The customer is always right? Subjective target symptoms and treatment preferences in patients with psychosis

The customer is always right? Subjective target symptoms and treatment preferences in patients with psychosis
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顾客永远是对的?

DOI:
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发表时间:
2017
影响因子:
4.7
通讯作者:
M. Nagel
M. Nagel
中科院分区:
医学2区
文献类型:
--
作者:
S. Moritz;F. Berna;S. Jaeger;S. Westermann;M. Nagel

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临床医生和患者在治疗目标上存在分歧。80名精神分裂症患者在网上接受了评估,了解他们认为哪些症状对治疗最重要,以及他们接受不同干预措施的经历。情感和神经心理问题的治疗被认为比阳性症状的治疗更重要(p < 0.005)。虽然大多数人都接受过职业和运动治疗,但只有少数人接受过认知行为治疗、家庭治疗和家庭成员的心理教育。患者评价谈话、精神分析、艺术治疗以及元认知训练是最有帮助的治疗方法。临床医生应仔细考虑患者的偏好,因为忽视消费者的意见可能会损害结果和坚持治疗。
Clinicians and patients differ concerning the goals of treatment. Eighty individuals with schizophrenia were assessed online about which symptoms they consider the most important for treatment, as well as their experience with different interventions. Treatment of affective and neuropsychological problems was judged as more important than treatment of positive symptoms (p < 0.005). While most individuals had experience with Occupational and Sports Therapy, only a minority had received Cognitive-Behavioral Therapy, Family Therapy, and Psychoeducation with family members before. Patients appraised Talk, Psychoanalytic, and Art Therapy as well as Metacognitive Training as the most helpful treatments. Clinicians should carefully take into consideration patients’ preferences, as neglect of consumers’ views may compromise outcome and adherence to treatment.
DOI: 10.1016/j.cpr.2013.05.005
发表时间: 2013-08-01
影响因子: 12.8
作者:
Khoury, Bassam;Lecomte, Tania;Hofmann, Stefan G.
通讯作者: Hofmann, Stefan G.