Lim Leslie, Goh Justine, Chan Yiong-Huak, Poon Shi-Hui
Senior Consultant, Department of Psychiatry, Singapore General Hospital, Singapore
Research Coordinator, Department of Psychiatry, Singapore General Hospital, Singapore.
Australas Psychiatry. 2016 Dec;24(6):556-560. doi: 10.1177/1039856216658828. Epub 2016 Jul 15.
Negative perceptions about psychiatric treatment are likely to affect treatment adherence. We compared attitudes of patients with psychiatric illness and those of medical patients towards psychiatric treatment.
Both patients with psychiatric illness and medical patients (controls) were shown a printed copy of two vignettes depicting major depression and generalized anxiety disorder. They were asked for their perceptions on the utility, effects and possible side effects of psychiatric medications, as well as the utility of psychotherapy in treating major depression and generalized anxiety disorder. Responses between psychiatric patients and medical patients were compared using appropriate statistical tests, including logistic regression.
Patients with psychiatric illness were more likely than medical patients to endorse the utility of medications in treating major depression and generalized anxiety disorder (p<0.001). Those with psychiatric illness were more likely to endorse the utility of psychotherapy in treating major depression (p=0.004). Both groups of patients were of the view that psychotherapy would benefit generalized anxiety disorder. Older and lesser educated patients held negative beliefs about medications.
While patients with psychiatric illnesses endorsed favourable attitudes toward medications (p<0.001), the older and lesser educated were more likely to hold negative views (p<0.05). Psychoeducation should be tailored to the needs of older and lesser educated patients.
对精神科治疗的负面看法可能会影响治疗依从性。我们比较了精神疾病患者和内科患者对精神科治疗的态度。
向精神疾病患者和内科患者（对照组）展示两份描述重度抑郁症和广泛性焦虑症的 vignette 的印刷副本。询问他们对精神科药物的效用、效果和可能的副作用的看法，以及心理治疗在治疗重度抑郁症和广泛性焦虑症中的效用。使用适当的统计测试（包括逻辑回归）比较精神科患者和内科患者的回答。
精神疾病患者比内科患者更有可能认可药物在治疗重度抑郁症和广泛性焦虑症中的效用（p<0.001）。患有精神疾病的患者更有可能认可心理治疗在治疗重度抑郁症中的效用（p=0.004）。两组患者都认为心理治疗对广泛性焦虑症有益。年龄较大和受教育程度较低的患者对药物持有负面看法。
虽然精神疾病患者对药物持积极态度（p<0.001），但年龄较大和受教育程度较低的患者更有可能持有负面看法（p<0.05）。心理教育应根据年龄较大和受教育程度较低的患者的需求进行调整。
