Jina-Pettersen Nourredine
Faculty of Science and Engineering, Maastricht University, Limburg, the Netherlands.
J Patient Exp. 2022 Aug 9;9:23743735221079138. doi: 10.1177/23743735221079138. eCollection 2022.
Inpatient psychiatric hospitalization is often negatively experienced, with previous studies indicating a high frequency of traumatic occurrences. This study aimed to expand upon such research, by obtaining service user perspectives on how inpatient psychiatric hospitalization may constitute an experience of trauma. Relevant posts and comments on the Reddit community r/PsychWardChronicles were collected that described potentially traumatic experiences associated with hospitalization. Reflexive thematic analysis of the data led to the development of 3 themes: neglect and abuse, coercion and obedience, as well as dehumanization and fear. Overall, hospitalization was found to induce significant fear, which eventually acted as a deterrent to seeking future mental healthcare services. Many traumatic occurrences were found to arise from care providers' behaviors. As hospitalization was experienced to be harmful, many patients reported complying in the hopes of being discharged. Increased fear and traumatic stress due to inpatient stays coupled with the subsequent avoidance of mental health services may contribute to a significant public health problem as many previous patients may then avoid needed mental health support.
住院精神科治疗往往会带来负面体验，先前的研究表明创伤事件发生频率很高。本研究旨在通过获取服务使用者对住院精神科治疗如何可能构成创伤体验的看法，对这类研究进行拓展。收集了Reddit社区r/PsychWardChronicles上描述与住院相关潜在创伤经历的相关帖子和评论。对数据进行反思性主题分析得出了三个主题：忽视与虐待、强制与服从以及非人化与恐惧。总体而言，发现住院会引发严重恐惧，这最终成为寻求未来精神卫生保健服务的阻碍。许多创伤事件被发现源于护理人员的行为。由于住院被认为是有害的，许多患者报告说为了出院而选择顺从。住院导致的恐惧增加和创伤压力，再加上随后对精神卫生服务的回避，可能会导致一个重大的公共卫生问题，因为许多以前的患者可能会因此回避所需的精神卫生支持。
