Evidence map›Paper›PMID 29382403›Full record

ArticleEpidemiology and psychiatric sciences2019

Involuntary psychiatric hospitalisation, stigma stress and recovery: a 2-year study.

Z Xu, B Lay, N Oexle, T Drack, M Bleiker, S Lengler, C Blank, M Müller, B Mayer, W Rössler and 1 more

Open access · bronzeAbstract read
In one paragraph

Article in Epidemiology and psychiatric sciences, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 3 pooled it
5.7field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 3 syntheses or guidelines pooled it, 48 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Review
  5. Article
  6. Article
  7. Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. Review
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Review
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 3 institutions in 4 countries.

Z XuDepartment of Psychiatry II,University of Ulm and BKH Günzburg,Ulm,Germany.
B LayDepartment of Psychiatry, Psychotherapy and Psychosomatics,Zürich University Hospital of Psychiatry,Zurich,Switzerland.
N OexleDepartment of Psychiatry II,University of Ulm and BKH Günzburg,Ulm,Germany.
T DrackDepartment of Psychiatry, Psychotherapy and Psychosomatics,Zürich University Hospital of Psychiatry,Zurich,Switzerland.
M BleikerDepartment of Psychiatry, Psychotherapy and Psychosomatics,Zürich University Hospital of Psychiatry,Zurich,Switzerland.
S LenglerDepartment of Psychiatry, Psychotherapy and Psychosomatics,Zürich University Hospital of Psychiatry,Zurich,Switzerland.
C BlankDepartment of Psychiatry, Psychotherapy and Psychosomatics,Zürich University Hospital of Psychiatry,Zurich,Switzerland.
M MüllerDepartment of Psychiatry, Psychotherapy and Psychosomatics,Zürich University Hospital of Psychiatry,Zurich,Switzerland.
B MayerInstitute of Epidemiology and Medical Biometry, University of Ulm,Ulm,Germany.
W RösslerDepartment of Psychiatry, Psychotherapy and Psychosomatics,Zürich University Hospital of Psychiatry,Zurich,Switzerland.
N RüschDepartment of Psychiatry II,University of Ulm and BKH Günzburg,Ulm,Germany.
University of Zurich · CHUniversität Ulm · DEUniversity Hospital of Zurich · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsCompulsory admission can be experienced as devaluing and stigmatising by people with mental illness. Emotional reactions to involuntary hospitalisation and stigma-related stress may affect recovery, but longitudinal data are lacking. We, therefore, examined the impact of stigma-related emotional reactions and stigma stress on recovery over a 2-year period.

methodShame and self-contempt as emotional reactions to involuntary hospitalisation, stigma stress, self-stigma and empowerment, as well as recovery were assessed among 186 individuals with serious mental illness and a history of recent involuntary hospitalisation.

resultsMore shame, self-contempt and stigma stress at baseline were correlated with increased self-stigma and reduced empowerment after 1 year. More stigma stress at baseline was associated with poor recovery after 2 years. In a longitudinal path analysis more stigma stress at baseline predicted poorer recovery after 2 years, mediated by decreased empowerment after 1 year, controlling for age, gender, symptoms and recovery at baseline.

conclusionStigma stress may have a lasting detrimental effect on recovery among people with mental illness and a history of involuntary hospitalisation. Anti-stigma interventions that reduce stigma stress and programs that enhance empowerment could improve recovery. Future research should test the effect of such interventions on recovery.

Indexed as

Involuntary TreatmentShameSocial StigmaStereotypingAdultEmotionsFemaleHospitalizationHumansMaleMental DisordersOutcome Assessment, Health CarePsychiatric Status Rating ScalesSelf ConceptStress, PsychologicalSwitzerlandCoercioncompulsory admissionempowermentrecoverystigma stress

Identifiers

PMID29382403
PMCPMC6998976
OpenAlexW2790951266

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.