Perceived Coercion Among Patients Admitted in Psychiatric Wards: Italian Results of the EUNOMIA Study
Open accessAbstract
The decision to use coercive measures (restraint, seclusion and forced medication) in psychiatric practice is controversial in mental health care. The EUNOMIA study was funded by the European Commission and carried out in 11 countries in order to develop European recommendations for good clinical practice on the use of coercive measures. The aim of the study is to identify sociodemographic and clinical predictors of the levels of perceived coercion in a sample of Italian patients with severe mental disorders at hospital admission. A total of 294 patients were recruited in five Italian psychiatric hospitals and screened with the MacArthur Perceived Coercion Scale to explore the levels of perceived coercion. Patients were assessed three times: within the first seven days after admission as well as after 1 and 3 months. At each time point, data on changes of perceived coercion, assessed by the Cantril Ladder of Perceived Coercion Scale, information on coercive measures received during hospitalization and the levels of satisfaction with the received treatments were collected. According to the multivariable regression model, being compulsorily admitted (OR: 2.5; 95% CI: 1.3-3.3, p < .000), being male (OR: 0.7; 95% CI: 0.9-1.4; p < .01), being older (OR: 0.03; 95% CI: 0.01-0.06) and less satisfied with received treatments (OR: -0.2; 95% CI: -0.3 to -0.1; p < .05) are all associated with higher levels of perceived coercion, even after controlling for the use of any coercive measure during hospitalization. Satisfaction with received treatment predicts the levels of perceived coercion and this should represent an important challenge for mental health professionals.
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Numerous studies have shown that involuntary hospitalization is associated with higher perceived coercion.
“Numerous studies have shown that involuntary hospitalization is associated with higher perceived coercion [10,13,14,15,35,37,38,42,44,45,48,59,64,72,94,96,120,129,131,137,139,151,155,160].”
From Factors Associated with Perceived Coercion in Adults Receiving Psychiatric Care: A Scoping Review (2025) · cites this paper as [13]
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References 47 · Cited by 42
Research works printed but not linked: 2
- [25]American Psychiatric Association Diagnostic and Statistical Manual of Mental Disorders Vol. 4 Washington: American Psychiatric Association (1994).
- [27]Cantril H The pattern of human concerns. New Brunswick, NJ, USA: Rutgers University Press (1965).
- Authors
- Sampogna, G., Luciano, M., Del Vecchio, V., Pocai, B., Palummo, C., Fico, G., Giallonardo, V., De Rosa, C., & Fiorillo, A.
- Affiliations
- University of Campania "Luigi Vanvitelli" (IT)
- Corresponding author
- Sampogna, Gaia
- Luciano, Mario
- Venue
- Frontiers in Psychiatry
- Publisher
- Frontiers Media SA
- Published
- 2019-05-21
- Volume
- 10
- Pages
- 316-316
- ISSN
- 1664-0640 (ISSN-L)
- PMC
- PMC6536685
- OpenAlex
- W2940607997
- Cited by
- 42
- References
- 47
- Citations by year
- 2026: 3 · 2025: 11 · 2024: 8 · 2023: 6 · 2022: 5 · 2021: 3 · 2020: 4 · 2019: 2
- FWCI
- 4.09
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Frontiers in Psychiatry (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Archivio Istituzionale della Ricerca - Università degli Studi della Campania "Luigi Vanvitelli" (submittedVersion)
- Funders
- Seventh Framework Programme
- 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, coercive measures, psychiatric inpatients, severe mental illness, involuntary admission, treatment satisfaction, restraint, seclusion, forced medication
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