TY - JOUR
TI - Psychiatric admission as a risk factor for posttraumatic stress disorder
AU - Martinaki, Sofia
AU - Kostaras, Panagiotis
AU - Mihajlovic, Natasa and
AU - Papaioannou, Aggeliki
AU - Asimopoulos, Charis
AU - Masdrakis, Vasilis and
AU - Angelopoulos, Elias
JO - Psychiatry Research
PY - 2021
VL - 305
TODO - null
SP - null
PB - Elsevier Ireland Ltd
SN - 0165-1781
TODO - 10.1016/j.psychres.2021.114176
TODO - Adverse events during hospitalization; Coercion; Involuntary
hospitalization; Posttraumatic Stress Disorder; Insight
TODO - Psychiatric hospitalization poses a risk for Posttraumatic Stress
Disorder (PTSD), partly because of coercion. However, the role of legal
status is less clear, while factors like insight, exposure to violence
and affective disorders have not been addressed adequately. The present
study aims at assessing PTSD rates after hospitalization and evaluating
the potential role of these factors. 98 inpatients were assessed for
PTSD, insight, main diagnosis, adverse events during hospitalization and
legal status. Assessment took place at discharge (T1) and three months
later (T2). Three months after discharge, 74.2% of patients with
affective disorders met symptom-criteria for PTSD. Voluntarily
hospitalized patients had more severe PTSD-symptoms. This relation
vanished after controlling for affective disorders. The latter, as well
as exposure to violence were the most significant risk factors at T2.
Female gender, marital status (not married) and employment status (not
employed), were additional risk factors at T1, while involuntary
medication had a negative effect on PTSD-symptoms. Voluntarily
hospitalized patients are more vulnerable to PTSD, due to higher rates
of affective disorders. Females suffering from affective disorders who
are not married and not employed should be monitored for PTSD symptoms
during and after hospitalization, especially if exposed to violence.
ER -