The Admission Experience Survey Italian Version (I-AES): A factor analytic study on a sample of 156 acute psychiatric in-patients

Mandarelli, Gabriele; Parmigiani, Giovanna; Trobia, Federico; Tessari, Gianmarco; Roma, Paolo; Biondi, Massimo; Ferracuti, Stefano

doi:10.1016/j.ijlp.2018.12.006

Cited by 5 publications

(5 citation statements)

References 38 publications

(87 reference statements)

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“…Coercive measures, such as involuntary hospitalisation, are often regarded as an inevitable and yet highly debated feature of psychiatric care, because of the serious ethical concerns due to their implications in terms of possible violations of personal rights, and limitations of individuals' liberties (Mandarelli et al, 2019;Svindseth et al, 2007).…”

Section: Introductionmentioning

confidence: 99%

Involuntary psychiatric hospitalization in Italy: critical issues in the application of the provisions of law

Ferracuti

Parmigiani

Catanesi

et al. 2020

International Review of Psychiatry

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Involuntary psychiatric hospitalisation in Italy raises some critical forensic issues. We analysed the sociodemographic, psychopathological, and behavioural characteristics of involuntarily hospitalised psychiatric patients, and the effectiveness of the juridical procedure of guarantee. Case files (n ¼ 2796) related to involuntary psychiatric hospitalisation (IPH) at the Office of the Tutelary Judge of the Ordinary Court of Rome (Italy) between January 2013 and May 2016 were analysed. For each case file sociodemographic, clinical and procedural information were collected. The sample included 53.7% men, patients had a mean age of 41.8 ± 13.9. Most of the IPH proposal certificates reported more than one reason, among which the most frequent were symptoms referring to a psychotic dimension (54.8%), agitation (38.0%), and symptoms of bipolar and related disorders (26.3%) Female patients showed a higher prevalence of symptoms of the bipolar spectrum (F ¼ 29.7%, M ¼ 23.3%; p < 0.05), while male patients showed a higher prevalence of aggressive behaviour (F ¼ 7.7%, M ¼ 12.6%; p < 0.01). Over 85% of the IPH proposal certificates did not explicitly mention issues related to adherence to care, which is the second criterium requested for IH (treatment refusal) and up to 7.3% of the proposals were not properly motivated. However, only 0.8% cases were not validated by the Tutelary Judge. Possible issues in the IPH procedures emerged since a significant number of certifications showed poor concordance with law-criteria for involuntary psychiatric hospitalisation. Despite this evidence, the low rate of unvalidated procedures by the Tutelary Judge, suggests a possible limitation of this form of guarantee.

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Section: Introductionmentioning

confidence: 99%

Involuntary psychiatric hospitalization in Italy: critical issues in the application of the provisions of law

Ferracuti

Parmigiani

Catanesi

et al. 2020

International Review of Psychiatry

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“…The average length of time for the second assessment was 12.54 (SD: 10.37) days. Validity was estimated based on the first assessment, by testing the three-factor model (perceived coercion, negative pressure, and voice subdomains) as reported in previous studies [ 18 , 33 , 34 ], a one-factor model [ 33 ], and a new bifactor model. To assess convergent validity, the following hypotheses were proposed: Firstly, the P-AES, including its perceived coercion and negative pressure domains, would exhibit positive correlations with the Coercion Ladder.…”

Section: Methodsmentioning

confidence: 99%

“…Lastly, the Voice or Procedural justice domain relates to having an opportunity to express one's opinion regarding hospital admission [ 23 , 32 ]. The AES has demonstrated favorable psychometric properties and has been valuable in assessing the subjective experience of coercion in various psychiatric clinical environments [ 33 , 34 ]. Despite facing criticism for its focus solely on the hospital admission process and its limited ability to assess the impact of other coercive measures in the same situation [ 10 ], the AES still holds significant value because the admission experience plays a crucial role in shaping the overall impact of other coercive measures throughout admission and therapeutic relationships formed [ [35] , [36] , [37] ].…”

Section: Introductionmentioning

confidence: 99%

“…Not many studies that have used the McArthur Admission Experience survey have validated the instrument in their context before use. The validation processes of the Swedish [ 26 ] Chinese [ 31 ], French [ 33 ] and Italian [ 34 ] versions of the AES have been reported. However, doubts have arisen regarding the actual factor structure of the AES due to concerns about the methodology used in the previous psychometric analyses.…”

Section: Introductionmentioning

confidence: 99%

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Revisiting the psychometric properties of the McArthur admission experience survey: Validating the Portuguese version using a bifactor approach

Aluh,

Azeredo-Lopes,

Pedrosa

et al. 2024

Heliyon

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“…By doing so we assumed that the psychopathological elements that the expert had decided to describe in the report and therefore to convey to the judge, were those that the expert had taken into account in the decision-making process. This method has already been used in another study by our group [28]. Five BPRS factor scores were calculated, i.e., manic/excitement, depression/ suicidality, hostility, positive symptoms, and negative symptoms [29].…”

Section: Methodsmentioning

confidence: 99%

Validation of a new instrument to guide and support insanity evaluations: the defendant’s insanity assessment support scale (DIASS)

et al. 2022

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The insanity defense represents one of the most controversial and debated evaluations performed by forensic psychiatrists and psychologists. Despite the variation among different jurisdictions, in Western countries, the legal standards for insanity often rely on the presence of cognitive and/or volitional impairment of the defendant at the time of the crime. We developed the defendant’s insanity assessment support scale (DIASS) based on a wide view of competent decision-making, which reflects core issues relevant to legal insanity in many jurisdictions. To assess the characteristics of the DIASS we asked 40 forensic experts (16% women; years of experience = 20.6 ± 12.9) to evaluate 10 real-life derived forensic cases with the DIASS; cases included defendants’ psychiatric symptom severity, evaluated through the 24-itemBrief Psychiatric Rating Scale (BPRS). Exploratory factor analysis by principal axis factoring was conducted, which disclosed a two-factor solution explaining 57.6% of the total variance. The DIASS showed a good internal consistency (Cronbach’s alpha = 0.86), and substantial inter-rater reliability (Cohen’s kappa = 0.72). The capacities analyzed through the DIASS were mainly affected by mania/excitement and psychotic dimensions in nonresponsible and with substantially diminished responsibility defendants, while by hostility and negative symptoms in responsible defendants. The DIASS proved to be an effective psychometric tool to guide and structure insanity defense evaluations, in order to improve their consistency and reliability.

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The Admission Experience Survey Italian Version (I-AES): A factor analytic study on a sample of 156 acute psychiatric in-patients

Cited by 5 publications

References 38 publications

Involuntary psychiatric hospitalization in Italy: critical issues in the application of the provisions of law

Involuntary psychiatric hospitalization in Italy: critical issues in the application of the provisions of law

Revisiting the psychometric properties of the McArthur admission experience survey: Validating the Portuguese version using a bifactor approach

Validation of a new instrument to guide and support insanity evaluations: the defendant’s insanity assessment support scale (DIASS)

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