Psychological assessment of acute schizophrenia patients who experienced seclusion either alone or in combination with restraint

Rika Eguchi, Daisuke Onozuka, Kouji Ikeda, Kenji Kuroda, Ichiro Ieiri, Akihito Hagihara

研究成果: ジャーナルへの寄稿記事

抄録

Objective: Numerous studies on the effects of seclusion and/or restraint in acute psychiatric treatment have reported both positive and negative effects. However, no studies to date have evaluated the effects of seclusion and/or restraint on schizophrenia patients using a rating scale. Thus, to examine the effects of seclusion and/or restraint on schizophrenia patients, we used the Brief Psychiatric Rating Scale and assessed the psychological condition of patients. Methods: Factor analysis was conducted to create subscales of Brief Psychiatric Rating Scale, and psychiatric changes were assessed with respect to each subscale using multiple logistic regression analyses. Analyses were performed on three groups (i.e. entire, higher functioning, and lower functioning groups) involving a total of 1559 schizophrenia patients aged 18 to 65 years. Results: In the entire and lower functioning groups, seclusion was a significant predictor of improvements related to the “hostility/suspiciousness” subscale. Seclusion combined with restraint was associated with improvements related to the “psychosis/thinking disorder” subscale. In the higher functioning group, there were no significant predictors. Conclusions: It is implied that seclusion and/or restraint is related to improved psychiatric symptoms only among patients whose functioning is impaired. To verify the present findings, further studies involving multiple sites and additional psychiatric measures are necessary.

元の言語英語
ページ(範囲)171-188
ページ数18
ジャーナルInternational Journal of Psychiatry in Medicine
53
発行部数3
DOI
出版物ステータス出版済み - 5 1 2018

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Schizophrenia
Psychiatry
Psychology
Brief Psychiatric Rating Scale
Hostility
Psychotic Disorders
Statistical Factor Analysis
Logistic Models
Regression Analysis
Therapeutics

All Science Journal Classification (ASJC) codes

  • Psychiatry and Mental health

これを引用

Psychological assessment of acute schizophrenia patients who experienced seclusion either alone or in combination with restraint. / Eguchi, Rika; Onozuka, Daisuke; Ikeda, Kouji; Kuroda, Kenji; Ieiri, Ichiro; Hagihara, Akihito.

:: International Journal of Psychiatry in Medicine, 巻 53, 番号 3, 01.05.2018, p. 171-188.

研究成果: ジャーナルへの寄稿記事

Eguchi, Rika ; Onozuka, Daisuke ; Ikeda, Kouji ; Kuroda, Kenji ; Ieiri, Ichiro ; Hagihara, Akihito. / Psychological assessment of acute schizophrenia patients who experienced seclusion either alone or in combination with restraint. :: International Journal of Psychiatry in Medicine. 2018 ; 巻 53, 番号 3. pp. 171-188.
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