The Impact of Coercion on Treatment Outcome: One-Year Follow-up Survey
Abstract
Objective: This study examined whether coercive measures or perceived coercion experienced by mentally disabled patients in the hospitalization process could be justified under paternalism. To find out whether coercion can be justified by paternalism, a year of follow-up research was conducted to examine the impact of coercive measures and perceived coercion experienced during hospitalization on the patients' therapeutic benefit. Methods: A 6-month period and a 1-year period of follow-up research was conducted with 266 patients to assess whether the coercion they experienced during hospitalization (coercive measures and perceived coercion) had an effect on changing the patients' mental symptoms and insight. Results: The results showed a decrease in both mental symptoms and insight over time. However, it was found that neither coercive measures nor perceived coercion had a significant effect on the change of mental symptoms and that, thus, coercion had little contribution to the declining of symptoms. Coercive measures had no effect on the change of insight but perceived coercion was shown to have a positive effect on a change in insight. Patient insight was shown to improve with increased perceived coercion. Conclusions: Paternalism provides a partial explanation to serve as a basis for justifying perceived coercion. Limitations and suggestions for further study are discussed.
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Some studies found no difference in the clinical effects of involuntary admission.
“In general, these studies found either no difference in the clinical effects of involuntary admission (27,40–45) or greater improvements in clinical symptoms and functioning than for voluntary patients (46,47).”
From The benefits and harms of inpatient involuntary psychiatric treatment: a scoping review (2025) · cites this paper as [45]
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- Authors
- Seo, M. K., Kim, S. H., & Rhee, M.
- Affiliations
- Gyeongsang National University (KR)
- Korea University (KR)
- Corresponding author
- Rhee, MinKyu
- Venue
- The International Journal of Psychiatry in Medicine
- Publisher
- SAGE Publications
- Published
- 2013-04
- Volume
- 45
- Issue
- 3
- Pages
- 279-298
- ISSN
- 0033-278X (ISSN-L)
- 0091-2174
- 1541-3527
- OpenAlex
- W2005426954
- Cited by
- 8
- References
- 35
- Citations by year
- 2025: 1 · 2024: 1 · 2021: 2 · 2017: 1 · 2016: 1 · 2015: 1 · 2014: 1
- FWCI
- 1.11
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- The International Journal of Psychiatry in Medicine (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, perceived coercion, coercive measures, paternalism, mental illness, psychiatric hospitalization, treatment outcomes, insight, psychiatric symptoms, long-term follow-up
- MeSH terms
- Adult, Awareness, Mental Disorders, Coercion, Female, Follow-Up Studies, Health Surveys, Hospitalization, Humans, Inpatients, Male, Middle Aged, Psychiatric Status Rating Scales, Social Perception, Time Factors, Models, Statistical, Treatment Outcome, Persons with Intellectual Disabilities, Paternalism
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