Paccaloni Monica, Rimondini Michela, Pozzan Tecla, Zimmermann Christa
Dipartimento di Medicina e Sanità Pubblica, Sezione di Psichiatria e Psicologia Clinica, Università di Verona, Verona.
Epidemiol Psichiatr Soc. 2008 Jan-Mar;17(1):65-76.
Evidence from the literature show that patients affected by psychosis rarely are informed about their diagnosis and/or involved in the decision making process regarding the therapeutic program. The aim of the present study is to investigate psychiatrists' clinical experiences, beliefs and attitudes towards communicating the diagnosis to patients affected by psychosis.
Three focus groups were conducted with 28 psychiatrists of different levels of expertise (10 senior psychiatrists and 18 psychiatrists in training), all working at the South-Verona Community-based Mental Health Service. The group discussions were audiotaped and transcribed. The authors derived different thematic categories which were used by two raters to classify all contributions of the psychiatrists.
The main themes of interest which emerged were: experience with the communication of the diagnosis of psychosis and main communication strategies used; obstacles and personal difficulties in giving such information.
In the psychiatric setting the disclosure of the diagnosis of psychosis implies different clinical and ethical issues and is felt as highly problematic. These findings suggest a need of psychiatrists to involve the psychotic patient in the information giving process in order to learn his/her informative needs which are the starting point for individually tailored information. The authors have no potential conflict of interest related to the subject of the paper.
文献证据表明，患有精神病的患者很少被告知其诊断结果和/或参与有关治疗方案的决策过程。本研究的目的是调查精神科医生在向患有精神病的患者传达诊断结果方面的临床经验、信念和态度。
对来自南维罗纳社区精神卫生服务中心的28名不同专业水平的精神科医生（10名资深精神科医生和18名实习精神科医生）进行了三个焦点小组访谈。小组讨论进行了录音和转录。作者得出了不同的主题类别，由两名评估者用来对精神科医生的所有发言进行分类。
出现的主要感兴趣的主题有：精神病诊断沟通的经验和使用的主要沟通策略；提供此类信息时的障碍和个人困难。
在精神科环境中，披露精神病诊断意味着不同的临床和伦理问题，并且被认为是极具问题的。这些发现表明精神科医生需要让精神病患者参与信息提供过程，以便了解其信息需求，这是量身定制信息的起点。作者与本文主题不存在潜在利益冲突。
