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本文引用的文献

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Rates and Predictors of Disengagement and Strength of Engagement for People With a First Episode of Psychosis Using Early Intervention Services: A Systematic Review of Predictors and Meta-analysis of Disengagement Rates.使用早期干预服务的首次发作精神病患者脱离治疗的发生率、预测因素及参与治疗的强度：预测因素的系统评价和脱离治疗发生率的荟萃分析
Schizophr Bull Open. 2022 Jan 27;3(1):sgac012. doi: 10.1093/schizbullopen/sgac012. eCollection 2022 Jan.
2
Systematic review of pathways to care in the U.S. for Black individuals with early psychosis.对美国早期精神病黑人患者就医途径的系统评价。
NPJ Schizophr. 2021 Dec 2;7(1):58. doi: 10.1038/s41537-021-00185-w.
3
The unique pathways to coordinate specialty care for Black families navigating early psychosis: A preliminary report.协调专门护理以帮助黑人家族应对早期精神病的独特途径：初步报告。
Schizophr Res. 2023 Mar;253:54-59. doi: 10.1016/j.schres.2021.11.004. Epub 2021 Nov 23.
4
Time to Support Extensive Implementation of Shared Decision Making in Psychiatry.是时候支持在精神病学中广泛实施共同决策了。
JAMA Psychiatry. 2021 Nov 1;78(11):1183-1184. doi: 10.1001/jamapsychiatry.2021.2247.
5
A Systematic Review of Shared Decision-Making Interventions for Service Users With Serious Mental Illnesses: State of the Science and Future Directions.一项针对有严重精神疾病的服务使用者的共享决策干预措施的系统评价：科学现状和未来方向。
Psychiatr Serv. 2021 Nov 1;72(11):1288-1300. doi: 10.1176/appi.ps.202000429. Epub 2021 Aug 9.
6
Shared Risk Taking: Shared Decision Making in Serious Mental Illness.共同承担风险：严重精神疾病中的共同决策。
Psychiatr Serv. 2021 Apr 1;72(4):461-463. doi: 10.1176/appi.ps.202000156. Epub 2021 Feb 9.
7
Disengagement From Early Intervention Services for Psychosis: A Systematic Review.从精神病早期干预服务中退出：系统评价。
Psychiatr Serv. 2021 Jan 1;72(1):49-60. doi: 10.1176/appi.ps.201900375. Epub 2020 Nov 25.
8
Feeling responsible: Family caregivers' attitudes and experiences of shared decision-making regarding people diagnosed with schizophrenia: A qualitative study.感到有责任：家庭照顾者对被诊断为精神分裂症的人共同决策的态度和经验：一项定性研究。
Patient Educ Couns. 2021 Jul;104(7):1553-1559. doi: 10.1016/j.pec.2020.10.032. Epub 2020 Nov 4.
9
The role of shared decision-making in improving adherence to pharmacological treatments in patients with schizophrenia: a clinical review.共同决策在提高精神分裂症患者药物治疗依从性中的作用：一项临床综述
Ann Gen Psychiatry. 2020 Aug 5;19:43. doi: 10.1186/s12991-020-00293-4. eCollection 2020.
10
Evidence-based practice and patient-centered care: Doing both well.循证实践与以患者为中心的护理：二者皆要做好。
Health Care Manage Rev. 2021;46(3):174-184. doi: 10.1097/HMR.0000000000000254. Epub 2019 Jun 24.

共同决策在促进家庭参与首发精神病青少年和青年治疗中的作用

The Role of Shared Decision-Making in Promoting Family Participation in Treatment for Adolescents and Young Adults with First-Episode Psychosis.

作者信息

Davies Nicole L, Cervantes Paige E, Acri Mary C, Hoagwood Kimberly E

机构信息

Department of Child and Adolescent Psychiatry, NYU Langone Health, New York, NY, USA.

出版信息

Community Ment Health J. 2025 Feb;61(2):365-371. doi: 10.1007/s10597-024-01363-7. Epub 2024 Dec 7.

DOI:10.1007/s10597-024-01363-7
PMID:39645532
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11772387/
Abstract

We aimed to examine the role of shared decision-making (SDM) in family participation in the treatment of adolescents and young adults with first-episode psychosis (FEP). Based on responses of 144 family members of OnTrackNY (OTNY) participants, we divided the sample into low participators and high participators. We calculated the total SDM score for each participant by summing the ratings across items inquiring about SDM and assessed the extent to which loved ones encouraged family participation in their care. Our results indicated that the level of loved ones' encouragement was significantly related to family participation. When controlling for loved ones' encouragement, we found that the total SDM score was significantly higher in the high participator group. These findings suggest that SDM may be influenced by loved ones' attitudes towards family involvement in treatment and SDM may play a role in promoting family participation in care for individuals with FEP.

摘要

我们旨在探讨共同决策（SDM）在家庭参与治疗首发精神病（FEP）的青少年和青年成人过程中的作用。基于“纽约正轨”（OTNY）参与者的144名家庭成员的回答，我们将样本分为低参与度者和高参与度者。我们通过对询问共同决策的各项评分求和，计算出每位参与者的共同决策总分，并评估亲人鼓励家庭参与其护理的程度。我们的结果表明，亲人的鼓励程度与家庭参与度显著相关。在控制亲人鼓励因素后，我们发现高参与度组的共同决策总分显著更高。这些发现表明，共同决策可能受亲人对家庭参与治疗态度的影响，且共同决策可能在促进家庭参与FEP患者护理方面发挥作用。