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

Research output: Contribution to journal › Journal article › Research › 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.

Original language	English
Journal	Acta Psychiatrica Scandinavica
Volume	121
Issue number	5
Pages (from-to)	371-376
Number of pages	5
ISSN	0001-690X
DOIs	https://doi.org/10.1111/j.1600-0447.2009.01536.x
Publication status	Published - 2010

Keywords

first episode
coercion
compliance
psychopathology
outcome

Link to document

10.1111/j.1600-0447.2009.01536.x

Cite this

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.}",

year = "2010",

doi = "10.1111/j.1600-0447.2009.01536.x",

language = "English",

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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

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DO - 10.1111/j.1600-0447.2009.01536.x

M3 - Journal article

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VL - 121

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EP - 376

JO - Acta Psychiatrica Scandinavica

JF - Acta Psychiatrica Scandinavica

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