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Related Concept Videos

Drug Therapy01:28

Drug Therapy

The advent of drug therapy has profoundly shaped modern mental health care, providing targeted treatments for a range of psychological disorders. Psychotherapeutic drugs, classified into antianxiety, antidepressant, and antipsychotic medications, address symptoms across anxiety disorders, mood disorders, and schizophrenia. While these medications have transformed patient outcomes, they require careful management due to their potential side effects and limitations.
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Blinding is a commonly used method of not telling participants which treatment a subject is receiving. Blinding is a critical part of a randomized control trial or RCT. It reduces the bias that affects the results. In an RCT, blinding is used in the form of a placebo. A placebo effect occurs when untreated subjects falsely believe they have received the treatment and report improved symptoms. A placebo or a dummy treatment is administered to subjects to negate the bias caused by such an effect.
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Ideally, the people who observe and record the children’s behavior are unaware of who was assigned to the experimental or control group, in order to control for experimenter bias. Experimenter bias refers to the possibility that a researcher’s expectations might skew the results of the study. Remember, conducting an experiment requires a lot of planning, and the people involved in the research project have a vested interest in supporting their hypotheses. If the observers knew which child was...
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Related Experiment Video

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Reducing State Anxiety Using Working Memory Maintenance
08:17

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Published on: July 19, 2017

Reducing seclusion through involuntary medication: a randomized clinical trial.

Irina Georgieva1, Cornelis L Mulder, Eric Noorthoorn

  • 1Research Center O3, Department of Psychiatry, Erasmus MC, Rotterdam, The Netherlands; Mental Health Center Western North-Brabant, Halsteren, The Netherlands.

Psychiatry Research
|September 7, 2012
PubMed
Summary

Involuntary medication reduced seclusion incidents in psychiatric care but did not decrease overall coercive events. Further interventions are needed to manage acute aggression effectively.

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Area of Science:

  • Psychiatry
  • Clinical Psychology
  • Health Services Research

Background:

  • Managing agitation and violence in acute psychiatric wards often involves restrictive interventions.
  • Seclusion and involuntary medication are common, yet controversial, methods for patient safety.

Purpose of the Study:

  • To determine if prioritizing involuntary medication over seclusion reduces the frequency and duration of coercive incidents.
  • To compare the effectiveness of two intervention strategies for acute aggression management.

Main Methods:

  • Randomized controlled trial comparing involuntary medication (Group 1) versus seclusion (Group 2) as first-choice interventions.
  • Statistical analysis of seclusion and involuntary medication incidence rates and durations using Pearson chi-squared and t-tests.
  • Calculation of risk ratios (RRs) to assess differences in coercive incidents.

Main Results:

  • Group 1 showed a lower relative risk of seclusion but a higher risk of involuntary medication compared to Group 2.
  • No significant differences were found in the mean duration of seclusion or the total number of coercive incidents between the groups.
  • Involuntary medication effectively substituted for seclusion, reducing its incidence.

Conclusions:

  • While involuntary medication can decrease seclusion rates, it does not reduce the overall number or duration of coercive incidents.
  • Alternative strategies are required to comprehensively manage acute aggression and reduce overall patient restraint.
  • Implementing new policies for acute aggression, like involuntary medication, necessitates specific supportive conditions for effectiveness.