Department of Social Welfare, Mokpo National University, Muan 58554, Korea.
Department of Social Welfare, Gyeongsang National University, Jinju 52828, Korea.
Int J Environ Res Public Health. 2021 Feb 25;18(5):2290. doi: 10.3390/ijerph18052290.
: The purpose of this study is to analyze the effect of the perceived coercion of people with mental illness living in a community on their therapeutic satisfaction and life satisfaction, mediated by therapeutic relationships. We evaluated several clinical variables (symptoms, psychosocial functioning, and insight), levels of perceived coercion, therapeutic relationships, therapeutic satisfaction, and life satisfaction in 185 people with mental illness (Mean age = 47.99, standard deviation (SD) = 12.72, male 53.0%, female 45.9%) who live in the community and use community-based mental health programs. The data collected were analyzed to test the proposed hypotheses using structural equation modeling (SEM). The correlation analysis of all variables showed that clinical variables had statistically significant correlations with therapeutic relationship, therapeutic satisfaction, and life satisfaction, but no significant correlation with perceived coercion. Furthermore, perceived coercion was found to have significant predictive power for treatment satisfaction and life satisfaction mediated by therapeutic relationship. Specifically, the lower the perceived coercion, the better the therapeutic relationship. This, in turn, has a positive effect on the therapeutic satisfaction and life satisfaction of participants. Based on these findings, we suggest strategies to minimize coercion in a community.
本研究旨在分析社区中精神疾病患者感知到的被强制治疗对其治疗满意度和生活满意度的影响，治疗关系起中介作用。我们评估了 185 名社区居住并使用社区心理健康项目的精神疾病患者（平均年龄=47.99，标准差（SD）=12.72，男性占 53.0%，女性占 45.9%）的几个临床变量（症状、心理社会功能和洞察力）、感知到的强制程度、治疗关系、治疗满意度和生活满意度。使用结构方程模型（SEM）对收集到的数据进行分析，以检验提出的假设。所有变量的相关分析表明，临床变量与治疗关系、治疗满意度和生活满意度均有统计学显著相关性，但与感知到的强制程度无显著相关性。此外，感知到的强制程度对治疗关系中介的治疗满意度和生活满意度具有显著的预测力。具体来说，感知到的强制程度越低，治疗关系越好。这反过来又对参与者的治疗满意度和生活满意度产生积极影响。基于这些发现，我们建议采取策略将社区中的强制程度降到最低。
