J Korean Neuropsychiatr Assoc.  2019 Aug;58(3):238-244. 10.4306/jknpa.2019.58.3.238.

Factors Affecting Admission Type in Patients with Schizophrenia Spectrum

Affiliations
  • 1Department of Psychiatry, Seoul Medical Center, Seoul, Korea. ppsyche@seoulmc.or.kr
  • 2Department of Psychiatry, Eunpyeng Hospital, Seoul, Korea.
  • 3Department of Psychiatry, St. Andrew's Neuropsychiatric Hospital, Icheon, Korea.

Abstract


OBJECTIVES
This study examined the admission type and its related factors among patients with psychotic disorders defined based on the revised mental health welfare law.
METHODS
This study was conducted on a total of 100 patients diagnosed on the schizophrenia spectrum and other psychotic disorders. The admission type and sociodemographic characteristics were examined. Social support, psychopathology, excitement, insight, and social functioning were evaluated using the Social Support Scale, Positive and Negative Syndrome Scale (PANSS), PANSS excitement component, Brief Psychiatric Rating Scale, Global Assessment Functioning Scale, Strauss-Carpenter scale, Korean version of the Scale to Assess Unawareness of Mental Disorder, and Korean version of Beck Cognitive Insight Scale.
RESULTS
The severity of psychotic symptoms, excitement, social functioning, and insight were significantly different between involuntary and voluntary admissions (p<0.05). Excitement and insight were found to be factors affecting the admission type (p<0.05).
CONCLUSION
Excitement and insight were factors mainly accounting for the admission type in patients with psychotic disorder. This study could be helpful in improving clinical decision-making and community mental health care.

Keyword

Mental health welfare law; Admission type; Psychotic symptom; Insight

MeSH Terms

Brief Psychiatric Rating Scale
Clinical Decision-Making
Humans
Jurisprudence
Mental Disorders
Mental Health
Patient Admission
Psychopathology
Psychotic Disorders
Schizophrenia Spectrum and Other Psychotic Disorders
Schizophrenia*
Full Text Links
  • JKNA
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
    DB Error: unknown error