...patients, were matched to 19 controls. Outcome variables were overall satisfaction with treatment, self-rated improvement recommendation of treatment to others, satisfaction with information about treatment, and degree of influence over own treatment. Data were analysed with paired t tests. There were no statistically significant differences between the patients who had been subjected to the coercive interventions and their controls. Overall satisfaction with treatment was poor for both groups, while self-rated improvement was rated as neither poor nor good. It is possible that other factors, such as the nature of the disorder and the duration of treatment, are of greater importance than the use of coercive interventions with regard to patients' satisfaction.

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Although coercion, such as forced medication and the use of physical restraints, is commonly used in psychiatric institutions in many countries (Fisher, 1994; Hoyer, 2000), little is known about the effects of these interventions (Monahan et al., 1995). Two of the most central and valid outcome measures are self-reported patient satisfaction and self-reported improvement in symptoms (Holcomb et al., 1998). While some prior studies have suggested that the use of coercion may have a negative effect on outcomes such as satisfaction with treatment and self-reported improvement in symptoms (Kalitiala-Heino et al., 1997; Wynn, 2004), other studies have reached different conclusions (Kjellin & Nilstun,...

NOTE: All illustrations and photos have been removed from this article.



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