Raveesh B N, Pathare S, Lepping P, Noorthoorn E O, Gowda G S, Bunders-Aelen J G F
Department of Psychiatry, Dharwad Institute of Mental Health and Neurosciences, Dharwad.
Co-ordinator, Centre for Mental Health Law and Policy, Indian Law Society, Pune.
Indian J Psychiatry. 2016 Dec;58(Suppl 2):S210-S220. doi: 10.4103/0019-5545.196846.
Little is known about how patients in India perceive coercion in psychiatric care.
To assess perceived coercion in persons with mental disorder admitted involuntarily and correlate with sociodemographic factors and illness variables.
We administered the short MacArthur Admission Experience Interview Questionnaire to all consecutive involuntary psychiatric patients admitted in 2014 in Mysore, India. Multivariate linear regression was used.
Three hundred and one patients participated. "Perceived coercion" subscale scores increased with female gender, nuclear family status, Muslim and Christian religion, lower income, and depressive disorder. It decreased with former coercion, forensic history, and longer illness duration. Drug use increased total scores; the extended family item decreased them. "Negative pressure" increased with male gender, extended family, lower income, forensic history, and longer illness duration.
The study shows perceived coercion is a reality in India. Levels of perceived coercion and the populations affected are similar to high-income countries.
关于印度患者如何看待精神科护理中的强制手段，我们知之甚少。
评估非自愿入院的精神障碍患者所感受到的强制手段，并将其与社会人口统计学因素和疾病变量相关联。
我们对2014年在印度迈索尔连续入院的所有非自愿精神科患者进行了简短的麦克阿瑟入院体验访谈问卷调查。采用多元线性回归分析。
301名患者参与了调查。“感受到的强制手段”分量表得分在女性、核心家庭状况、穆斯林和基督教信仰、低收入以及抑郁症患者中有所增加。在有过强制经历、有法医相关病史以及病程较长的患者中得分降低。药物使用会增加总分；大家庭这一项目会降低总分。“负面压力”在男性、大家庭、低收入、法医相关病史以及病程较长的患者中有所增加。
该研究表明，在印度，感受到的强制手段是一个现实问题。感受到的强制手段水平以及受影响人群与高收入国家相似。
