Please use this identifier to cite or link to this item:
https://hdl.handle.net/20.500.14279/22736
Title: | Socio-Demographic and Clinical Characteristics of Adults With Psychotic Symptomatology Under Involuntary Admission and Readmission for Compulsory Treatment in a Referral Psychiatric Hospital in Cyprus | Authors: | Kaikoushi, Katerina Middleton, Nicos Chatzittofis, Andeas Bella, Evanthia Alevizopoulos, Giorgos Karanikola, Maria |
Major Field of Science: | Medical and Health Sciences | Field Category: | Clinical Medicine | Keywords: | Cyprus;Coercion;Compulsory treatment;Demographic;Involuntary;Non-adherence;Psychosis;Readmission | Issue Date: | 17-Feb-2021 | Source: | Frontiers in Psychiatry, 2021, vol. 12, articl. no. 602274 | Volume: | 12 | Journal: | Frontiers in Psychiatry | Abstract: | Socio-demographic and clinical characteristics of adults under compulsory psychiatric treatment, have not been reported adequately in Southern European countries. We investigated the socio-demographic and clinical characteristics of adults with psychotic symptomatology who were involuntarily treated in the acute Mental Health Services in Cyprus. A descriptive cross-sectional study was applied. Data collection (December 2016 to February 2018) achieved via a structured questionnaire including demographic and clinical variables. Census sampling was applied in Cyprus referral center for compulsory psychiatric treatment. The sample included 406 individuals (262 males, 144 females). Approximately 86.2% were single, 77.6% were unemployed, and 24.9% held a bachelor's degree. The most frequent clinical diagnosis was schizophrenia or a relevant psychotic disorder (86.4%). The most frequent admission cause was non-adherence to pharmacotherapy along with disorganized behavior (agitation and/or self-care deficit, and/or aggressive behavior, and/or suicidal behavior) (53.6%). Moreover, 70.7% of the sample reported a positive personal history of mental health problems, while 42.1% reported a positive family history of mental health disorders. Half of the participants (52%) were previously involuntarily admitted for compulsory treatment. Adjusted associations of readmission status were reported with Cypriot ethnicity (OR: 4.40, 95%CI: 2.58-7.50), primary education only (OR: 3.70, 95%CI: 1.64-8.37), readmission due to disorganized behavior along with non-adherence to pharmacotherapy (OR: 10.84, 95%CI: 2.69-43.72), as well as along with substance use (OR: 6.39, 95%CI: 1.52-26.82). Readmission was almost five times more likely to occur due to suicidal behavior (OR: 5.01, 95%CI: 1.09-22.99) compared to disorganized behavior not otherwise specified. Additionally, those with a diagnosis of schizophrenia were more than 12 times more frequently readmitted for compulsory treatment compared to other diagnoses (OR 12.15, 95%CI: 1.04-142). Moreover, the participants with higher secondary education had 54.6% less odds to be involuntarily re-admitted compared to Bachelor degree holders (OR 0.442, 95%CI: 0.24-0.79). A high percentage of involuntary treatment was noted due to non-adherence to pharmacotherapy and substance use. Re-evaluation of the effectiveness of relevant community interventions is suggested, as well as implementation of structured educational programs on therapy adherence during psychiatric hospitalization. | URI: | https://hdl.handle.net/20.500.14279/22736 | ISSN: | 16640640 | DOI: | 10.3389/fpsyt.2021.602274 | Rights: | This is an open-access article distributed under the terms of the Creative Commons Attribution License Attribution-NonCommercial-NoDerivatives 4.0 International |
Type: | Article | Affiliation : | Cyprus Ministry of Health Cyprus University of Technology University of Cyprus National and Kapodistrian University of Athens |
Publication Type: | Peer Reviewed |
Appears in Collections: | Άρθρα/Articles |
Files in This Item:
File | Description | Size | Format | |
---|---|---|---|---|
fpsyt-12-602274.pdf | Fulltext | 402.68 kB | Adobe PDF | View/Open |
CORE Recommender
SCOPUSTM
Citations
4
checked on Feb 2, 2024
WEB OF SCIENCETM
Citations
3
Last Week
0
0
Last month
0
0
checked on Oct 29, 2023
Page view(s)
295
Last Week
1
1
Last month
9
9
checked on Aug 28, 2024
Download(s)
176
checked on Aug 28, 2024
Google ScholarTM
Check
Altmetric
This item is licensed under a Creative Commons License