Perceived humiliation during admission to a psychiatric emergency service and its relation to socio-demography and psychopathology

BMC Psychiatry

Research Article

Marit F Svindseth¹  Jim A Nøttestad²  Alv A Dahl³ 

[1] Aalesund University College, P.O. Box 1517, N-6025, Aalesund, Norway;Department of Forensic Psychiatry, Brøset, St. Olav’s Hospital, 7440, Trondheim, Norway;Department of Oncology, Oslo University Hospital, Radiumhospitalet, 0424, Oslo, Norway;University of Oslo, 0316, Oslo, Norway;

关键词: Humiliation;    Psychiatry;    Narcissism;    Psychopathology;    Violence;   

DOI  :  10.1186/1471-244X-13-217

 received in 2013-01-19, accepted in 2013-08-27,  发布年份 2013

来源: Springer

【 摘 要 】

BackgroundThere is a lack of empirical studies of patients’ level of humiliation during the hospital admission process and its implications for the clinical setting. We wanted to explore associations between self-rated humiliation and socio-demography and psychopathology in relation to admission to a psychiatric emergency unit.MethodsConsecutively admitted patients (N = 186) were interviewed with several validated instruments. The patients self-rated humiliation by The Cantril Ladder, and 35% of the sample was defined as the high humiliation group.ResultsFinal multivariate analysis found significant associations between compulsory admission, not being in paid work, high scores on hostility, and on entitlement, and high levels of humiliation. No significant interactions were observed between these variables, and the narcissism score was not a confounder concerning humiliation.ConclusionsHigh level of humiliation during the admission process was mainly related to patient factors, but also to compulsory admission which should be avoided as much as possible protecting the self-esteem of the patients.

【 授权许可】

CC BY   
© Svindseth et al.; licensee BioMed Central Ltd. 2013