Conflict of Interest Statement
Frequency of Physical Restraint and Its Associations With Demographic and Clinical Characteristics in a Chinese Psychiatric Institution
Article first published online: 20 NOV 2013
© 2013 Wiley Periodicals, Inc
Perspectives in Psychiatric Care
How to Cite
Zhu, X.-M., Xiang, Y.-T., Zhou, J.-S., Gou, L., Himelhoch, S., Ungvari, G. S., Chiu, H. F. K., Lai, K. Y. C. and Wang, X.-P. (2013), Frequency of Physical Restraint and Its Associations With Demographic and Clinical Characteristics in a Chinese Psychiatric Institution. Perspectives in Psychiatric Care. doi: 10.1111/ppc.12049
The authors report no actual or potential conflicts of interest.
- Article first published online: 20 NOV 2013
- Manuscript Accepted: 15 OCT 2013
- Manuscript Revised: 11 OCT 2013
- Manuscript Received: 27 AUG 2013
- Key Projects in the National Science & Technology Pillar Program. Grant Number: 2012BAK16B00
- National Natural Science Foundation of China. Grant Numbers: 30800368, 81071107
- physical restraint;
- psychiatric inpatient
Physical restraint (PR) is a highly controversal topic in psychiatry. Little is known about PR among psychiatric inpatients in China. This study examined the frequency of PR and its relationships with demographic and clinical characteristics among a large psychiatric institution in the Hunan Province, China.
Design and Methods
The study included a consecutively assessed sample of 160 psychiatric inpatients. Sociodemographic and clinical data including use of PR were collected from the medical records using a form designed for this study and confirmed via interview.
The frequency of PR was 51.3% in the whole sample; 63.2% among female and 39.2% among male patients. In multiple logistic regression analysis PR was independently associated with male gender (p = 0.001, odds ratio [OR] = 0.2, 95% confidence interval [CI] 0.1–0.6), less outpatient treatment prior to admission (p = 0.03, OR = 0.3, 95% CI 0.1–0.9), more frequent use of mood stabilizers (p = 0.002, OR = 5.6, 95% CI 1.9–16.7), more aggressive behavior prior to admission (p = 0.002, OR = 1.1, 95% CI 1.04–1.2), and younger age (p = 0.04, OR = 0.97, 95% CI 0.93–0.99).
PR is very common in clinical practice in China. Its demographic and clinical correlates are similar to findings in Western settings.