PRACTITIONER'S CORNERTrauma Does Not Predict Patients’ Experiences With Constant ObservationKROLL, DAVID S. MD; THOM, ROBYN MD; VAN LUNTEREN, JENNIFER MD; TORETTA, CARA MD; CROWLEY, BRITTANY MD; KNOTTS, PAULA RN; FROMSON, JOHN MDAuthor Information KROLL: Department of Psychiatry, Brigham and Women’s Hospital, Boston, MA THOM, VAN LUNTEREN, TORETTA, CROWLEY, and FROMSON: Department of Psychiatry, Brigham and Women’s Hospital, and Harvard Medical School, Boston, MA KNOTTS: Department of Nursing, Brigham and Women’s Faulkner Hospital, Boston, MA D.S.K. has received research funding and a speaking honorarium from Avasure, LLC. The remaining authors declare no conflicts of interest. Please send correspondence to: David S. Kroll, MD, 75 Francis Street, Boston, MA 02115 (e-mail: [email protected]). Journal of Psychiatric Practice: July 2018 - Volume 24 - Issue 4 - p 299-304 doi: 10.1097/PRA.0000000000000318 Buy Metrics Abstract Objective: Little is known about which patient factors are associated with a positive or negative experience of constant observation (CO) in a general hospital or emergency department. We hypothesized that posttraumatic stress disorder (PTSD) would predict a more negative experience with CO. Methods: A survey regarding the positive and negative aspects of being observed by a staff member was administered to 83 patients who were admitted to an inpatient psychiatric unit after experiencing CO; 55 of these patients had a history of trauma and 13 were diagnosed with PTSD. A total score reflecting the overall positive or negative experience of CO was calculated for each survey response. The survey also included 4 follow-up questions regarding the importance of individual observer characteristics (eg, sex), which were scored individually along a Likert scale. Results: Neither PTSD, trauma history, nor any other participant characteristic was associated with either a positive or negative overall experience with CO. Female participants were more likely than males to consider the sex and age of their staff observers to be important. Conclusions: Neither PTSD nor trauma history predicts a negative or positive experience with CO. A predictive model regarding which patients are likely to experience CO positively or negatively remains to be established. Copyright © 2018 Wolters Kluwer Health, Inc. All rights reserved.