Beliefs about psychotropic medication and psychotherapy among primary care patients with anxiety disorders
Beliefs about psychotropic medication and psychotherapy among primary care patients with anxiety disorders
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初级保健焦虑症患者对精神药物和心理治疗的信念
DOI：
10.1002/da.20067
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发表时间：
2005
影响因子：
7.4
通讯作者：
P. Roy
中科院分区：
文献类型：
--
作者：
A. Wagner;A. Bystritsky;J. Russo;M. Craske;C. Sherbourne;M. Stein;P. Roy
初级卫生保健诊所越来越多地提供焦虑症的精神/心理治疗，特别是对于那些无法充分获得专业心理健康服务的患者。充分的治疗需要了解并关注患者对可用治疗方案的信念。目前的调查调查了患有焦虑症的初级保健患者样本对精神药物和心理治疗的信念。还探讨了关键人口变量对这些信念强度的影响。未发现特定焦虑症的存在会影响对任一类型治疗的信念强度。相比之下，抑郁症的存在有一种趋势与对精神药物的更有利态度有关。与之前的研究一致，少数族裔患者对精神药物和心理治疗的态度较差。这些发现强调了在诊断和人口统计学群体中开始精神药物或心理治疗之前评估患者信念的重要性。从业者应特别警惕焦虑症患者和少数民族成员对治疗方案可能持不太有利的态度。因此，通过直接解决这些信念可以提高治疗依从性。 © 2005 Wiley-Liss, Inc.
Primary health care clinics are increasingly providing psychiatric/psychological treatment of anxiety disorders, particularly for patients who do not have adequate access to specialty mental health services. Adequate treatment requires knowledge of and attention to patients' beliefs about available treatment options. The current investigation examined beliefs about psychotropic medications and psychotherapy among a sample of primary care patients with anxiety disorders. The influence of key demographic variables on strength of these beliefs was also explored. The presence of specific anxiety disorders was not found to impact strength of beliefs about either type of treatment. In contrast, there was a trend for the presence of depression to relate to more favorable attitudes toward psychotropic medication. Consistent with previous studies, ethnic minority patients reported less favorable attitudes toward both psychotropic medications and psychotherapy. These findings underscore the importance of assessing patient beliefs prior to the initiation of either psychotropic medications or psychotherapy across diagnostic and demographic groups. Practitioners should be particularly alert to the possibility that patients with anxiety disorders and members of ethnic minority groups may have less favorable attitudes toward treatment options. Treatment adherence may therefore be increased by addressing these beliefs directly. © 2005 Wiley‐Liss, Inc.
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