Aalesund University College, P,O, Box 1517, N-6025 Aalesund, Norway.
BMC Psychiatry. 2013 Aug 29;13:217. doi: 10.1186/1471-244X-13-217.
There is a lack of empirical studies of patients' level of humiliation during the hospital admission process and its implications for the clinical setting. We wanted to explore associations between self-rated humiliation and socio-demography and psychopathology in relation to admission to a psychiatric emergency unit.
Consecutively admitted patients (N = 186) were interviewed with several validated instruments. The patients self-rated humiliation by The Cantril Ladder, and 35% of the sample was defined as the high humiliation group.
Final multivariate analysis found significant associations between compulsory admission, not being in paid work, high scores on hostility, and on entitlement, and high levels of humiliation. No significant interactions were observed between these variables, and the narcissism score was not a confounder concerning humiliation.
High level of humiliation during the admission process was mainly related to patient factors, but also to compulsory admission which should be avoided as much as possible protecting the self-esteem of the patients.
目前缺乏有关患者在住院过程中受辱程度及其对临床环境影响的实证研究。我们希望探讨自评受辱与社会人口学和精神病理学之间的关系，以了解与精神科急诊入院相关的问题。
连续入院的患者（N=186）接受了多项经过验证的工具评估。患者使用 Cantril 阶梯自我评估受辱程度，其中 35%的样本被定义为高受辱组。
最终的多元分析发现，强制入院、无薪工作、敌意和权利感得分高，与受辱程度高显著相关。这些变量之间没有观察到显著的相互作用，且自恋得分不是受辱的混杂因素。
入院过程中的高度受辱主要与患者因素有关，但也与应尽可能避免的强制入院有关，以保护患者的自尊心。
