Measuring observed mental state in acute psychiatric inpatients.

Social Psychiatry and Psychiatric Epidemiology
Ketrina A SlyTim Coombs

Abstract

Relationships within acute psychiatric units between patient-level experiences and events and fluctuations in mental state have rarely been examined. Data from a multi-centre service evaluation (11 units, 5,546 admissions) were used to examine mental state patterns and associations with clinical characteristics, events and adverse incidents. During the 12-month evaluation period, nursing staff completed shift-level ratings using a new rating scale, the observed mental state (OMS) scale, which assessed active psychopathology (emotional distress, disinhibition, psychosis, cognitive impairment) and withdrawal (45,885 sets of day/afternoon shift ratings). The OMS scale performed satisfactorily and is worth considering elsewhere (e.g., active psychopathology: internal consistency, alpha=0.72; short-term stability, r=0.72; sensitivity to change, adjusted standardised difference, ASD=0.71). Levels of active psychopathology were much higher on shifts in which reportable (ASD=1.47) and less serious aggression occurred (ASD=1.44), compared with other shifts in which pro re nata medications were also administered (ASD=0.76), suggesting that medication usage often followed these events, and possibly that agitation and distress levels eithe...Continue Reading

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Citations

Nov 10, 2011·Social Psychiatry and Psychiatric Epidemiology·Terry J LewinTim Coombs
Dec 3, 2014·International Journal of Mental Health Nursing·Adam GeraceEimear Muir-Cochrane
Dec 18, 2013·Journal of Clinical Nursing·Antony MullenTerry J Lewin
Jul 12, 2013·International Journal of Mental Health Nursing·Roland van de SandeHenk Nijman
Dec 27, 2016·International Journal of Mental Health Nursing·Adam GeraceEimear Muir-Cochrane

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