RT info:eu-repo/semantics/article
T1 De Las Cuevas C, Benadero O. Exploring the Relationship Between Psychological Constructs and Decision-Making Preferences in Psychiatric Outpatients. Patient Prefer Adherence. 2024 Aug 5;18:1629-1640. doi: 10.2147/PPA.S469579. PMID: 39131691; PMCID: PMC11313499.
A1 Cuevas Castresana, Carlos de las
A1 Benadero, Omaira
A2 Medicina InternaDermatología y Psiquiatría
A2 Adherencia Terapéutica
K1 Patient-centered care
K1 Community mental health centers
K1 Internal-external control
K1 Health belief model
K1 Decision making,
AB Objective: This study aimed to elucidate the relationships among health locus of control, psychological reactance, attitudes towardpsychiatric treatment, and patient decision-making preferences within a psychiatric outpatient population.Methods: A total of 200 consecutive psychiatric outpatients from a community mental health center in Tenerife, Spain, wereapproached for participation between September 2023 and March 2024. Of these, 151 patients consented to participate in this crosssectional 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 PreferencesScale (CPS). The PHBQPT evaluates health beliefs impacting adherence to psychiatric treatment, while the CPS assesses the preferredlevel of involvement in medical decision-making. Sociodemographic data were also collected to contextualize the findings.Results: Significant correlations were found between patients’ control preferences and their attitudes towards medication, compliancewith psychiatric advice, and perceptions of treatment control. A collaborative control preference was notably associated with positiveattitudes toward medication and trust in the psychiatrist. These findings suggest that tailored treatment approaches prioritizing patientinvolvement could enhance adherence and outcomes.Conclusion: 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 psychologicalreactance 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.Plain Language Summary: In today’s fast-paced world, understanding how we can better cater to the needs of psychiatric patientsis more important than ever. This study, conducted in Tenerife, Spain, with 151 participants, shines a light on the intricate relationshipbetween a patient’s psychological mindset and their involvement in psychiatric care. Researchers explored how patients’ beliefs abouthealth control, their resistance or openness to psychiatric advice, and their preferences in treatment decisions intertwine to affect theirapproach to psychiatric treatment.The core findings reveal a fascinating tapestry of patient attitudes and behaviors. For example, patients who prefer a joint approachwith their psychiatrists toward managing their treatment tend to have a more positive outlook on medication and a deeper trust in theirdoctors. This suggests that when patients feel they are part of the decision-making process, they are more likely to follow through withtreatment plans, leading to better outcomes.What does this mean in everyday terms? Essentially, the study highlights the power of listening and integrating patients’ viewpoints into theircare plans. When patients see their insights and preferences reflected in their treatment, their engagement and adherence to medication improve.This not only fosters a more supportive environment for healing but also paves the way for more personalized, effective psychiatric care.In essence, this research is a call to action for healthcare providers to delve deeper into understanding each patient’s uniquepsychological makeup. By doing so, they can tailor treatments that resonate more closely with the patient’s own beliefs andpreferences, ultimately leading to a more positive healthcare experience for everyone involved.
SN 1177-889X
YR 2024
FD 2024
LK http://riull.ull.es/xmlui/handle/915/39620
UL http://riull.ull.es/xmlui/handle/915/39620
LA en
DS Repositorio institucional de la Universidad de La Laguna
RD 27-abr-2025