Stress coercitif en unité de soins intensifs psychiatrique : quel lien avec l’insight ?
Abstract
The aim of this work was to study the correlations between the coercive experience level in patients in a psychiatric intensive care unit and clinical insight. We included 40 patients without specific diagnosis criteria at the end of their hospitalization in the intensive care unit. We assessed patients with the Coercion Experience Scale (CES) to measure their coercive stress level, and the Scale to Assess Unawareness of Mental Disorder (SUMD) which measures clinical insight. A total of 42.5 % of our sample suffered from mood disorders, 50 % suffered from psychotic disorders and 7.5 % from other disorders. On the one hand, we found that patients' coercive stress level was neither correlated with the awareness of their mental disorder nor with the awareness of social consequences of their mental disorder. On the other hand, we found that coercive stress level was significantly correlated with patients' awareness of treatment efficacy and that the specific CES factor measuring coercion showed a strong trend to significantly correlate with patients' awareness of treatment efficacy. These results seem to show that education about benefits of treatment is a key point to improve patients' coercive stress in a psychiatric intensive care unit, more than an education about awareness of the mental disorder itself.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Cites
Assessment of insight in psychosis
AMADOR, X. F., Strauss, D. H., Yale, S. A., FLAUM, M. M., Endicott, J., & Gorman, J. M. (1993) · American Journal of Psychiatry · doi:10.1176/ajp.150.6.873 · Cited by 1,100 · see citing works
Awareness of Illness in Schizophrenia and Schizoaffective and Mood Disorders
AMADOR, X. F. (1994) · Archives of General Psychiatry · doi:10.1001/archpsyc.1994.03950100074007 · Cited by 898 · see citing works
Insight in schizophrenia: a meta-analysis
Mintz, A. R., Dobson, K. S., & Romney, D. M. (2003) · Schizophrenia Research · doi:10.1016/s0920-9964(02)00316-x · Cited by 563 · see citing works
Monahan, J. T., Hoge, S. K., Lidz, C. W., Roth, L. H., Bennett, N. S., Gardner, W. P., & Mulvey, E. P. (1995) · International Journal of Law and Psychiatry · doi:10.1016/0160-2527(95)00010-f · Cited by 247 · see citing works
Involuntary vs. voluntary hospital admission: A systematic literature review on outcome diversity
Kallert, T. W., Glöckner, M., & Schützwohl, M. (2008) · European Archives of Psychiatry and Clinical Neuroscience · doi:10.1007/s00406-007-0777-4 · Cited by 204 · see citing works
PSYCHOPATHOLOGIC DOMAINS AND INSIGHT IN SCHIZOPHRENIA
AMADOR, X. F., & Gorman, J. M. (1998) · Psychiatric Clinics of North America · doi:10.1016/s0193-953x(05)70359-2 · Cited by 164 · see citing works
Why must some schizophrenic patients be involuntarily committed? The role of insight
McEvoy, J. P., Applebaum, P. S., Apperson, L. J., Geller, J. L., & Freter, S. H. (1989) · Comprehensive Psychiatry · doi:10.1016/0010-440x(89)90113-2 · Cited by 149 · see citing works
Perceived Coercion and the Therapeutic Relationship: A Neglected Association?
Sheehan, K. A., & Burns, T. (2011) · Psychiatric Services · doi:10.1176/ps.62.5.pss6205_0471 · Cited by 148 · see citing works
Therapeutic relationship in the context of perceived coercion in a psychiatric population
Theodoridou, A., Schlatter, F., Ajdacic, V., Rössler, W., & Jäger, M. (2012) · Psychiatry Research · doi:10.1016/j.psychres.2012.04.012 · Cited by 147 · see citing works
AMADOR, X. F., & Strauss, D. H. (1993) · Psychiatric Quarterly · doi:10.1007/bf01064924 · Cited by 121 · see citing works
Impact of Coercion on Treatment Outcome
Kaltiala-Heino, R., Laippala, P., & Salokangas, R. K. R. (1997) · International Journal of Law and Psychiatry · doi:10.1016/s0160-2527(97)00013-7 · Cited by 95 · see citing works
Mutsatsa, S. H., Joyce, E. M., Hutton, S. B., & Barnes, T. R. E. (2006) · European Archives of Psychiatry and Clinical Neuroscience · doi:10.1007/s00406-006-0645-7 · Cited by 91 · see citing works
White matter and cognitive function in schizophrenia
Dwork, A. J., Mancevski, B., & Rosoklija, G. B. (2007) · The International Journal of Neuropsychopharmacology · doi:10.1017/s1461145707007638 · Cited by 90 · see citing works
Perceived coercion in voluntary hospital admission
O'Donoghue, B., Roche, E., Shannon, S., Lyne, J., Madigan, K., & Feeney, L. (2014) · Psychiatry Research · doi:10.1016/j.psychres.2013.10.016 · Cited by 89 · see citing works
"Coercion Experience Scale" (CES) - validation of a questionnaire on coercive measures
Bergk, J., Flammer, E., & Steinert, T. (2010) · BMC Psychiatry · doi:10.1186/1471-244x-10-5 · Cited by 84 · see citing works
Is Insight in Mania State-Dependent?
Ghaemi, S. N., & Rosenquist, K. J. (2004) · The Journal of Nervous and Mental Disease · doi:10.1097/01.nmd.0000145036.76435.c3 · Cited by 82 · see citing works
Clinical predictors of admission status in first episode schizophrenia
Kelly, B. D., Clarke, M., Browne, S., McTigue, O., Kamali, M., Gervin, M., Kinsella, A., Lane, A., Larkin, C., & O’Callaghan, E. (2004) · European Psychiatry · doi:10.1016/j.eurpsy.2003.07.009 · Cited by 81 · see citing works
Psychiatric Intensive Care Units: a Literature Review
Bowers, L., Jeffery, D., Bilgin, H., Jarrett, M., Simpson, A., & Jones, J. (2008) · International Journal of Social Psychiatry · doi:10.1177/0020764007082482 · Cited by 71 · see citing works
“To see oursels as others see us”
David, A. S. (1999) · The British Journal of Psychiatry · doi:10.1192/bjp.175.3.210 · Cited by 65 · see citing works
Látalová, K. (2011) · Psychiatric Quarterly · doi:10.1007/s11126-011-9200-4 · Cited by 57 · see citing works
Patient Perception of Coercion on Admission to Acute Psychiatric Services
McKenna, B. G., Simpson, A. I. F., & Laidlaw, T. M. (1999) · International Journal of Law and Psychiatry · doi:10.1016/s0160-2527(98)00039-9 · Cited by 50 · see citing works
Crowhurst, N., & Bowers, L. (2002) · Journal of Psychiatric and Mental Health Nursing · doi:10.1046/j.1365-2850.2002.00524.x · Cited by 42 · see citing works
Koren, D., Viksman, P., Giuliano, A. J., & Seidman, L. J. (2013) · Schizophrenia Research · doi:10.1016/j.schres.2013.10.013 · Cited by 29 · see citing works
The association between insight and symptoms in bipolar inpatients: An Italian prospective study
Bressi, C., Porcellana, M., Marinaccio, P. M., Nocito, E. P., Ciabatti, M., Magri, L., & Altamura, A. C. (2011) · European Psychiatry · doi:10.1016/j.eurpsy.2011.09.002 · Cited by 27 · see citing works
The experience of admission to psychiatric hospital among Chinese adult patients in Hong Kong
Fu, J. C.-K., Chow, P. P.-L., & LAM, L. C. W. (2008) · BMC Psychiatry · doi:10.1186/1471-244x-8-86 · Cited by 21 · see citing works
Zilcha‐Mano, S. (2016) · World Psychiatry · doi:10.1002/wps.20305 · Cited by 21 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Factors Associated with Perceived Coercion in Adults Receiving Psychiatric Care: A Scoping Review
Lessard-Deschênes, C., Pariseau-Legault, P., Billé, V., Sergerie-Richard, S., Hudson, E., Silva, B., Drouin, J.-S., Désilets, M., & Goulet, M.-H. (2025) · Healthcare · doi:10.3390/healthcare13151868 · Cited by 10 · see citing works
Nurses’ and Patients’ Perceptions about Psychiatric Intensive Care—An Integrative Literature Review
Berg, J., Gustafsson, N., Mishina, K. E., Ellilä, H., & Lahti, M. (2022) · Issues in Mental Health Nursing · doi:10.1080/01612840.2022.2101079 · Cited by 3 · see citing works
Regards croisés sur la psychiatrie et la santé mentale pensées au prisme du biopouvoir
Hazif‐Thomas, C., & Pian, D. (2026) · Éthique & Santé · doi:10.1016/j.etiqe.2026.02.009
- Authors
- Lamothe, H., Lebain, P., Morello, R., & Brazo, P.
- Affiliations
- Centre Hospitalier Universitaire de Caen Normandie (FR)
- Corresponding author
- Brazo, P.
- Venue
- L Encéphale
- Publisher
- Elsevier BV
- Published
- 2019-12
- Volume
- 45
- Issue
- 6
- Pages
- 488-493
- ISSN
- 0013-7006 (ISSN-L)
- OpenAlex
- W2968653061
- Cited by
- 3
- References
- 26
- Citations by year
- 2026: 1 · 2025: 1 · 2022: 1
- FWCI
- 0.29
- Type
- journal article
- Language
- fr
- Open access
- closed
- Locations
- L Encéphale (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Healthcare Decision-Making and Restraints
- Health Sciences › Medicine › Psychiatry and Mental health › Electroconvulsive Therapy Studies
- Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
- Keywords
- clinical insight, psychiatric intensive care unit, awareness of mental disorder, mood disorders, psychosis, Scale to Assess Unawareness of Mental Disorder, patient education
- MeSH terms
- Adolescent, Adult, Aged, Aged, 80 and over, Awareness, Mental Disorders, Coercion, Female, France, Hospitalization, Hospitals, Psychiatric, Humans, Intensive Care Units, Male, Middle Aged, Psychotic Disorders, Restraint, Physical, Self Concept, Stress, Psychological, Young Adult
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
