Trial reportEuropean archives of psychiatry and clinical neuroscience2021
Effect of standardized post-coercion review session on symptoms of PTSD: results from a randomized controlled trial.
Trial report in European archives of psychiatry and clinical neuroscience, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03512925 (Effects of a Standardized Post-coercion Review Session on Objective and Perceived Coercion), which is not on this map. Cited by 10 papers, 1 of them a synthesis that pooled it.
What it found
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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.
Effects of a Standardized Post-coercion Review Session on Objective and Perceived Coercion
Who cites it
10 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Post-incident debriefing for people with schizophrenia after coercive measures.The Cochrane database of systematic reviews · 2025Pooled it
- Effect of standardized post-coercion review on subjective coercion: Results of a randomized-controlled trial.European psychiatry : the journal of the Association of European Psychiatrists · 2021Trial
- Psychiatric Care Pathways and the Use of Coercion: From Pre-Hospital to Inpatient Settings.Community mental health journal · 2026Article
- Effect of coercive measures on mental health status in adult psychiatric populations: a nationwide trial emulation.Epidemiology and psychiatric sciences · 2024Article
- Children and adolescents at risk for seclusion and restraint in inpatient psychiatric treatment: a case control study.Child and adolescent psychiatry and mental health · 2024Article
- Shared decision-making in post-coercion debriefing interventions in psychiatry - a scoping review.Frontiers in psychiatry · 2024Article
- A qualitative integrative analysis of service users' and service providers' perspectives on ways to reduce coercion in mental health care.Social psychiatry and psychiatric epidemiology · 2023Article
- Editorial: Emergency in psychiatry-The various facets of behavioral emergencies, crises and suicidality, volume II.Frontiers in psychiatry · 2022Article
- Building up resilience in an uncertain world: mental health challenges in the aftermath of the first modern pandemic.European archives of psychiatry and clinical neuroscience · 2021Article
- Effects of Recovery-Orientation on the Use of Forced Medication and Maximum Daily Drug Dose: The "Weddinger Modell".Frontiers in psychiatry · 2021Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivePost-coercion review is increasingly regarded as a mean to reduce the negative consequences of coercive interventions, including the development of posttraumatic symptoms. However, the efficacy of this intervention in preventing posttraumatic symptoms or PTSD has not been sufficiently studied. The objective of this study is to examine the influence of a single, standardized post-coercion review session on the development or exacerbation of PTSD symptoms in patients with psychotic disorders.
methodsIn a multi-center, two-armed, randomized controlled trial, patients who experienced coercive interventions during current hospitalization were either randomized to standard treatment or an intervention group receiving a guideline-based, standardized reflecting review session. Factorial MANCOVA and subsequent ANCOVAs investigated the effects of the post-coercion reflecting review session on post-traumatic symptoms as measured by the subscales of the Impact of Events Scale-Revised (IES-R). Similarly, the effect of the intervention on the intensity of the peritraumatic reactions measured by the Peritraumatic Distress Inventory (PDI) was analyzed by conducting a factorial ANCOVA.
resultsN = 82 patients were included in an intention-to-treat analysis. MANCOVA and post hoc ANCOVAs revealed a significant main effect of the intervention for the IES-R subscales intrusion and hyperarousal, when controlling for levels of peritraumatic distress, whereby intervention group participants presented lower respective mean scores. There was no significant difference regarding the intensity of the peritraumatic reaction.
conclusionStandardized post-coercion review contributes to a reduction of the burden of PTSD symptoms in patients with psychotic disorders experiencing coercive interventions in acute settings and shall be recommended as a measure of trauma-informed care. The trial was registered at ClinicalTrials.gov (ID NCT03512925) on 01/30/2018 (retrospectively registered).
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