The impact of coercion on treatment outcome

One-year follow-up survey

Mi Kyung Seo, Seung Hyun Kim, Minkyu Rhee

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Objective: This study examined whether coercive measures or perceived coercion experienced by mentally disabled patients in the hospitalization process could be justified under paternalism. To find out whether coercion can be justified by paternalism, a year of follow-up research was conducted to examine the impact of coercive measures and perceived coercion experienced during hospitalization on the patients' therapeutic benefit. Methods: A 6-month period and a 1-year period of follow-up research was conducted with 266 patients to assess whether the coercion they experienced during hospitalization (coercive measures and perceived coercion) had an effect on changing the patients' mental symptoms and insight. Results: The results showed a decrease in both mental symptoms and insight over time. However, it was found that neither coercive measures nor perceived coercion had a significant effect on the change of mental symptoms and that, thus, coercion had little contribution to the declining of symptoms. Coercive measures had no effect on the change of insight but perceived coercion was shown to have a positive effect on a change in insight. Patient insight was shown to improve with increased perceived coercion. Conclusions: Paternalism provides a partial explanation to serve as a basis for justifying perceived coercion. Limitations and suggestions for further study are discussed.

Original languageEnglish
Pages (from-to)279-298
Number of pages20
JournalInternational Journal of Psychiatry in Medicine
Volume45
Issue number3
DOIs
Publication statusPublished - 2013 Jan 1

Fingerprint

Coercion
Paternalism
Hospitalization
Surveys and Questionnaires
Mentally Disabled Persons
Mentally Ill Persons
Research

Keywords

  • coercion
  • mental health
  • paternalism
  • perceived coercion

ASJC Scopus subject areas

  • Psychiatry and Mental health

Cite this

The impact of coercion on treatment outcome : One-year follow-up survey. / Seo, Mi Kyung; Kim, Seung Hyun; Rhee, Minkyu.

In: International Journal of Psychiatry in Medicine, Vol. 45, No. 3, 01.01.2013, p. 279-298.

Research output: Contribution to journalArticle

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