Armgart Carina, Schaub Markus, Hoffmann Knut, Illes Franciska, Emons Barbara, Jendreyschak Jasmin, Schramm Anja, Richter Stefan, Lessmann Josef J, Juckel Georg, Haußleiter Ida S
LWL-Forschungsinstitut für Seelische Gesundheit am LWL-Universitätsklinikum Bochum.
Psychiatr Prax. 2013 Jul;40(5):278-84. doi: 10.1055/s-0033-1343159. Epub 2013 Apr 30.
This study evaluated involuntarily admitted psychiatric patients' and their perception of coercive measures (i. e. involuntary admission and physical or pharmacological restraint) by asking retrospectively which emotions were induced during the process of coercion.
Interviews were carried out around 3 weeks after coercion. The interview consisted of 31 items categorized into demographic, nosological and coercion-related themes. Patients were also asked about their subjective experiences of the coercion. 40 patients were recruited, with 72 % suffering from psychosis-related and 21 % with affective disorders. For 22.5 % of the patients, this was their first psychiatric hospitalization. The most frequently reported emotions were rage, anger and despair. Patients who were more stable, according to the Clinical Global Impressions scale (CGI), generally evaluated the coercion as being worse.
More than half of the patients were satisfied with the treatment received during hospitalization. The potential suffering caused as a result of patients' perceptions of the coercion, and the impact of this on the course of the disease should be taken into account when developing new treatment strategies.
本研究通过回顾性询问在强制治疗过程中引发了哪些情绪，来评估非自愿入院的精神科患者及其对强制手段（即非自愿入院以及身体或药物约束）的看法。
在强制治疗约3周后进行访谈。访谈包括31个项目，分为人口统计学、疾病分类学和与强制治疗相关的主题。还询问了患者对强制治疗的主观体验。招募了40名患者，其中72%患有与精神病相关的疾病，21%患有情感障碍。22.5%的患者是首次住院接受精神科治疗。最常报告的情绪是愤怒、气愤和绝望。根据临床总体印象量表（CGI）病情更稳定的患者，通常对强制治疗的评价更差。
超过一半的患者对住院期间接受的治疗感到满意。在制定新的治疗策略时，应考虑到患者对强制治疗的认知所导致的潜在痛苦及其对疾病进程的影响。
