Coercion in psychiatric care: Systematic review of correlates and themes
Abstract
OBJECTIVE: This study systematically examined the empirical literature on the themes and correlates of coercion as defined by the subjective experience of patients in psychiatric care. METHODS: The study was a systematic review of the literature on coercion as covered in MEDLINE, PsycINFO, and CINAHL. From qualitative studies, themes that the authors identified were extracted. From quantitative studies, correlational and outcome data were extracted. RESULTS: The final analysis included 27 articles. Themes related to perceived coercion were almost all negative. Correlation and outcome data were insufficiently homogeneous to allow meaningful combined statistical analysis. There was no strong quantitative evidence that the experience of coercion is negatively or positively associated with psychopathology or general well-being. CONCLUSIONS: Coercion was commonly felt by patients as dehumanizing. Compulsory actions likely to increase perceived coercion had mixed correlates, and it was therefore difficult to predict who is at greatest risk of experiencing coercion as a "side effect" of intervention. Clinicians should routinely consider that all patients have the potential to experience an intervention as coercive.
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Only one systematic review, dating back to 2011, considered other factors such as patients' quality of life or sociodemographic characteristics.
“We found only one systematic review, dating back to 2011, that considered other factors, such as the patients’ quality of life or their sociodemographic characteristics [20].”
From Factors Associated with Perceived Coercion in Adults Receiving Psychiatric Care: A Scoping Review (2025) · cites this paper as [20]
That 2011 systematic review had limitations including selection of studies in English only and absence of grey literature.
“This review had several limitations, including the selection of studies in English only and the absence of grey literature.”
From Factors Associated with Perceived Coercion in Adults Receiving Psychiatric Care: A Scoping Review (2025) · cites this paper as [20]
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Das Erleben der Aufnahme in eine psychiatrische Klinik
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- Authors
- Newton-Howes, G., & Mullen, R.
- Affiliations
- Dr. Newton-Howes is affiliated with the Department of Psychiatry, Hawkes Bay District Health Board, 76 Wellesley Rd., Napier 4110, New Zealand (e-mail: ).
- University of Otago (NZ)
- ORCID
- Mullen, Richard
- Venue
- Psychiatric Services
- Published
- 2011-05
- Volume
- 62
- Issue
- 5
- Pages
- 465-470
- ISSN
- 0022-1597 (ISSN-L)
- 1075-2730
- 1557-9700
- OpenAlex
- W2153887150
- Cited by
- 114
- References
- 37
- Citations by year
- 2026: 5 · 2025: 6 · 2024: 12 · 2023: 7 · 2022: 6 · 2021: 8 · 2020: 4 · 2019: 17 · 2018: 2 · 2017: 6 · 2016: 8 · 2015: 4 · 2014: 7 · 2013: 10 · 2012: 10
- FWCI
- 1.42
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Psychiatric Services (publishedVersion)
- PubMed (publishedVersion)
- 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
- coercion in psychiatric care, perceived coercion, patient experience, dehumanization, psychopathology, well-being, psychiatric intervention
- MeSH terms
- Adolescent, Adult, Aged, Coercion, Female, Humans, Male, Middle Aged, Psychiatric Nursing, Young Adult
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