Battle Cynthia L, Uebelacker Lisa, Friedman Michael A, Cardemil Esteban V, Beevers Christopher G, Miller Ivan W
Warren Alpert Medical School of Brown University and Butler Hospital, Providence, RI 02906, USA.
J Psychiatr Pract. 2010 Nov;16(6):425-30. doi: 10.1097/01.pra.0000390763.57946.93.
Treatment goals and preferences of depressed patients are important, but they are rarely empirically studied. Although clinicians are likely to discuss goals with individual patients, research that clarifies overall patterns in the treatment goals of depressed patients could be useful in informing new interventions for depression. Such research could also potentially help address problems such as poor adherence and psychotherapy drop-out. In this preliminary qualitative investigation, we examined treatment goals established by depressed outpatients in the context of a trial of behaviorally oriented psychotherapy. The treatment goals that were most commonly articulated included improving social and family relationships, increasing physical health behaviors, finding a job, and organizing one's home. These results underscore the fact that, in addition to improvement in the symptoms of depression, functional improvements are viewed as key treatment goals by depressed individuals.
抑郁症患者的治疗目标和偏好很重要，但很少有实证研究。尽管临床医生可能会与个体患者讨论目标，但阐明抑郁症患者治疗目标总体模式的研究，可能有助于为抑郁症的新干预措施提供信息。此类研究还可能有助于解决诸如依从性差和心理治疗退出等问题。在这项初步的定性调查中，我们在一项以行为为导向的心理治疗试验背景下，研究了门诊抑郁症患者确立的治疗目标。最常阐明的治疗目标包括改善社交和家庭关系、增加促进身体健康的行为、找到工作以及整理家居。这些结果强调了一个事实，即除了改善抑郁症状外，功能改善被抑郁症患者视为关键的治疗目标。
