A 2 year follow-up of involuntary admission's influence upon adherence and outcome in first-episode psychosis

Stein Opjordsmoen; Svein Friis; Ingrid Melle; Ulrik Haahr; Jan Olav Johannessen; Tor Ketil Larsen; Jan Ivar Røssberg; Bjørn Rishovd Rund; Erik Simonsen; Per Vaglum; Thomas H. McGlashan

doi:10.1111/j.1600-0447.2009.01536.x

A 2 year follow-up of involuntary admission's influence upon adherence and outcome in first-episode psychosis

Stein Opjordsmoen, Svein Friis, Ingrid Melle, Ulrik Haahr, Jan Olav Johannessen, Tor Ketil Larsen, Jan Ivar Røssberg, Bjørn Rishovd Rund, Erik Simonsen, Per Vaglum, Thomas H. McGlashan

Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › peer review

Abstract

Objective: To see, if voluntary admission for treatment in first-episode psychosis results in better adherence to treatment and more favourable outcome than involuntary admission.

Method: We compared consecutively first-admitted, hospitalised patients from a voluntary (n = 91) with an involuntary (n = 126) group as to psychopathology and functioning using Positive and Negative Syndrome Scale and Global Assessment of Functioning Scales at baseline, after 3 months and at 2 year follow-up. Moreover, duration of supportive psychotherapy, medication and number of hospitalisations during the 2 years were measured.

Results: More women than men were admitted involuntarily. Voluntary patients had less psychopathology and better functioning than involuntary patients at baseline. No significant difference as to duration of psychotherapy and medication between groups was found. No significant difference was found as to psychopathology and functioning between voluntarily and involuntarily admitted patients at follow-up.

Conclusion: Legal admission status per se did not seem to influence treatment adherence and outcome.

Originalsprog	Engelsk
Tidsskrift	Acta Psychiatrica Scandinavica
Vol/bind	121
Udgave nummer	5
Sider (fra-til)	371-376
Antal sider	5
ISSN	0001-690X
DOI	https://doi.org/10.1111/j.1600-0447.2009.01536.x
Status	Udgivet - 2010

Link til dokument

10.1111/j.1600-0447.2009.01536.x

Citer dette

Opjordsmoen, S., Friis, S., Melle, I., Haahr, U., Johannessen, J. O., Larsen, T. K., Røssberg, J. I., Rund, B. R., Simonsen, E., Vaglum, P., & McGlashan, T. H. (2010). A 2 year follow-up of involuntary admission's influence upon adherence and outcome in first-episode psychosis. Acta Psychiatrica Scandinavica, 121(5), 371-376. https://doi.org/10.1111/j.1600-0447.2009.01536.x

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abstract = "Objective: To see, if voluntary admission for treatment in first-episode psychosis results in better adherence to treatment and more favourable outcome than involuntary admission. Method: We compared consecutively first-admitted, hospitalised patients from a voluntary (n = 91) with an involuntary (n = 126) group as to psychopathology and functioning using Positive and Negative Syndrome Scale and Global Assessment of Functioning Scales at baseline, after 3 months and at 2 year follow-up. Moreover, duration of supportive psychotherapy, medication and number of hospitalisations during the 2 years were measured. Results: More women than men were admitted involuntarily. Voluntary patients had less psychopathology and better functioning than involuntary patients at baseline. No significant difference as to duration of psychotherapy and medication between groups was found. No significant difference was found as to psychopathology and functioning between voluntarily and involuntarily admitted patients at follow-up. Conclusion: Legal admission status per se did not seem to influence treatment adherence and outcome. ",

keywords = "first episode, coercion, compliance, psychopathology, outcome",

author = "Stein Opjordsmoen and Svein Friis and Ingrid Melle and Ulrik Haahr and Johannessen, {Jan Olav} and Larsen, {Tor Ketil} and R{\o}ssberg, {Jan Ivar} and Rund, {Bj{\o}rn Rishovd} and Erik Simonsen and Per Vaglum and McGlashan, {Thomas H.}",

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T1 - A 2 year follow-up of involuntary admission's influence upon adherence and outcome in first-episode psychosis

AU - Opjordsmoen, Stein

AU - Friis, Svein

AU - Melle, Ingrid

AU - Haahr, Ulrik

AU - Johannessen, Jan Olav

AU - Larsen, Tor Ketil

AU - Røssberg, Jan Ivar

AU - Rund, Bjørn Rishovd

AU - Simonsen, Erik

AU - Vaglum, Per

AU - McGlashan, Thomas H.

PY - 2010

Y1 - 2010

N2 - Objective: To see, if voluntary admission for treatment in first-episode psychosis results in better adherence to treatment and more favourable outcome than involuntary admission. Method: We compared consecutively first-admitted, hospitalised patients from a voluntary (n = 91) with an involuntary (n = 126) group as to psychopathology and functioning using Positive and Negative Syndrome Scale and Global Assessment of Functioning Scales at baseline, after 3 months and at 2 year follow-up. Moreover, duration of supportive psychotherapy, medication and number of hospitalisations during the 2 years were measured. Results: More women than men were admitted involuntarily. Voluntary patients had less psychopathology and better functioning than involuntary patients at baseline. No significant difference as to duration of psychotherapy and medication between groups was found. No significant difference was found as to psychopathology and functioning between voluntarily and involuntarily admitted patients at follow-up. Conclusion: Legal admission status per se did not seem to influence treatment adherence and outcome.

AB - Objective: To see, if voluntary admission for treatment in first-episode psychosis results in better adherence to treatment and more favourable outcome than involuntary admission. Method: We compared consecutively first-admitted, hospitalised patients from a voluntary (n = 91) with an involuntary (n = 126) group as to psychopathology and functioning using Positive and Negative Syndrome Scale and Global Assessment of Functioning Scales at baseline, after 3 months and at 2 year follow-up. Moreover, duration of supportive psychotherapy, medication and number of hospitalisations during the 2 years were measured. Results: More women than men were admitted involuntarily. Voluntary patients had less psychopathology and better functioning than involuntary patients at baseline. No significant difference as to duration of psychotherapy and medication between groups was found. No significant difference was found as to psychopathology and functioning between voluntarily and involuntarily admitted patients at follow-up. Conclusion: Legal admission status per se did not seem to influence treatment adherence and outcome.

KW - first episode

KW - coercion

KW - compliance

KW - psychopathology

KW - outcome

U2 - 10.1111/j.1600-0447.2009.01536.x

DO - 10.1111/j.1600-0447.2009.01536.x

M3 - Journal article

SN - 0001-690X

VL - 121

SP - 371

EP - 376

JO - Acta Psychiatrica Scandinavica

JF - Acta Psychiatrica Scandinavica

IS - 5

ER -