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The diagnostic accuracy of questions about past experiences of being mechanically restrained in a population of psychiatric patients
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Medicinska och farmaceutiska vetenskapsområdet, centrumbildningar mm , Centre for Clinical Research, County of Västmanland.
2008 (English)In: Memory, ISSN 0965-8211, E-ISSN 1464-0686, Vol. 16, no 5, 548-555 p.Article in journal (Refereed) Published
Abstract [en]

Information about stressful life experiences obtained from patients during diagnostic interviews is an important foundation for clinical decision making. In this study self-reports from 115 committed psychiatric patients of experiences of mechanical restraint were compared with medical records. The sensitivity of patient self-reports was 73% (11/15) and the specificity was 92% (92/100). No clear relationship between psychiatric symptoms and reliability of self-reports was identified. The results highlight the subjective qualities of narratives about past experiences.

Place, publisher, year, edition, pages
2008. Vol. 16, no 5, 548-555 p.
National Category
URN: urn:nbn:se:uu:diva-96985DOI: 10.1080/09658210802010471ISI: 000257067500008PubMedID: 18569683OAI: oai:DiVA.org:uu-96985DiVA: diva2:171741
Available from: 2008-03-28 Created: 2008-03-28 Last updated: 2011-01-10Bibliographically approved
In thesis
1. Compulsory Psychiatric Care: Perspectives from the Swedish Coercion Study: Patient Experiences, Documented Measures, Next of Kins’ Attitudes and Outcome
Open this publication in new window or tab >>Compulsory Psychiatric Care: Perspectives from the Swedish Coercion Study: Patient Experiences, Documented Measures, Next of Kins’ Attitudes and Outcome
2008 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

The use of coercion in psychiatry involves clinical, legal, scientific, ethical and emotional considerations. This thesis represents an attempt to further increase our understanding of some empirical aspects of this phenomenon.

Interviews with 202 involuntarily admitted psychiatric patients and 201 voluntarily admitted patients and 295 of their next of kins were performed and analysed together with data from records and assessments made by professionals. Data was collected during two different periods of time with a compulsory psychiatric care law reform in between.

Experience of at least one coercive measure was more common amongst patients who had been committed during the most recent legislation. Otherwise there were no differences in patient experiences during the different laws.

Subjective short-term outcome was associated with having a contact person at the ward and being subjectively treated well. There were no relationships between subjective and assessed outcome or between legal status, perceived coercion at admission and subjective or assessed improvement.

The changed legislation had no clear effect on the attitudes of patients and next of kins towards coercion.

A majority of patients were able to accurately answer the question whether they had been restrained by belt or not during a specific treatment episode. Nineteen of 115 patients reported they had been restrained by belt. Eleven of these cases were true positive and 8 cases were false positive.

In conclusion, the main results were first that when it comes to issues related to psychiatric coercion there are typically considerable differences between how these are perceived and interpreted by the professional and by the patient, and second that efforts made to change the face of psychiatric coercion in the minds of patients as well as the public on part of public policymakers have had limited effects.

Place, publisher, year, edition, pages
Uppsala: Acta Universitatis Upsaliensis, 2008. 63 p.
Digital Comprehensive Summaries of Uppsala Dissertations from the Faculty of Medicine, ISSN 1651-6206 ; 326
Psychiatry, attitudes, coercion, coercive measures, commitment of mentally ill, compulsory psychiatric care, inpatient treatment, next of kins, patients, restraint, self-report, Psykiatri
urn:nbn:se:uu:diva-8607 (URN)978-91-554-7149-1 (ISBN)
Public defence
2008-04-18, Samlingssalen, Psykiatricentrum, Ing. 29, Centrallasarettet, 721 89 Västerås, 13:15
Available from: 2008-03-28 Created: 2008-03-28Bibliographically approved

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