Factors Affecting Admission Type in Patients with Schizophrenia Spectrum

Young Joo Park; Min Soo Ko; Ka Eul Kim; Kyeng Hyeng Jho; Hee Jung Nam

doi:10.4306/jknpa.2019.58.3.238

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Park, Ko, Kim, Jho, and Nam: Factors Affecting Admission Type in Patients with Schizophrenia Spectrum

Original Article

Journal of Korean Neuropsychiatric Association 2019; 58(3): 238-244.

Published online: 31 August 2019

DOI: https://doi.org/10.4306/jknpa.2019.58.3.238

Factors Affecting Admission Type in Patients with Schizophrenia Spectrum

Young Joo Park, MD¹, Min Soo Ko, MD², Ka Eul Kim, MA¹, Kyeng Hyeng Jho, MD³, Hee Jung Nam, MD, PhD¹

¹Department of Psychiatry, Seoul Medical Center, Seoul, Korea.

²Department of Psychiatry, Eunpyeng Hospital, Seoul, Korea.

³Department of Psychiatry, St. Andrew's Neuropsychiatric Hospital, Icheon, Korea.

Address for correspondence: Hee Jung Nam, MD, PhD. Department of Psychiatry, Seoul Medical Center, 156 Sinnae-ro, Jungnang-gu, Seoul 02053, Korea. Tel +82-2-2276-8528, Fax +82-2-2276-8538, ppsyche@seoulmc.or.kr

Received 13 June 2019 Revised 26 June 2019 Accepted 15 July 2019

Korean Neuropsychiatric Association

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.

Keywords: Mental health welfare law, Admission type, Psychotic symptom, Insight

Figures and Tables

Table 1

Sociodemographic characteristics and disease-related information of patients (n=100)

Data are mean±standard deviation or n (%). ^* : p<0.01

Table 2

Factors related to voluntary and involuntary admission

Data are mean±standard deviation. ^* : p<0.05, ^† : p<0.01. PANSS-EC : Positive and Negative Syndrome Scale excitement component, BPRS : Brief Psychiatric Rating Scale, GAF : Global Assessment Functioning Scale, Strauss-Carpenter Scale : Strauss-Carpenter Levels of Functioning Scale, SUMD-K : Korean version of the Scale to Assess Unawareness of Mental Disorder, K-BCIS : Korean version of Beck Cognitive Insight Scale

Table 3

Logistic regression analyses for past, present admission type and related factors

^* : p<0.05. PANSS-EC : Positive and Negative Syndrome Scale excitement component, BPRS : Brief Psychiatric Rating Scale, GAF : Global Assessment Functioning Scale, Strauss-Carpenter Scale : Strauss-Carpenter Levels of Functioning Scale, SUMD-K : Korean version of the Scale to Assess Unawareness of Mental Disorder, K-BCIS : Korean version of Beck Cognitive Insight Scale, OR : Odds ratio

Notes

^{Conflicts of Interest} The authors have no financial conflicts of interest.

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