Patient experience of negative effects of psychological treatment: results of a national survey
Patient experience of negative effects of psychological treatment: results of a national survey
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DOI：
10.1192/bjp.bp.114.162628
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发表时间：
2016-03-01
影响因子：
10.5
通讯作者：
Parry, Glenys D.
中科院分区：
文献类型：
--
作者：
Crawford, Mike J.;Thana, Lavanya;Parry, Glenys D.
背景为了做出明智的选择，患者需要有关治疗的负面和正面影响的信息。关于心理干预的负面影响的信息很少。目的是确定心理治疗对常见精神障碍的负面影响的患病率和危险因素。方法对英格兰和威尔士184个服务机构接受心理治疗的人进行横断面调查。受访者被问及他们是否因接受的治疗而经历了持久的不良影响。结果在 14 587 名受访者中，763 人 (5.2%) 报告经历了持久的不良影响。 65 岁以上的人报告此类影响的可能性较小，而性少数群体和少数民族则更有可能报告此类影响。不确定自己接受哪种类型的治疗的人更有可能报告负面影响（比值比 (OR) = 1.51，95% CI 1.22-1.87），而那些声称自己在治疗开始前已获得足够的治疗信息的人则不太可能报告负面影响（OR = 0.65，95% CI 0.54-0.79）。 结论 在接受本次调查的 20 人中，有 1 人报告了心理造成的持久不良影响治疗。临床医生应在治疗开始前讨论治疗的积极和消极影响的可能性。
BackgroundTo make informed choices, patients need information about negative as well as positive effects of treatments. There is little information about negative effects of psychological interventions.AimsTo determine the prevalence of and risk factors for perceived negative effects of psychological treatment for common mental disorders.MethodCross-sectional survey of people receiving psychological treatment from 184 services in England and Wales. Respondents were asked whether they had experienced lasting bad effects from the treatment they received.ResultsOf 14 587 respondents, 763 (5.2%) reported experiencing lasting bad effects. People aged over 65 were less likely to report such effects and sexual and ethnic minorities were more likely to report them. People who were unsure what type of therapy they received were more likely to report negative effects (odds ratio (OR) = 1.51, 95% CI 1.22-1.87), and those that stated that they were given enough information about therapy before it started were less likely to report them (OR = 0.65, 95% CI 0.54-0.79).ConclusionsOne in 20 people responding to this survey reported lasting bad effects from psychological treatment. Clinicians should discuss the potential for both the positive and negative effects of therapy before it starts.