Experience coercion, post-traumatic stress, and satisfaction with treatment associated with different coercive measures during psychiatric hospitalization

International Journal of Mental Health Nursing
Jose Guzman-ParraFermin Mayoral-Cleries

Abstract

Coercive measures are frequently used in psychiatric hospitalization. However, there are few studies that analyse perceived coercion, post-traumatic stress, and subjective satisfaction with the hospitalization treatment associated with different types of coercive measures. The sample consisted of 111 patients admitted to two psychiatric units and divided into three groups based on the measure applied: involuntary medication (N = 41), mechanical restraint (N = 32), and combined measures (mechanical restraint and involuntary medication; N = 38). The outcome variables were perceived coercion evaluated with the Coercion Experience Scale (CES), post-traumatic stress evaluated with the Davidson Trauma Scale (DTS), and satisfaction with the treatment evaluated with the Client's Assessment of Treatment (CAT). The results found higher levels of perceived coercion associated with the use of mechanical restraint (P = 0.002) and combined measures (P < 0.001) in comparison with involuntary medication. Additionally, in relation to post-traumatic stress, mechanical restraint (P = 0.013) and combined measures (P = 0.004) were more stressful compared to involuntary medication. Finally, the use of combined measures was associated with lower sati...Continue Reading

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Citations

Aug 8, 2019·Journal of Psychiatric and Mental Health Nursing·Louise AskewPeter Beazley
Jul 16, 2020·Journal of Psychiatric and Mental Health Nursing·Jose Guzman-ParraFermín Mayoral-Cleries
Dec 11, 2020·Journal of Psychosocial Nursing and Mental Health Services·Mete ErcisAlp Üçok
Mar 4, 2021·Systematic Reviews·Farid Carranza NavarroErasmo Saucedo Uribe
Jun 30, 2021·Nordic Journal of Psychiatry·Tine Holm, Ole Mors
Aug 31, 2021·Journal of Clinical Nursing·Yasmina Manzano-BortAnna Falcó-Pegueroles
Aug 30, 2021·Psychiatry Research·Sofia MartinakiElias Angelopoulos

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