychiatric care Methods 233 involuntarily and voluntarily admitted patients were interviewed within five days of admission and at discharge or after maximum three weeks of care. Coercion was measured as number of coercive incidents . subjectively reported and in the medical files recorded coercive incidents including legal status and perceived coercion at admission and recorded and reported coercive measures during treatment. Outcome was measured both as subjective improvement of mental health and as improvement in professionally assessed functioning according to GAF. Logistic regression analyses were performed with patient characteristics and coercive incidents as independent and the two outcome measures as dependent variables Results Number of coercive incidents did not predict subjective or assessed improvement. Patients having other diagnoses than psychoses or mood disorders were less likely to be subjectively improved while a low GAF at admission predicted an improvement in GAF scores Conclusion The results indicate that subjectively and professionally assessed mental health short-term outcome of acute psychiatric hospitalisation are not predicted by the amount of subjectively and recorded coercive incidents. Further studies are needed to examine the short- and long-term effects of coercive interventions in psychiatric care. Background The worldwide use of coercion in mental health services is based on the assumption that coercion in specific .