De Las Cuevas Carlos, Benadero Omaira
Department of Internal Medicine, Dermatology and Psychiatry and Instituto Universitario de Neurociencia (IUNE), University of La Laguna, La Laguna, Canary Islands, Spain.
School of Medicine of the University of La Laguna, San Cristóbal de La Laguna, Santa Cruz de Tenerife, Spain.
Patient Prefer Adherence. 2024 Aug 5;18:1629-1640. doi: 10.2147/PPA.S469579. eCollection 2024.
This study aimed to elucidate the relationships among health locus of control, psychological reactance, attitudes toward psychiatric treatment, and patient decision-making preferences within a psychiatric outpatient population.
A total of 200 consecutive psychiatric outpatients from a community mental health center in Tenerife, Spain, were approached for participation between September 2023 and March 2024. Of these, 151 patients consented to participate in this cross-sectional study. Participants were selected based on their willingness to participate and were provided with informed consent forms. Data were collected using the Patient's Health Belief Questionnaire on Psychiatric Treatment (PHBQPT) and the Control Preferences Scale (CPS). The PHBQPT evaluates health beliefs impacting adherence to psychiatric treatment, while the CPS assesses the preferred level of involvement in medical decision-making. Sociodemographic data were also collected to contextualize the findings.
Significant correlations were found between patients' control preferences and their attitudes towards medication, compliance with psychiatric advice, and perceptions of treatment control. A collaborative control preference was notably associated with positive attitudes toward medication and trust in the psychiatrist. These findings suggest that tailored treatment approaches prioritizing patient involvement could enhance adherence and outcomes.
The study underscores the importance of considering psychological constructs in psychiatric care to foster a holistic, patient-centered approach. Recognizing and integrating patients' control preferences, attitudes towards medication, and psychological reactance can improve the therapeutic relationship and treatment adherence. Future research should explore longitudinal and interventional studies to further understand the impact of aligning treatment approaches with patient preferences and psychological profiles.
本研究旨在阐明精神科门诊患者的健康控制点、心理抗拒、对精神科治疗的态度以及患者决策偏好之间的关系。
2023年9月至2024年3月期间，研究人员联系了西班牙特内里费岛一家社区心理健康中心的200名连续就诊的精神科门诊患者，邀请他们参与研究。其中，151名患者同意参与这项横断面研究。参与者根据其参与意愿进行选择，并提供了知情同意书。使用《患者精神科治疗健康信念问卷》（PHBQPT）和《控制偏好量表》（CPS）收集数据。PHBQPT评估影响精神科治疗依从性的健康信念，而CPS评估在医疗决策中偏好的参与程度。还收集了社会人口统计学数据，以便将研究结果置于背景中。
发现患者的控制偏好与他们对药物治疗的态度、对精神科建议的依从性以及对治疗控制的认知之间存在显著相关性。协作性控制偏好尤其与对药物治疗的积极态度和对精神科医生的信任相关。这些发现表明，优先考虑患者参与的个性化治疗方法可以提高依从性和治疗效果。
该研究强调了在精神科护理中考虑心理因素以促进整体、以患者为中心的方法的重要性。认识并整合患者的控制偏好、对药物治疗的态度和心理抗拒可以改善治疗关系和治疗依从性。未来的研究应探索纵向和干预性研究，以进一步了解使治疗方法与患者偏好和心理特征相匹配的影响。
