Kaikoushi K, Nystazaki M, Chatzittofis A, Middleton N, Karanikola N K M
Cyprus University of Technology, School of Health Sciences, Nursing Department, Limassol, Cyprus.
Second Department of Psychiatry, University and General Hospital Attikon, Athens, Greece.
Arch Psychiatr Nurs. 2022 Oct;40:32-42. doi: 10.1016/j.apnu.2022.03.013. Epub 2022 Apr 1.
Studies on the clinical and socio-demographic characteristics of those involuntarily admitted to psychiatric settings could help professionals and researchers to develop effective, targeted interventions, alternative to compulsory psychiatric care.
The association between socio-demographic and clinical characteristics in adults under involuntary hospitalization for psychiatric treatment in the Republic of Cyprus was assessed.
This was a descriptive, cross-sectional and correlational study. Data collection was achieved (December 2016 to February 2018) via a census sampling method. Socio-demographic and clinical data of individuals involuntarily admitted to the reference psychiatric hospital of Cyprus with psychotic symptomatology were recorded.
The sample encompassed 144 females and 262 males. The most frequent diagnosis was schizophrenia or a relevant psychotic disorder (72.9%). The most frequent cause of admission was "Disorganized behaviour" along with non-adherence to pharmacotherapy (53.7%). Approximately 42.8% of the participants confirmed positive substance use history, which was more frequently reported in males than in females (88.5% vs. 11.5%, respectively, p < 0.001). Additionally, males were more frequently admitted due to Disorganized behaviour with substance use compared to females (31.3% vs. 4.9%, respectively, p < 0.001), while females were more frequently admitted due to d"Disorganized behaviour with non-adherence to pharmacotherapy (70.1% vs. 44.7%, respectively, p < 0.001). Also, males were more frequently involuntarily hospitalized due to suicidal/self-harming behaviour compared to females (12.2% vs. 5.6%, respectively, p = 0.031).
Gender differences were noted in relation to clinical characteristics of the participants, highlighting the need for gender-specific interventions to decrease compulsory psychiatric care, including enhancement of adherence to therapy.
对非自愿入住精神科机构者的临床及社会人口学特征进行研究，有助于专业人员和研究人员制定有效的针对性干预措施，以替代强制性精神科护理。
评估塞浦路斯共和国非自愿住院接受精神科治疗的成年人的社会人口学特征与临床特征之间的关联。
这是一项描述性、横断面相关性研究。（2016年12月至2018年2月）通过普查抽样方法收集数据。记录了非自愿入住塞浦路斯参考精神科医院且有精神病症状者的社会人口学和临床数据。
样本包括144名女性和262名男性。最常见的诊断是精神分裂症或相关精神病性障碍（72.9%）。最常见的入院原因是“行为紊乱”以及不依从药物治疗（53.7%）。约42.8%的参与者确认有药物使用史阳性，男性报告的频率高于女性（分别为88.5%和11.5%，p<0.001）。此外，与女性相比，男性因伴有药物使用的行为紊乱而入院的频率更高（分别为31.3%和4.9%，p<0.001），而女性因伴有不依从药物治疗的行为紊乱而入院的频率更高（分别为70.1%和44.7%，p<0.001）。同样，与女性相比，男性因自杀/自伤行为非自愿住院的频率更高（分别为12.2%和5.6%，p=0.031）。
在参与者的临床特征方面存在性别差异，这突出表明需要采取针对性别的干预措施以减少强制性精神科护理，包括加强治疗依从性。
