Psychiatric Department, Technische Universität München, Munich , Germany.
Psychiatr Serv. 2011 Oct;62(10):1218-21. doi: 10.1176/ps.62.10.pss6210_1218.
Involving patients with mental illness in shared decision making about their treatment has recently attracted attention, but existing interventions may insufficiently motivate or enable patients with schizophrenia to behave more actively. This study evaluated a new intervention.
In a pilot study 61 inpatients with schizophrenia or schizoaffective disorder from a psychiatric hospital in Germany were randomly assigned to receive shared decision-making training (N=32) or cognitive training (N=29, control condition).
The shared decision-making training yielded higher participation preferences and increased patients' desire to have more responsibility in treatment decisions, which continued to the six-month follow-up. Patients in the intervention group became more skeptical of treatment and were perceived as more "difficult" by their psychiatrists.
Training in shared decision making was highly accepted by patients and changed attitudes toward participation in decision making. There were some hints that it might generate beneficial long-term effects.
让患有精神疾病的患者参与到治疗决策中，这一话题最近引起了广泛关注。然而，现有的干预措施可能并不能充分激发或使精神分裂症患者更积极地参与。本研究评估了一种新的干预措施。
在一项试点研究中，德国一家精神病院的 61 名精神分裂症或分裂情感障碍住院患者被随机分配接受共享决策制定培训（n=32）或认知训练（n=29，对照组）。
共享决策制定培训产生了更高的参与偏好，并增加了患者在治疗决策中承担更多责任的愿望，这种愿望持续到了六个月的随访期。干预组的患者对治疗更加怀疑，并且被他们的精神科医生认为更“难”。
共享决策制定培训受到患者的高度接受，并改变了他们对参与决策的态度。有一些迹象表明，它可能会产生有益的长期效果。
