College of Physicians and Surgeons, The New York State Psychiatric Institute and Columbia University, 1051 Riverside Drive, Unit 69, New York, NY 10032, USA.
Community Ment Health J. 2010 Oct;46(5):466-73. doi: 10.1007/s10597-010-9323-3. Epub 2010 Jun 17.
This study explored preferences for treatment decision making using the Control Preferences Scale and Problem Solving Decision Making Scale among a sample of ethnically diverse adults (N = 60) seeking treatment for anxiety and depression. Most participants expressed a desire for participation in shared decision making. Being Hispanic was significantly associated with a more passive role in decision making. Participants preferred more involvement in decision making versus problem solving tasks for both mental and general health vignettes, and more involvement in mental health versus general health decision-making. More research is needed to confirm tentative results on the influence of sociodemographic variables on preferences for role and participation in treatment decision making and the variation in these preferences. Treatment seeking individuals with anxiety and depression have identifiable preferences for participation in decision making. Asking about patient preferences and a better understanding of variability in preferences may improve patient-provider communication.
本研究使用控制偏好量表和问题解决决策量表，对寻求焦虑和抑郁治疗的种族多样化成年人样本（N=60），探索了治疗决策偏好。大多数参与者表示希望参与共同决策。西班牙裔与决策中更被动的角色显著相关。对于心理和一般健康情况简述，参与者更喜欢更多地参与决策而不是解决问题，并且更倾向于在心理健康方面的决策而非一般健康决策。需要进一步的研究来证实社会人口统计学变量对治疗决策角色和参与偏好的影响以及这些偏好的变化的初步结果。有焦虑和抑郁症状的治疗寻求者对参与决策有明确的偏好。询问患者的偏好并更好地了解偏好的变化，可能会改善医患沟通。
