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Validation of psychiatric patients' statements on coercive measures

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Validation of psychiatric patients' statements on coercive measures. / Poulsen, Hanne D; Engberg, Marianne.

I: Acta Psychiatrica Scandinavica, Bind 103, Nr. 1, 2001, s. 60-65.

Publikation: Bidrag til tidsskrift/Konferencebidrag i tidsskrift /Bidrag til avisTidsskriftartikelForskningpeer review

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Poulsen, Hanne D ; Engberg, Marianne. / Validation of psychiatric patients' statements on coercive measures. I: Acta Psychiatrica Scandinavica. 2001 ; Bind 103, Nr. 1. s. 60-65.

Bibtex

@article{b7acd7e003dc11dea987000ea68e967b,
title = "Validation of psychiatric patients' statements on coercive measures",
abstract = "OBJECTIVE: To investigate the accuracy of psychiatric patients' statements on coercive measures compared with medical file information using empirical methodology, and relating the statements to patients' psychopathology. METHOD: One hundred and forty-three in-patients were identified consecutively, and interviewed using a structured questionnaire. Psychopathology was measured using BPRS, and social functioning using GAF. Patients' statements about coercion were compared with information in the medical files. RESULTS: In general, patients stated to have been subjected to more coercion than was evident from the files. In particular, statements about forced medication, earlier involuntary commitments and present legal status showed low accordance with information in the files. Low accordance was related to the severity of psychopathology and being schizophrenic. CONCLUSION: The existence of a 'grey zone' between patients' and doctors' perception of coercion was confirmed. Knowledge of patients' psychopathology seems essential when considering medical, legal and ethical aspects of the use of coercion.",
keywords = "Adult, Attitude of Health Personnel, Case-Control Studies, Coercion, Commitment of Mentally Ill, Denmark, Female, Hospitals, University, Humans, Interview, Psychological, Male, Medical Records, Middle Aged, Patient Advocacy, Psychotic Disorders, Retrospective Studies, Schizophrenia, Treatment Refusal",
author = "Poulsen, {Hanne D} and Marianne Engberg",
year = "2001",
doi = "10.1111/j.1600-0447.2001.00146.x",
language = "English",
volume = "103",
pages = "60--65",
journal = "Acta Psychiatrica Scandinavica",
issn = "0001-690X",
publisher = "Jossey-Bass",
number = "1",

}

RIS

TY - JOUR

T1 - Validation of psychiatric patients' statements on coercive measures

AU - Poulsen, Hanne D

AU - Engberg, Marianne

PY - 2001

Y1 - 2001

N2 - OBJECTIVE: To investigate the accuracy of psychiatric patients' statements on coercive measures compared with medical file information using empirical methodology, and relating the statements to patients' psychopathology. METHOD: One hundred and forty-three in-patients were identified consecutively, and interviewed using a structured questionnaire. Psychopathology was measured using BPRS, and social functioning using GAF. Patients' statements about coercion were compared with information in the medical files. RESULTS: In general, patients stated to have been subjected to more coercion than was evident from the files. In particular, statements about forced medication, earlier involuntary commitments and present legal status showed low accordance with information in the files. Low accordance was related to the severity of psychopathology and being schizophrenic. CONCLUSION: The existence of a 'grey zone' between patients' and doctors' perception of coercion was confirmed. Knowledge of patients' psychopathology seems essential when considering medical, legal and ethical aspects of the use of coercion.

AB - OBJECTIVE: To investigate the accuracy of psychiatric patients' statements on coercive measures compared with medical file information using empirical methodology, and relating the statements to patients' psychopathology. METHOD: One hundred and forty-three in-patients were identified consecutively, and interviewed using a structured questionnaire. Psychopathology was measured using BPRS, and social functioning using GAF. Patients' statements about coercion were compared with information in the medical files. RESULTS: In general, patients stated to have been subjected to more coercion than was evident from the files. In particular, statements about forced medication, earlier involuntary commitments and present legal status showed low accordance with information in the files. Low accordance was related to the severity of psychopathology and being schizophrenic. CONCLUSION: The existence of a 'grey zone' between patients' and doctors' perception of coercion was confirmed. Knowledge of patients' psychopathology seems essential when considering medical, legal and ethical aspects of the use of coercion.

KW - Adult

KW - Attitude of Health Personnel

KW - Case-Control Studies

KW - Coercion

KW - Commitment of Mentally Ill

KW - Denmark

KW - Female

KW - Hospitals, University

KW - Humans

KW - Interview, Psychological

KW - Male

KW - Medical Records

KW - Middle Aged

KW - Patient Advocacy

KW - Psychotic Disorders

KW - Retrospective Studies

KW - Schizophrenia

KW - Treatment Refusal

U2 - 10.1111/j.1600-0447.2001.00146.x

DO - 10.1111/j.1600-0447.2001.00146.x

M3 - Journal article

C2 - 11202130

VL - 103

SP - 60

EP - 65

JO - Acta Psychiatrica Scandinavica

JF - Acta Psychiatrica Scandinavica

SN - 0001-690X

IS - 1

ER -