Predictors of perceived coercion in patients admitted for psychiatric hospitalization and the stability of these perceptions over time
Abstract
The origins of patients’ perceptions of coercion during short-term psychiatric hospitalization are varied. The purpose of this study was to elucidate the characteristics of patients that are associated with higher levels of perceived coercion and to determine whether these perceptions remain stable one year after admission. One hundred and twenty-five patients were recruited within three days of admission to the acute units at the Alfred Hospital Inpatient Psychiatry Department, Melbourne, Australia. In the initial recruitment phase, patients’ perceptions of coercion, psychiatric symptoms and interpersonal style were assessed using the Macarthur Admission Experience Scale, the Brief Psychiatric Rating Scale-18 and the Impact Message Inventory–Circumplex. Admission status (voluntary versus involuntary) and demographic characteristics were also assessed. Follow-up assessments were conducted approximately one year later. Results suggest that a significant but small positive correlation existed between perceived coercion and a Hostile–Dominant interpersonal style at initial recruitment. Females reported significantly higher perceptions of coercion than males, but admission status and severity of psychiatric symptoms were unrelated to perceived coercion. Despite perceptions of coercion appearing to lessen over time, there is a need for specific interventions for these patients during their admission to hospital. There was a statistically significant decrease in perceived coercion over time.
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Patients with an interpersonal style characterized as hostile and dominant were more likely to perceive coercion.
“Two studies, one of which included only “male gender” participants [97], found that patients with an interpersonal style characterized as hostile and dominant were more likely to perceive coercion [97,99]”
From Factors Associated with Perceived Coercion in Adults Receiving Psychiatric Care: A Scoping Review (2025) · cites this paper as [99]
Some studies reported no differences between voluntarily and involuntarily admitted patients.
“or reported no differences between voluntarily and involuntarily admitted patients [55,99].”
From Factors Associated with Perceived Coercion in Adults Receiving Psychiatric Care: A Scoping Review (2025) · cites this paper as [99]
While most studies did not find significant associations, ten did report higher levels of perceived coercion among women.
“While most studies did not find significant associations, ten did report higher levels of perceived coercion among women [35,36,45,71,89,94,96,99,112,137].”
From Factors Associated with Perceived Coercion in Adults Receiving Psychiatric Care: A Scoping Review (2025) · cites this paper as [99]
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- Authors
- Anestis, A., Daffern, M., Thomas, S. D. M., Podubinski, T., Hollander, Y., Lee, S., Foley, F., de Castella, A., & Kulkarni, J.
- Affiliations
- Monash University (AU)
- Monash Alfred Psychiatry Research centre (AU)
- The Alfred Hospital (AU)
- Corresponding author
- Anestis, Angela
- Venue
- Psychiatry Psychology and Law
- Publisher
- Informa UK Limited
- Published
- 2013-08
- Volume
- 20
- Issue
- 4
- Pages
- 492-503
- ISSN
- 1321-8719 (ISSN-L)
- 1934-1687
- OpenAlex
- W2066067249
- Cited by
- 20
- References
- 47
- Citations by year
- 2025: 2 · 2024: 3 · 2021: 2 · 2020: 1 · 2019: 1 · 2018: 3 · 2017: 1 · 2016: 4 · 2015: 2 · 2014: 1
- FWCI
- 1.09
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Psychiatry Psychology and Law (publishedVersion)
- Research Online (University of Wollongong) (submittedVersion)
- RMIT Research Repository (RMIT University Library) (submittedVersion)
- Figshare (submittedVersion)
- Swinburne figshare (Swinburne University of Technology) (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, psychiatric hospitalization, psychiatric inpatient care, interpersonal style, gender differences, psychiatric symptom severity
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