The Admission Experience Survey Italian Version (I-AES): A factor analytic study on a sample of 156 acute psychiatric in-patients
Open accessAbstract
Coercive treatments are often regarded as an inevitable and yet highly debated feature of psychiatric care. Perceived coercion is often reported by patients involuntarily committed as well as their voluntary counterparts. The Admission Experience Survey (AES) is a reliable tool for measuring perceived coercion in mental hospital admission. We developed the Italian AES (I-AES) through translation back-translation and administered it to 156 acutely hospitalized patients (48% women, 69% voluntarily committed) in two university hospitals in Rome (Policlinico Umberto I, Sant'Andrea Hospital). A principal component analysis (PCA) with equamax rotation was conducted. The I-AES showed good internal consistency (Cronbach's alpha = 0.90); Guttmann split-half reliability coefficient was 0.90. AES total score significantly differed between voluntary and involuntary committed patients (5.08 ± 4.1 vs. 8.1 ± 4.9, p < .05). PCA disclosed a three-factor solution explaining 59.3 of the variance. Some discrepancies were found between the factor structure of the I-AES and the original version. I-AES total score was positively associated with numbers of previous involuntarily hospitalization (r = 0.20, p < .05) and psychiatric symptoms' severity (r = 0.22, p < .02). I-AES and its proposed new factor structure proved to be reliable to assess perceived coercion in mental hospital admission. Consequently, it may represent a helpful instrument for the study and reduction of patients' levels of perceived coercion.
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Patients with a history of involuntary admission reported higher perceived coercion.
“Additionally, patients with a history of involuntary admission reported higher perceived coercion [14,74,75,81,89,98,131]”
From Factors Associated with Perceived Coercion in Adults Receiving Psychiatric Care: A Scoping Review (2025) · cites this paper as [131]
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References 42 · Cited by 9
Research works printed but not linked: 1
- Ventura, J., Lukoff, D., Nuechterlein, K. H., Liberman, R. P., Green, M., & Shaner, A. (1993). Appendix 1: Brief Psychiatric Rating Scale (BPRS) Expanded Version (4.0) scales, anchor points and administration manual. International Journal of Methods in Psychiatric Research, 3, 227-243.
- Authors
- Mandarelli, G., Parmigiani, G., Trobia, F., Tessari, G., Roma, P., Biondi, M., & Ferracuti, S.
- Affiliations
- Sapienza University of Rome (IT)
- Corresponding author
- Mandarelli, Gabriele
- ORCID
- Venue
- International Journal of Law and Psychiatry
- Publisher
- Elsevier BV
- Published
- 2019-01
- Volume
- 62
- Pages
- 111-116
- ISSN
- 0160-2527 (ISSN-L)
- OpenAlex
- W2904136465
- Cited by
- 9
- References
- 42
- Citations by year
- 2025: 2 · 2024: 3 · 2023: 1 · 2022: 1 · 2021: 1 · 2020: 1
- FWCI
- 0.59
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- International Journal of Law and Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- IRIS Research product catalog (Sapienza University of Rome) (submittedVersion, other-oa)
- IRIS UNIMORE (University of Modena and Reggio Emilia) (submittedVersion, cc-by)
- CINECA IRIS Institutional Research Information System (University of Bari Aldo Moro) (submittedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Healthcare Decision-Making and Restraints
- Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
- Health Sciences › Medicine › Psychiatry and Mental health › Electroconvulsive Therapy Studies
- Keywords
- perceived coercion, involuntary psychiatric admission, psychiatric hospitalization, Italian translation, factor structure, psychometric reliability, acute psychiatric inpatients, voluntary commitments, involuntary admission
- MeSH terms
- Involuntary Commitment, Adult, Mental Disorders, Coercion, Commitment of Persons with Psychiatric Disorders, Commitment of Mentally Ill, Factor Analysis, Statistical, Female, Humans, Italy, Male, Patient Admission, Surveys and Questionnaires
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