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dc.contributor.authorGardner, William
dc.contributor.authorLidz, Charles W.
dc.contributor.authorHoge, Steven K.
dc.contributor.authorMonahan, John
dc.contributor.authorEisenberg, Marlene M.
dc.contributor.authorBennett, Nancy S.
dc.contributor.authorMulvey, Edward P.
dc.contributor.authorRoth, Loren H.
dc.date2022-08-11T08:10:25.000
dc.date.accessioned2022-08-23T17:08:24Z
dc.date.available2022-08-23T17:08:24Z
dc.date.issued1999-09-01
dc.date.submitted2010-10-14
dc.identifier.citationAm J Psychiatry. 1999 Sep;156(9):1385-91.
dc.identifier.issn0002-953X (Linking)
dc.identifier.pmid10484949
dc.identifier.urihttp://hdl.handle.net/20.500.14038/45564
dc.description.abstractOBJECTIVE: An influential rationale for involuntary hospitalization is that prospective patients who refuse hospitalization at the time it is offered are likely to change their belief about the necessity of hospitalization after receiving hospital treatment. The authors examine how patients changed their evaluations of psychiatric hospitalization following hospital treatment. METHOD: The authors studied 433 patients who were interviewed about their hospitalization within 2 days of their admission to a psychiatric hospital; 267 of these patients were reinterviewed 4-8 weeks following discharge. RESULTS: When reinterviewed at follow-up, 33 (52%) of 64 patients who said at admission that they did not need hospitalization said that, in retrospect, they believed they had needed it. Only 9 (5%) of 198 patients who said at admission that they needed hospitalization shifted to saying that they had not needed it. CONCLUSIONS: Many of the patients who initially judged that they did not need hospitalization revised their belief after hospital discharge and reported that they had needed hospital treatment. However, perceptions of coercion were stable from admission to follow-up, and patients' attitudes toward hospitalization did not become more positive. Coerced patients did not appear to be grateful for the experience of hospitalization, even if they later concluded that they had needed it.
dc.language.isoen_US
dc.relation<a href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed&cmd=Retrieve&list_uids=10484949&dopt=Abstract">Link to Article in PubMed</a>
dc.relation.urlhttp://ajp.psychiatryonline.org/cgi/reprint/156/9/1385
dc.subjectAdult
dc.subject*Attitude to Health
dc.subjectBrief Psychiatric Rating Scale
dc.subjectCoercion
dc.subject*Commitment of Mentally Ill
dc.subjectFemale
dc.subjectFollow-Up Studies
dc.subject*Hospitalization
dc.subjectHospitals, Psychiatric
dc.subjectHumans
dc.subjectJudgment
dc.subjectMale
dc.subjectMental Disorders
dc.subjectPatient Acceptance of Health Care
dc.subjectPatient Admission
dc.subjectPatient Discharge
dc.subjectPsychiatric Status Rating Scales
dc.subjectRetrospective Studies
dc.subject*Treatment Refusal
dc.subjectEisenberg, Marlene M
dc.subjectBennett, Nancy S
dc.subjectMulvey, Edward P
dc.subjectRoth, Loren H
dc.subjectHealth Services Research
dc.subjectMental and Social Health
dc.subjectPsychiatry
dc.subjectPsychiatry and Psychology
dc.titlePatients' revisions of their beliefs about the need for hospitalization
dc.typeArticle
dc.source.journaltitleThe American journal of psychiatry
dc.source.volume156
dc.source.issue9
dc.identifier.legacycoverpagehttps://escholarship.umassmed.edu/psych_cmhsr/97
dc.identifier.contextkey1605180
html.description.abstract<p>OBJECTIVE: An influential rationale for involuntary hospitalization is that prospective patients who refuse hospitalization at the time it is offered are likely to change their belief about the necessity of hospitalization after receiving hospital treatment. The authors examine how patients changed their evaluations of psychiatric hospitalization following hospital treatment.</p> <p>METHOD: The authors studied 433 patients who were interviewed about their hospitalization within 2 days of their admission to a psychiatric hospital; 267 of these patients were reinterviewed 4-8 weeks following discharge.</p> <p>RESULTS: When reinterviewed at follow-up, 33 (52%) of 64 patients who said at admission that they did not need hospitalization said that, in retrospect, they believed they had needed it. Only 9 (5%) of 198 patients who said at admission that they needed hospitalization shifted to saying that they had not needed it.</p> <p>CONCLUSIONS: Many of the patients who initially judged that they did not need hospitalization revised their belief after hospital discharge and reported that they had needed hospital treatment. However, perceptions of coercion were stable from admission to follow-up, and patients' attitudes toward hospitalization did not become more positive. Coerced patients did not appear to be grateful for the experience of hospitalization, even if they later concluded that they had needed it.</p>
dc.identifier.submissionpathpsych_cmhsr/97
dc.contributor.departmentDepartment of Psychiatry
dc.source.pages1385-91


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