Publications by authors named "Anastasia Karastergiou"

Purpose: This study aims to identify whether selected patient and ward-related factors are associated with the use of coercive measures. Data were collected as part of the EUNOMIA international collaborative study on the use of coercive measures in ten European countries.

Methods: Involuntarily admitted patients (N = 2,027) were divided into two groups.

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Article Synopsis
  • The study highlights that despite recognized gender differences in schizophrenia, little research has focused on how these differences affect the use of coercive measures during treatment.
  • A cohort of 522 coerced patients (291 men and 231 women) was analyzed to assess their sociodemographic and clinical characteristics, revealing that coerced women exhibited worse social functioning than men, contrary to findings in non-coerced patients.
  • Additionally, the study found that women displayed aggressive behavior more often, while men engaged in more severe acts, leading to different patterns of coercive measures used, with forced medication more common for women and physical restraint for men.
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This prospective analysis aimed to study the influence of psychopathological dimensions on the global functioning of persons suffering from psychotic disorders, taking into account the role of a broad range of potential confounders. A large international cohort (n=1888) with ICD-10 non-affective psychosis was evaluated both at baseline during a hospital admission and three months after discharge. Trained interviewers administered a global functioning scale (GAF) and a psychopathological scale (BPRS) at baseline and follow-up).

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Objective: Involuntary treatment in mental health care is a sensitive but rarely studied issue. This study was part of the European Evaluation of Coercion in Psychiatry and Harmonization of Best Clinical Practice (EUNOMIA) project. It assessed and compared the use of coercive measures in psychiatric inpatient facilities in ten European countries.

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Article Synopsis
  • Legislation and practices for involuntary hospital admission vary greatly across European countries, but their impact on outcomes hasn’t been thoroughly examined.
  • A study involving 2,326 patients across 11 countries aimed to gather patients' perceptions of their admissions within a week, with follow-ups one and three months later.
  • Results showed that a significant percentage of patients felt their admission was justified, with variations between countries, and factors like gender, living situation, and diagnosis influenced their views.
  • The findings suggest that differences in laws and practices could affect patient outcomes, highlighting the need for policy improvements in countries with less favorable results.
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The present study examined whether the comorbidity of obsessive-compulsive personality disorder (OCPD) and obsessive-compulsive disorder (OCD) constitute a specific subtype of OCD. The study sample consisted of 146 consecutive outpatients with a DSM-IV diagnosis of OCD. Diagnoses were established using MINI, IPDE, YBOCS and YBOCS-SC.

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Previous national research has shown significant variation in several aspects of coercive treatment measures in psychiatry. The EUNOMIA project, an international study funded by the European Commission, aims to assess the clinical practice of these measures and their outcomes. Its naturalistic and epidemiological design is being implemented at 13 centres in 12 European countries.

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