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https://doi.org/10.1016/j.pec.2020.10.019
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Título: | Correlates of preferring a passive role in decision-making among patients with schizophrenia or bipolar disorder |
Fecha de publicación: | may-2021 |
Editorial: | Elsevier Ireland Ltd |
Cita bibliográfica: | Patient Education and Counseling Volume 104, Issue 5, May 2021, Pages 1125-1131 |
ISSN: | 0738-3991 |
Palabras clave: | Decision-making Patient preferences Schizophrenia Bipolar disorder Health-related control locus Ethics |
Resumen: | Objective: To assess the factors associated with the persistence of clinician-led style in the therapeutic relationship in cases of serious mental illness, and the conditioning factors that the patients identify as determinants of their health. Method: Assessment of preferences in the decision-making process and health-related control locus of 107 outpatients with DSM-5 diagnosis of schizophrenia or bipolar disorder. Demographic and clinical information was also obtained through review of available records and using several scales. Results: 64.4 % patients preferred to adopt a passive role in the therapeutic relationship. In the multivariate analysis, the preference of playing a passive role in the decision-making process was significantly associated with the elderly, being disabled, or the view that one's health depends on doctors (AUC ROC value: 0.80). Conclusions: Patients with severe mental illness more frequently preferred a passive role in the decision-making process. We found several factors associated with a preference for the "expert role" model. Practice implications: The identified factors may permit care to be tailored to the most probable expectations as regard decision-making. Since the populations concerned may be vulnerable and suffer inequalities in the provision of health services, promoting participation in the care process could help improve clinical parameters ethically. |
Autor/es principal/es: | Morán-Sánchez, I Bernal-López, MLÁ Salmerón, D Pérez-Cárceles, MD |
Facultad/Departamentos/Servicios: | Facultades, Departamentos, Servicios y Escuelas::Departamentos de la UMU::Ciencias Sociosanitarias |
Versión del editor: | https://www.sciencedirect.com/science/article/pii/S0738399120305565?via%3Dihub |
URI: | http://hdl.handle.net/10201/137253 |
DOI: | https://doi.org/10.1016/j.pec.2020.10.019 |
Tipo de documento: | info:eu-repo/semantics/article |
Número páginas / Extensión: | 7 |
Derechos: | info:eu-repo/semantics/embargoedAccess Attribution-NonCommercial-NoDerivatives 4.0 Internacional |
Descripción: | © 2023.This document is made available under the CC-BY-NC-ND 4.0 license http://creativecommons.org/licenses/by-nc-nd/4.0/ This document is the accepted version of a published work that appeared in final form in Patient Education and Counseling |
Aparece en las colecciones: | Artículos: Ciencias Sociosanitarias |
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