Forensic Psychiatric Centre Pompestichting, Division Diagnostics, Research, & Education, Nijmegen, the Netherlands.
Forensic Psychiatric Centre Pompestichting, Division Diagnostics, Research, & Education, Nijmegen, the Netherlands; Donders Institute for Brain, Cognition and Behaviour, Radboud University, Nijmegen, the Netherlands; Collaborative Antwerp Psychiatric Research Institute, University of Antwerp; Centre for Advances in Behavioural Science, Coventry University, UK, Coventry.
Psychiatry Res. 2019 Mar;273:227-234. doi: 10.1016/j.psychres.2019.01.038. Epub 2019 Jan 11.
Effective interactions between patients and staff have been associated with positive ward climate and therapeutic effects, but also pose a challenge in high secure forensic psychiatric settings. The goal of this study was to gain more insight into i) the characteristics that play a role in how staff members perceive the interpersonal style of patients, and ii) whether these perceptions are related to patients' evaluation of ward climate and satisfaction with daily staff. Staff members (n = 69), rated the interpersonal style of 102 male patients. Satisfaction with daily staff and ward climate were rated by 45 patients. Results show that patient characteristics (primary diagnosis, patient age, disruptive behavior, recent problems with symptoms of major mental disorder and recent problems with treatment or supervision response) were related to how staff perceived the interpersonal style (i.e., affiliation and control) of patients. Furthermore, the level of affiliation was positively related to patients' satisfaction with daily staff. Patients that were seen as more controlling by staff were less satisfied with the safety on their ward (as a factor of ward climate). The results indicate that perception of patients' interpersonal style entails patient related information and can be relevant for staff to use in their work.
患者与工作人员之间的有效互动与积极的病房氛围和治疗效果有关，但在高度安全的法医精神病学环境中也构成了挑战。本研究的目的是更深入地了解：i）在工作人员如何感知患者人际风格方面起作用的特征，以及 ii）这些感知是否与患者对病房氛围的评估和对日常工作人员的满意度有关。工作人员（n=69）对 102 名男性患者的人际风格进行了评分。45 名患者对日常工作人员和病房氛围的满意度进行了评分。结果表明，患者特征（主要诊断、患者年龄、破坏性行为、近期主要精神障碍症状问题和近期治疗或监督反应问题）与工作人员如何感知患者的人际风格（即亲和性和控制性）有关。此外，亲和性水平与患者对日常工作人员的满意度呈正相关。工作人员认为控制欲较强的患者对病房的安全性（作为病房氛围的一个因素）的满意度较低。研究结果表明，对患者人际风格的感知需要患者相关信息，并且对工作人员的工作可能是相关的。
