Would older medical patients use psychological services?

Would older medical patients use psychological services?
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DOI:
10.1093/geront/42.3.392
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发表时间:
2002-06-01
期刊:
影响因子:
5.7
通讯作者:
Hicks, S
Hicks, S
中科院分区:
医学1区
文献类型:
--
作者:
Areán, PA;Alvidrez, J;Hicks, S

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目的:本研究考察老年患者对心理服务的偏好,包括他们感兴趣的服务类型和应该由谁提供服务。设计与方法:我们调查了183名55岁及以上的初级保健患者目前的精神困扰水平和对心理服务的偏好。结果:79%的受访者表示他们会使用我们提供给他们的任何心理服务。72%的人更愿意与他们的初级保健提供者交谈,46%的样本表示他们也会与精神卫生工作者或护士谈论他们的问题。很少有老年人说他们会参加团体心理治疗,但69%的人说他们会参加心理教育课程。启示:我们的研究结果表明老年人可以接受心理社会服务,特别是个人服务和心理教育计划。对提高初级保健医疗中精神卫生治疗质量感兴趣的决策者应考虑将心理服务作为一种治疗选择。
Purpose: This study examines older patient preferences for psychological services, including the types of services they would be interested in and who should provide them. Design and Methods: We surveyed 183 primary care patients aged 55 and older on their current level of psychiatric distress and preferences for psychological services. Results: Seventy-nine percent of this sample said they would use any of the psychological services we presented to them. Seventy-two percent preferred to talk to their primary care provider, and 46% of the sample indicated that they would also speak with a mental health worker or nurse about their problems. Few older people said they would attend group psychotherapy, but 69% said they would attend psychoeducational classes. Implications: Our findings suggest that older adults would be amenable to psychosocial services, particularly individual services and psychoeducational programming. Policy makers interested in improving the quality of mental health treatment in primary care medicine should consider the inclusion of psychological services as a treatment option.