[article]
| Titre : |
What factors are associated with seclusion in patients with psychosis? [Quels facteurs sont associés à l’utilisation de l’isolement chez des patients souffrant de psychose ?] |
| Auteurs : |
ALI-DIABACTE Husen, Auteur ; MAZARI Assia, Auteur ; RARI Eirini, Auteur ; MARTELLI Catherine, Auteur ; BENYAMINA Amine, Auteur ; ROMEO Bruno, Auteur |
| Année de publication : |
2026 |
| Article en page(s) : |
64-69 |
| Note générale : |
Fig./Tabl./44 réf. bibl. |
| Langues : |
Anglais (eng) |
| Mots-clés : |
FRANCAIS SYMPTOME PSYCHOSE ISOLEMENT THERAPEUTIQUE LANGUE MATERNELLE AGRESSIVITE |
| Résumé : |
Objective : Seclusion is a measure used as a last resort in psychiatry to manage high-risk situations of hetero- or self-agression. However, few studies have investigated factors that could be associated with seclusion. The aim of this study was to assess the clinical and socio-demographic characteristics of patients who were prescribed seclusion. Patients and methods : An observational, retrospective study was carried out between January 2019 and December 2020, including patients with psychosis who had been hospitalized. Clinical and socio-demographic characteristics, as well as psychopathological scores were compared between patients who required seclusion and those who did not. A binomial logistic regression including gender, age, symptom severity, knowledge of the French language and judicial history was performed. Results : We included 127 patients (41 of whom were prescribed seclusion). Patients requiring seclusion had more severe symptoms, as indicated by the Positive And Negative Syndrome Scale total scores (98.8 ± 21.95 vs 85.9 ± 25.64; P = 0.02), the positive symptoms subscale (28.4 ± 8.89 vs 24 ± 7.63; P = 0.02), and the general psychopathology symptoms subscale (48.3 ± 12.03 vs 41.9 ± 12.21; P = 0.02). These patients had poor knowledge of French (21% vs 4.7%; P < 0.01) and a statistical trend was found in relation to judicial history (24% vs 11%; P = 0.07). The differences in symptomatology (P = 0.03) and language knowledge (P = 0.04) were maintained in the multivariate analysis. Discussion and conclusion : Our study found that the implementation of a seclusion was associated with the severity of symptoms and with a lack of knowledge of the French language. Particular attention should therefore be paid to these specific patients in order to use de-escalation techniques and provide comprehensible explanations to patients who do not speak French. [Résumé d'auteur] |
| En ligne : |
https://doi.org/10.1016/j.encep.2025.03.004 |
| Permalink : |
https://ch-poitiers.fr/opac_css/index.php?lvl=notice_display&id=124009 |
in L'encéphale > n°1 (Février 2026 Vol. 52) . - 64-69
[article]
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