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精神病患者对心理治疗的偏好:试验参与、治疗模式和随机意愿。

Preferences for psychological therapy in psychosis: trial participation, mode of treatment, and willingness to be randomised.

机构信息

School of Psychological Sciences, University of Manchester , Manchester , UK and.

出版信息

J Ment Health. 2014 Apr;23(2):67-71. doi: 10.3109/09638237.2013.841865. Epub 2013 Dec 12.

DOI:10.3109/09638237.2013.841865
PMID:24328784
Abstract

BACKGROUND

Psychological therapies for psychosis are well evidenced; however, service user preferences for psychological treatment and trial participation have been little researched.

AIMS

To investigate preferences for psychological treatments for psychosis and trial participation decisions within a sample of people with experience of psychosis.

METHOD

Hypothetical preferences were assessed in 90 individuals diagnosed with non-affective psychosis: (a) willingness/unwillingness to participate in a psychological therapy trial; (b) willingness/unwillingness to be randomised to treatment condition; (c) preference for mode of therapy; (d) reasons for preferences; (e) socio-demographic and clinical characteristics associated with preferences.

RESULTS

Most participants reported willingness to participate in a therapy trial and preferred not to be randomly allocated. Reasons for preferences were diverse, and preferences were not associated with socio-demographic or clinical variables.

CONCLUSIONS

The need for treatment choice in services for psychosis and further research in this area has been highlighted.

摘要

背景

心理治疗在精神疾病方面已有充分的证据支持;然而,服务使用者对心理治疗的偏好以及参与试验的意愿在研究中却很少被提及。

目的

在有精神疾病经历的人群样本中,调查对精神疾病心理治疗的偏好和参与试验的决定。

方法

对 90 名被诊断为非情感性精神病的个体进行了假设偏好评估:(a) 参加心理治疗试验的意愿/不愿意;(b) 愿意/不愿意随机分配到治疗组;(c) 对治疗模式的偏好;(d) 偏好的原因;(e) 与偏好相关的社会人口统计学和临床特征。

结果

大多数参与者表示愿意参加治疗试验,并且更倾向于不被随机分配。偏好的原因多种多样,而且与社会人口统计学或临床变量无关。

结论

突出了在精神疾病服务中需要进行治疗选择,并进一步在该领域进行研究。

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