VA National Serious Mental Illness Treatment Resource and Evaluation Center and the Health Services, Research and Development Center of Excellence, Ann Arbor, Michigan 48109, USA.
Health Commun. 2011 Apr;26(3):267-74. doi: 10.1080/10410236.2010.549813.
Many individuals with a mental illness are not satisfied with their communication with their primary provider. The present study examined the relationship of serious mental illness (SMI), substance use disorder (SUD), and trust for the provider with provider communication. The sample included Veterans Administration (VA) patients throughout the United States who either had a SMI diagnosis (schizophrenia or bipolar disorder) or were in a random sample of non-SMI patients (total N=8,089). Latent class (LC) modeling identified three classes of provider communication ratings in the sample: very good, good, and poor. In LC regression, poor trust for the provider was associated with a decrease in the likelihood of being in the "very good" or "good" compared to the "poor" provider communication ratings group, and the decrease was significantly greater for VA patients with a SMI or SUD diagnosis than those without. Training providers on creating trust is particularly important for those who serve patients with SMI and SUD diagnoses.
许多精神疾病患者对与主要治疗师的沟通并不满意。本研究调查了严重精神疾病（SMI）、物质使用障碍（SUD）和对提供者的信任与提供者沟通之间的关系。该样本包括美国各地的退伍军人事务部（VA）患者，他们要么有 SMI 诊断（精神分裂症或双相情感障碍），要么是在非 SMI 患者的随机样本中（共 N=8089）。潜在类别（LC）模型确定了样本中三种提供者沟通评分等级：非常好、好和差。在 LC 回归中，提供者的信任度差与降低“非常好”或“好”的可能性相关，与“差”提供者沟通评分组相比，VA 患者的 SMI 或 SUD 诊断比没有诊断的患者下降幅度更大。培训提供者建立信任对于那些为 SMI 和 SUD 诊断患者服务的人尤为重要。
