Depressed patients' perceptions of depression treatment decision-making.
Depressed patients' perceptions of depression treatment decision-making.
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抑郁症患者对抑郁症治疗决策的看法。
DOI：
10.1111/j.1369-7625.2006.00424.x
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发表时间：
2007
期刊：
影响因子：
--
通讯作者：
Härter,Martin
中科院分区：
文献类型：
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作者：
Simon,Daniela;Loh,Andreas;Wills,CeliaE;Härter,Martin
关于患者-临床医生共享决策（SDM）治疗抑郁症的可行性和效果知之甚少。本研究的目的是为SDM干预设计提供信息，旨在调查抑郁症患者对全科医生（GPs）治疗决策过程的看法。设置和参与者数据收集自40名抑郁症患者的便利样本，以从患者的角度了解治疗决策的关键方面。样本在抑郁症的严重程度和寻求治疗的环境类型方面各不相同。研究的主要变量半结构化访谈问题集中在患者的抑郁症和治疗的既往经历、对治疗决策过程的看法以及对治疗的需求和期望。目前抑郁症的严重程度也assessed.ResultsPatient缺乏洞察力，抑郁症的严重程度大大延迟患者参与寻求治疗和决策。患者希望他们的全科医生是关于抑郁症和治疗的客观信息和讨论的第一和主要来源，并为决策提供情感支持。患者还确定了需要更多的信息抑郁症及其治疗，以及关注某些方面的treatment.ConclusionsThe抑郁症治疗的背景下有一些方面，不同的治疗决策的其他类型的健康状况。抑郁症治疗的SDM方法应根据抑郁症的严重程度和患者确定的需求进行调整。
ObjectiveLittle is known about the feasibility and effects of patient‐clinician shared decision‐making (SDM) for depression treatment. Within a goal of informing the design of a SDM intervention, the objective of this study was to investigate depressed patients’ perceptions of the treatment decision‐making process with general practitioners (GPs).Setting and participantsData were gathered from a convenience sample of 40 depressed patients to understand key aspects of treatment decision‐making from the patient perspective. The sample varied in depression severity and type of setting in which treatment was sought.Main variables studiedSemi‐structured interview questions focused on patients’ prior experiences with depression and treatment, perceptions of the treatment decision‐making process, and needs and expectations about treatment. Current depression severity was also assessed.ResultsPatient lack of insight regarding depression severity substantially delayed patient engagement in treatment seeking and decision‐making. Patients expected their GPs to be a first and main source of objective information and discussion about depression and treatment and to provide emotional support for decision‐making. Patients also identified needs for additional information about depression and its treatment, as well as concerns about certain aspects of treatment.ConclusionsThe depression treatment context has some aspects that differ from treatment decision‐making for other types of health conditions. SDM approaches for depression treatment should be adapted based on depression severity and patient‐identified needs.