[The Experience of Being Admitted to a Psychiatric Clinic: Part 1: Development of a Questionnaire (QAE-P)]

Overview

Journal Nervenarzt

Specialty Neurology

Date 2012 Apr 6

PMID 22476441

Citations 1

Authors

J Wertz

F Hohagen

R Borbe

T Steinert

B Vieten

A Diefenbacher

K T Kronmuller

M Lohr

D Richter

S Urban

M Driessen

Affiliations

Soon will be listed here.

Abstract

Background: The aim of the present study was to develop a questionnaire to assess the perception and evaluation of admission to a psychiatric hospital from a patient's perspective (QAE-P).

Material And Methods: Based on existing literature and a preparatory pilot study, a questionnaire consisting of 126 items was developed, and 708 inpatients based in 6 psychiatry and psychotherapy clinics were asked to answer the items. The resulting data were split into two data sets. In the first subset, exploratory factor analysis was used to help determine the number of scales and provide the basis for item reduction. The resulting questionnaire was validated by means of confirmatory factor analyses (CFA) in the second data subset.

Results: The resulting questionnaire comprises 33 items in 7 scales, which assess: (1) helpful, positive relations with staff members; (2) offering of medical explanations to patients and their involvement in treatment planning; (3) evaluation of rooms and clinical environment; (4) dissatisfaction with doctors and staff members; (5) evaluation of handling of ward rules by staff; (6) perception of ward atmosphere; and (7) negative perception of other inpatients. The plausibility of this factorial structure was supported by the results of the CFA.

Conclusions: The QAE-P is a short and feasible questionnaire that meets the criteria of classic test theory and assesses different dimensions of the patient's experience of admission to a psychiatric hospital.

Citing Articles

[Compulsory treatment in psychiatry: an ethical analysis of the new legal regulations for clinical practice].

Vollmann J Nervenarzt. 2013; 85(5):614-20.

PMID: 23979362 DOI: 10.1007/s00115-013-3866-9.

References

Borbe R, Klein A, Onnen M, Flammer E, Bergk J, Steinert T . [Subjective patient experience of psychiatric admissions]. Psychiatr Prax. 2009; 37(1):20-6. DOI: 10.1055/s-0029-1223338. View

Bentler P . Comparative fit indexes in structural models. Psychol Bull. 1990; 107(2):238-46. DOI: 10.1037/0033-2909.107.2.238. View

Tarrier N, Khan S, Cater J, Picken A . The subjective consequences of suffering a first episode psychosis: trauma and suicide behaviour. Soc Psychiatry Psychiatr Epidemiol. 2006; 42(1):29-35. DOI: 10.1007/s00127-006-0127-2. View

Ruggeri M, Salvi G, Perwanger V, Phelan M, Pellegrini N, Parabiaghi A . Satisfaction with community and hospital-based emergency services amongst severely mentally ill service users: a comparison study in South-Verona and South-London. Soc Psychiatry Psychiatr Epidemiol. 2006; 41(4):302-9. DOI: 10.1007/s00127-006-0030-x. View

Bindman J, Reid Y, Szmukler G, Tiller J, Thornicroft G, Leese M . Perceived coercion at admission to psychiatric hospital and engagement with follow-up--a cohort study. Soc Psychiatry Psychiatr Epidemiol. 2005; 40(2):160-6. DOI: 10.1007/s00127-005-0861-x. View

Rain S, Williams V, Robbins P, Monahan J, Steadman H, Vesselinov R . Perceived coercion at hospital admission and adherence to mental health treatment after discharge. Psychiatr Serv. 2003; 54(1):103-5. DOI: 10.1176/appi.ps.54.1.103. View

OConnor B . SPSS and SAS programs for determining the number of components using parallel analysis and velicer's MAP test. Behav Res Methods Instrum Comput. 2000; 32(3):396-402. DOI: 10.3758/bf03200807. View

Horn J . A RATIONALE AND TEST FOR THE NUMBER OF FACTORS IN FACTOR ANALYSIS. Psychometrika. 1965; 30:179-85. DOI: 10.1007/BF02289447. View

Katsakou C, Marougka S, Garabette J, Rost F, Yeeles K, Priebe S . Why do some voluntary patients feel coerced into hospitalisation? A mixed-methods study. Psychiatry Res. 2011; 187(1-2):275-82. DOI: 10.1016/j.psychres.2011.01.001. View

10.

Fleischmann H . [What Expectations do Mental Disordered People have about the Treatment in an Psychiatric Hospital?]. Psychiatr Prax. 2003; 30(Suppl 2):136-139. DOI: 10.1055/s-2003-39756. View

11.

Donders A, van der Heijden G, Stijnen T, Moons K . Review: a gentle introduction to imputation of missing values. J Clin Epidemiol. 2006; 59(10):1087-91. DOI: 10.1016/j.jclinepi.2006.01.014. View

12.

Day J, Bentall R, Roberts C, Randall F, Rogers A, Cattell D . Attitudes toward antipsychotic medication: the impact of clinical variables and relationships with health professionals. Arch Gen Psychiatry. 2005; 62(7):717-24. DOI: 10.1001/archpsyc.62.7.717. View

13.

McDonald R, Ho M . Principles and practice in reporting structural equation analyses. Psychol Methods. 2002; 7(1):64-82. DOI: 10.1037/1082-989x.7.1.64. View

14.

Svindseth M, Dahl A, Hatling T . Patients' experience of humiliation in the admission process to acute psychiatric wards. Nord J Psychiatry. 2007; 61(1):47-53. DOI: 10.1080/08039480601129382. View

15.

Gardner W, Hoge S, Bennett N, Roth L, Lidz C, Monahan J . Two scales for measuring patients' perceptions for coercion during mental hospital admission. Behav Sci Law. 1993; 11(3):307-21. DOI: 10.1002/bsl.2370110308. View

16.

Gardner W, Lidz C, Hoge S, Monahan J, Eisenberg M, Bennett N . Patients' revisions of their beliefs about the need for hospitalization. Am J Psychiatry. 1999; 156(9):1385-91. DOI: 10.1176/ajp.156.9.1385. View