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Validation of psychiatric patients' statements on coercive measures.
Poulsen, H D; Engberg, M.
Afiliación
  • Poulsen HD; Department of Psychiatric Demography, Institute for Basic Psychiatric Research, Aarhus University Hospital, Risskov, Denmark.
Acta Psychiatr Scand ; 103(1): 60-5, 2001 Jan.
Article en En | MEDLINE | ID: mdl-11202130
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.
Asunto(s)
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Esquizofrenia / Actitud del Personal de Salud / Negativa del Paciente al Tratamiento / Coerción / Internamiento Obligatorio del Enfermo Mental Tipo de estudio: Observational_studies / Prognostic_studies / Qualitative_research Aspecto: Ethics Límite: Adult / Female / Humans / Male / Middle aged País/Región como asunto: Europa Idioma: En Revista: Acta Psychiatr Scand Año: 2001 Tipo del documento: Article País de afiliación: Dinamarca Pais de publicación: Estados Unidos
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Esquizofrenia / Actitud del Personal de Salud / Negativa del Paciente al Tratamiento / Coerción / Internamiento Obligatorio del Enfermo Mental Tipo de estudio: Observational_studies / Prognostic_studies / Qualitative_research Aspecto: Ethics Límite: Adult / Female / Humans / Male / Middle aged País/Región como asunto: Europa Idioma: En Revista: Acta Psychiatr Scand Año: 2001 Tipo del documento: Article País de afiliación: Dinamarca Pais de publicación: Estados Unidos