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透过污名的视角:理解并预见对精神科电治疗干预措施(PEIs)的负责任开发与使用的担忧。

Looking through the lens of stigma: Understanding and anticipating concerns about the responsible development and use of psychiatric electroceutical interventions (PEIs).

作者信息

Chen Sandra Cai, Bluhm Robyn, Achtyes Eric D, McCright Aaron M, Cabrera Laura Y

机构信息

Pennsylvania State University, Philosophy, USA.

Michigan State University, Lyman Briggs and Philosophy, USA.

出版信息

SSM Ment Health. 2023 Dec 15;4. doi: 10.1016/j.ssmmh.2023.100261. Epub 2023 Sep 6.

Abstract

Psychiatric electroceutical interventions (PEIs) show promise for treating depression, but few studies have examined stakeholders' views on them. Using interview data and survey data that analyzed the views of psychiatrists, patients, caregivers, and the general public, a conceptual map was created to represent stakeholders' views on four PEIs: electroconvulsive therapy (ECT), repetitive transcranial magnetic stimulation (TMS), deep brain stimulation (DBS), and adaptive brain implants (ABIs). Stigma emerged as a key theme connecting diverse views, revealing that it is a significant factor in the acceptance and usage of PEIs. Stigma not only discourages seeking mental health services for depression but also inhibits the acceptance of PEIs. Addressing the pervasive and complex effects of stigma highlights the need to change societal attitudes toward mental illnesses and their treatments and to provide support to patients who may benefit from these interventions. The map also demonstrates the value of conceptual mapping for anticipating and mitigating ethical considerations in the development and use of PEIs.

摘要

精神科电治疗干预措施(PEIs)在治疗抑郁症方面显示出前景,但很少有研究考察利益相关者对它们的看法。利用访谈数据和调查数据,分析了精神科医生、患者、护理人员和公众的观点,创建了一个概念图来呈现利益相关者对四种PEIs的看法:电休克疗法(ECT)、重复经颅磁刺激(TMS)、深部脑刺激(DBS)和适应性脑植入物(ABIs)。污名化成为连接不同观点的一个关键主题,表明它是PEIs接受度和使用率的一个重要因素。污名化不仅阻碍为抑郁症寻求心理健康服务,还抑制对PEIs的接受。解决污名化的普遍和复杂影响凸显了改变社会对精神疾病及其治疗态度的必要性,并为可能从这些干预措施中受益的患者提供支持。该概念图还展示了概念映射在预测和减轻PEIs开发和使用中的伦理考量方面的价值。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1207/10768967/cc0abbb27be3/nihms-1953293-f0001.jpg

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