Patient satisfaction after acute admission for psychosis
Abstract
Background Measuring patient satisfaction in mental health care potentially provides valuable information, but studies in acutely admitted psychosis patients are scarce. Aims The aims were to assess satisfaction among patients acutely admitted with psychosis, to compare satisfaction in voluntarily versus involuntarily admitted patients, and to assess the influence of symptom load and insight. Methods The UKU Consumer Satisfaction Rating Scale (UKU-ConSat) was used. A total of 104 patients completed the UKU-ConSat at discharge/follow-up (between 6-11 weeks after admittance if not discharged earlier) (mean duration of stay 4 weeks), thus corresponding to the end of the acute treatment phase. Results A total of 88.4% had total scores above zero (satisfied). Only three of the eight single items were statistically significantly different among patients admitted voluntarily versus involuntarily, and only the information item score remained significantly different in adjusted analyses. Insight level at admittance, and an increasing level of insight during the acute phase were positively associated with patient satisfaction, whereas levels and changes in positive and negative psychosis symptoms were indirectly related to satisfaction via this process of insight. Conclusions The vast majority of the acutely admitted patients were satisfied with treatment. There were few differences between the involuntarily and voluntarily admitted patient groups, except that the involuntary care group was clearly less satisfied with the information provided. Poor insight had a major negative impact on treatment satisfaction in psychosis. The provision of sufficient and adequate information is an important target for mental health care service improvement.
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Two papers found that involuntary treatment reduced carer satisfaction.
“Two papers found that involuntary treatment reduced carer satisfaction (107,124), while one found no difference in satisfaction between carers of voluntary or involuntary patients (29) and another no association with legal status and perceived carer burden (125).”
From The benefits and harms of inpatient involuntary psychiatric treatment: a scoping review (2025) · cites this paper as [107]
Most literature indicates that people are less satisfied with involuntary care as measured by structured assessment tools.
“In general, most literature indicates that people are less satisfied with involuntary care as measured by structured assessment tools including the Client Assessment of Treatment Scale or the Client Satisfaction Questionnaire (10,13,66,104–110) and measures of humiliation and negative affective response (24,110,111).”
From The benefits and harms of inpatient involuntary psychiatric treatment: a scoping review (2025) · cites this paper as [107]
Better clinical insight is associated with greater satisfaction with inpatient services.
“Better clinical insight has also been found to be associated with greater satisfaction with inpatient services 41 .”
From Insight in schizophrenia spectrum disorders: relationship with behavior, mood and perceived quality of life, underlying causes and emerging treatments (2018) · cites this paper as [41]
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- Authors
- Bø, B., Ottesen, Ø. H., Gjestad, R., Jørgensen, H. A., Kroken, R. A., Løberg, E.-M., & Johnsen, E.
- Affiliations
- Haukeland University Hospital (NO)
- University of Bergen (NO)
- Corresponding author
- Johnsen, Erik
- Venue
- Nordic Journal of Psychiatry
- Publisher
- Informa UK Limited
- Published
- 2016-01-11
- Volume
- 70
- Issue
- 5
- Pages
- 321-328
- ISSN
- 0029-1455 (ISSN-L)
- 0803-9488
- 1502-4725
- OpenAlex
- W2300770119
- Cited by
- 29
- References
- 74
- Citations by year
- 2025: 1 · 2024: 2 · 2023: 2 · 2021: 4 · 2020: 5 · 2019: 2 · 2018: 10 · 2017: 2 · 2016: 1
- FWCI
- 6.69
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Nordic Journal of Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Norges Forskningsråd
- Haukeland Universitetssjukehus
- Topics
- Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
- Health Sciences › Health Professions › General Health Professions › Patient Satisfaction in Healthcare
- Social Sciences › Psychology › Clinical Psychology › Healthcare Decision-Making and Restraints
- Keywords
- patient satisfaction, psychosis, acute psychiatric admission, voluntary admission, involuntary admission, insight, symptom burden, information provision, mental health care quality
- MeSH terms
- Adult, Commitment of Persons with Psychiatric Disorders, Female, Humans, Male, Mental Health Services, Middle Aged, Patient Admission, Psychotic Disorders, Patient Satisfaction
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