Dereboy Çiğdem, Şenel Hakan, Şafak Öztürk Cennet, Şakiroğlu Mehmet, Eskin Mehmet
Department of Psychiatry, Adnan Menderes University School of Medicine, Aydın, Turkey.
Clinic of Psychiatry, Nazilli State Hospital, Aydın, Turkey.
Noro Psikiyatr Ars. 2017 Dec;54(4):301-306. doi: 10.5152/npa.2017.13785.
The purpose of the present study was to investigate the effect of sociodemographic variables on the knowledge of, demand for, and reception of psychotherapy as a treatment modality among psychiatric outpatients.
Participants of the study were 240 psychiatric outpatients (170 females and 70 males). Data for mental health services were collected from a subgroup of 103 "experienced" patients (42.9%) having had received psychiatric help previously. All participants were administered a questionnaire containing questions about various forms of psychiatric services.
Of all participants, 40.83% reported having heard of psychotherapy a few of times before, mostly (44.58%) from the media and only 3.33% from a mental health professional. Most participants with previous applications to psychiatric outpatient clinic had first received mental health service from a psychiatrist (93.2%) and at a state hospital (72.8%), and a small minority (17.4%) had subsequently received care from a psychologist. None had demanded to, but 5 patients (4.86%) had been recommended to receive psychotherapy by mental health professionals. Of these experienced patients, 20 (19.41%) have an idea that the interviews they had previously at the outpatient clinics were sort of psychotherapeutic interviews; yet, only 7 (6.79%) retained the same idea after reading the definition of appropriate psychotherapy written on the questionnaire. All of these patients declared that they have received both their medication and psychotherapy at the same time. Thus, only 2.91% of 240 participants received psychotherapy that corresponds to the given definition.
Findings from this study suggest that mental health care is mostly performed by psychiatrists alone, with a limited contribution by psychologists. Consequently, the choice of treatment is solely pharmacotherapy for most patients, while psychotherapy as a treatment modality is neither offered nor demanded in routine practice.
本研究旨在调查社会人口统计学变量对精神科门诊患者将心理治疗作为一种治疗方式的认知、需求及接受情况的影响。
本研究的参与者为240名精神科门诊患者（170名女性和70名男性）。心理健康服务数据来自103名“有经验”的患者（占42.9%）的子样本，这些患者之前曾接受过精神科帮助。所有参与者均接受了一份包含各种精神科服务问题的问卷。
在所有参与者中，40.83%报告曾听说过几次心理治疗，大部分（44.58%）是从媒体得知，只有3.33%是从心理健康专业人员处得知。大多数曾申请精神科门诊的参与者首次接受心理健康服务是在精神科医生处（93.2%）且是在公立医院（72.8%），少数人（17.4%）随后接受过心理医生的治疗。没有人主动要求接受心理治疗，但有5名患者（4.86%）被心理健康专业人员推荐接受心理治疗。在这些有经验的患者中，20人（19.41%）认为他们之前在门诊的问诊算是心理治疗问诊；然而，在阅读问卷上适当的心理治疗定义后，只有7人（6.79%）仍持相同看法。所有这些患者都宣称他们同时接受了药物治疗和心理治疗。因此，240名参与者中只有2.91%接受了符合给定定义的心理治疗。
本研究结果表明，心理健康护理大多仅由精神科医生提供，心理医生的贡献有限。因此，大多数患者的治疗选择仅是药物治疗，而心理治疗作为一种治疗方式在常规实践中既未被提供也未被需求。
