精神病性障碍患者在住院和参与治疗期间所感知到的创伤。
Perceived trauma during hospitalization and treatment participation among individuals with psychotic disorders.
作者信息
Paksarian Diana, Mojtabai Ramin, Kotov Roman, Cullen Bernadette, Nugent Katie L, Bromet Evelyn J
出版信息
Psychiatr Serv. 2014 Feb 1;65(2):266-9. doi: 10.1176/appi.ps.201200556.
UNLABELLED
OBJECTIVE; This study assessed the association of perceptions of traumatic experiences during psychiatric hospitalizations and treatment participation.
METHODS
Participants (N=395) in the Suffolk County Mental Health Project, who had been admitted for the first time for a psychotic disorder ten years earlier, were interviewed. The authors examined associations of perceived trauma and distressing or coercive experiences during hospitalizations in the past ten years with patient characteristics and treatment participation.
RESULTS
Sixty-nine percent of participants reported perceived trauma. Perceived trauma was more common among females versus males and homemakers versus full-time workers. It was not associated with treatment seeking or time in treatment. However, reporting forced medication was associated with reduced time in treatment, especially for persons with schizophrenia spectrum disorders.
CONCLUSIONS
Although perceptions of trauma during psychiatric hospitalization were common, they may be unrelated to treatment participation. However, there was modest evidence of a link between coercive experiences and reduced treatment time.
未标注
目的；本研究评估了精神病住院期间创伤经历的认知与治疗参与度之间的关联。
方法
对萨福克郡心理健康项目的参与者（N = 395）进行了访谈，这些参与者在十年前首次因精神障碍入院。作者研究了过去十年住院期间感知到的创伤以及痛苦或强制性经历与患者特征和治疗参与度之间的关联。
结果
69%的参与者报告有感知到的创伤。女性比男性、家庭主妇比全职工作者更常报告有感知到的创伤。它与寻求治疗或治疗时长无关。然而，报告被迫服药与治疗时长缩短有关，尤其是对于精神分裂症谱系障碍患者。
结论
尽管精神病住院期间创伤的认知很常见，但它们可能与治疗参与度无关。然而，有适度证据表明强制性经历与治疗时间缩短之间存在联系。
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