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Prevalence of perceived coercion among psychiatric patients: literature review and meta-regression modelling

  • Giles Newton-Howes (a1) (a2) and James Stanley (a2)
Abstract
Aims and method

To assess how common the subjective experience of coercion is in psychiatric care and what affects its prevalence. A review of published data was undertaken to assess prevalence of coercion and potential confounding variables. The heterogeneity of results was studied using meta-regression to quantify the relative impact of four potential explanatory variables.

Results

The raw prevalence of perceived coercion ranged from 16 to 90%. A quarter of legally detained patients did not feel coerced into psychiatric care, whereas a quarter of voluntary in-patients reported coercion in care. Coercion was more common in studies outside the USA, among patient populations subject to legal detention and populations studied using the MacArthur Perceived Coercion Scale as opposed to other measures. Timing of the interview was not associated with coercion.

Clinical implications

Coercion in psychiatric care remains highly prevalent but varies widely by study. Consistency in measurement is necessary to allow better comparison between studies.

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Copyright
This is an Open Access article, distributed under the terms of the Creative Commons Attribution (CC-BY) license (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Corresponding author
Giles Netwon-Howes (giles.newton-howes@imperial.ac.uk)
Footnotes
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Declaration of interest

None.

Footnotes
References
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Prevalence of perceived coercion among psychiatric patients: literature review and meta-regression modelling

  • Giles Newton-Howes (a1) (a2) and James Stanley (a2)
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