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Attitudes concerning involuntary treatment of mania: results of a survey within self-help organizations

Published online by Cambridge University Press:  16 April 2020

François. Borgeat  and
Daniele Zullino
François. Borgeat*
Affiliation:
Département Universitaire de Psychiatrie Adulte, Clinique de Cery, 1008Prilly-Lausanne, Switzerland
Daniele Zullino
Affiliation:
Département Universitaire de Psychiatrie Adulte, Clinique de Cery, 1008Prilly-Lausanne, Switzerland
*
*Corresponding author. E-mail address: Francois.Borgeat@inst.hospvd.ch (F. Borgeat).
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Abstract

Purpose

The objective of the study was to determine the level of involuntary treatment that mood disorder patients and their families wish in the event of a manic or hypomanic episode.

Method

A survey was conducted within two self-help organizations during two conventions gathering over 500 patients, along with families and caregivers. A clinical vignette depicting an uncollaborative hypomanic patient beginning to endanger his professional and financial situation and to put undue stress upon his family was presented and followed by an eight-item questionnaire. The level of coercive treatment seen as appropriate was measured by visual analogue scales.

Results

The 503 respondents disagreed partially with the statement that the patient should decide by himself about his hospitalization and partially favored some involuntary treatment over treatment refusal. There was no difference between patients, relatives and caregivers related to acceptance of coercive hospitalization and treatment. Respondents assigned a major role to treating teams and family members in decisions for coercive treatment.

Conclusion

Most respondents (including a majority of patients) support a moderate degree of coercive treatment in the event of a hypomanic or manic state. Surveys of opinions from concerned people could influence, practice, legislation and possibly advance directives that could be written by patients or patients organizations.

Keywords

ManiaHypomaniaCoercionPatient advocacyTreatment refusal
Type
Original article
Information
European Psychiatry , Volume 19 , Issue 3 , May 2004 , pp. 155 - 158
Copyright
Copyright © 2004 European Psychiatric Association

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