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解释关键利益相关者对有关精神科电治疗干预使用的潜在政策的偏好。

Explaining key stakeholders' preferences for potential policies governing psychiatric electroceutical intervention use.

作者信息

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

机构信息

Department of Sociology, Michigan State University, East Lansing, MI, USA.

Department of Psychiatry, Western Michigan University Homer Stryker M.D. School of Medicine, Kalamazoo, MI, USA.

出版信息

Npj Ment Health Res. 2024 Nov 6;3(1):52. doi: 10.1038/s44184-024-00096-5.

Abstract

In recent years, legislators in many states have proposed laws governing the use of psychiatric electroceutical interventions (PEIs), which use electrical or magnetic stimulation to treat mental disorders. To examine how the PEI views of relevant stakeholder groups (e.g., psychiatrists, patients, caregivers, and general public) relate to preferences for proposed policies governing PEI use, we analyze data from a survey on using one of four PEIs to treat major depressive disorder administered to national samples of the stakeholder groups above. We find that the three non-clinician groups' similar PEI policy preferences differ significantly from those of psychiatrists-with the greatest divide on policies governing the use of electroconvulsive therapy. This divide between psychiatrists' and non-clinicians' PEI policy preferences was greater with access-reducing than with access-expanding policies. We advise policymakers to consider such variation in the preferred availability of PEIs across modalities and stakeholder groups when crafting legislation on these interventions.

摘要

近年来,许多州的立法者都提出了有关精神科电治疗干预措施(PEIs)使用的法律,这些措施利用电刺激或磁刺激来治疗精神障碍。为了研究相关利益相关者群体(如精神科医生、患者、护理人员和普通公众)对PEIs的看法与对拟议的PEIs使用政策的偏好之间的关系,我们分析了一项针对上述利益相关者群体全国样本进行的关于使用四种PEIs之一治疗重度抑郁症的调查数据。我们发现,三个非临床医生群体相似的PEI政策偏好与精神科医生的偏好存在显著差异——在电休克治疗使用政策上分歧最大。精神科医生和非临床医生在PEI政策偏好上的这种分歧在减少可及性政策方面比在增加可及性政策方面更大。我们建议政策制定者在制定关于这些干预措施的立法时,考虑不同形式和利益相关者群体在PEIs首选可及性方面的这种差异。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8a61/11542036/54eb32838427/44184_2024_96_Fig1_HTML.jpg

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