Cited by 120Healthcare Decision-Making and RestraintsPsychiatric care and mental health servicesElectroconvulsive Therapy Studies

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Coercion in Psychiatric Care: Systematic Review of Correlates and Themes

Newton-Howes, Giles, Mullen, Richard·2011·Psychiatric Services

DOI 10.1176/ps.62.5.pss6205_0465

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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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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
Publisher: American Psychiatric Association Publishing
Published: 2011-05
Volume: 62
Issue: 5
Pages: 465-470
ISSN: 0022-1597 (ISSN-L)
1075-2730
1557-9700
DOI: 10.1176/ps.62.5.pss6205_0465
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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