Preferencias por las decisiones compartidas en pacientes con depresión
- Ascensión Ángeles Fumero Hernández
- Rosario Josefa Marrero Quevedo
- Carlos de las Cuevas Castresana
- Wenceslao Peñate Castro
ISSN: 1909-9711, 0123-9155
Year of publication: 2016
Volume: 19
Issue: 1
Pages: 260-269
Type: Article
More publications in: Acta Colombiana de Psicología
Abstract
This study analyzed the role of psychological processes predicting depressed patients' preferences in clinical decision-making about psychiatric treatment. 462 patients diagnosed with depressive disorders, acute or recurrent, participated in a crosssectional survey. Most participants preferred collaborative-passive or totally passive roles. Results showed no significant differences between acute and recurrent patients in their preference of participation in decision-making, but longer treatment duration was associated with a more passive style. MANCOVA, controlling age, educational level and treatment duration variables, showed that collaborative and passive patients had a greater locus of control focused on their psychiatrist than active patients. Gender differences were found. Men showed greater internal locus of control and psychological reactance, while women showed greater external locus of control focused on chance. Regression analysis indicated that, for men, passive preferred role was explained by external locus centered on their psychiatrist. However, age registered the highest weight for women' passive decision-making, followed by the locus focused on chance, locus focused on the psychiatrist and lower self-efficacy. Our findings suggest the need to study shared decision-making from a differential perspective that involves psychological processes and the impact of these processes in adherence to medical treatments.
Bibliographic References
- Aljumah, K., Hassali, M. A.. (2015). Impact of pharmacist intervention on adherence and measurable patient outcomes among depressed patients: A randomised controlled study. BMC Psychiatry. 15. 219-227
- Arora, N. K., McHorney, C. A.. (2000). Patient preferences for medical decision making: Who really wants to participate?. Medical Care. 38. 335-341
- Bandura, A.. (1977). Self-efficacy: Toward a unifying theory of behavioral change. Psychological Review. 84. 191-215
- Botero, P. A., Londoño, C.. (2013). Factores psicosociales predictores de la calidad de vida en personas en situación de discapacidad física. Acta Colombiana de Psicología. 16. 125-137
- Brehm, S. S., Brehm, J. W.. (2013). Psychological reactance: A theory of freedom and control. Academic Press, INC. New York.
- Cantrell, C. R., Eaddy, M. T., Shah, M. B., Regan, T. S., Sokol, M. C.. (2006). Methods for evaluating patient adherence to antidepressant therapy: A real-world comparison of adherence and economic outcomes. Medical Care. 44. 300-303
- De Almeida, A. C., Chen, T. F.. (2008). When pharmacotherapeutic recommendations may lead to the reverse effect on physician decision-making. Pharmacy World & Science. 30. 3-8
- De las Cuevas, C., Peñate, W.. (2014). To what extent psychiatric patients feel involved in decision making about their mental health care? Relationships with socio-demographic, clinical, and psychological variables. Acta Neuropsychiatrica. 26. 372-381
- De las Cuevas, C., Peñate, W., Betancort, M., de Rivera, L.. (2014). Psychological reactance in psychiatric patients: Examining the dimensionality and correlates of the Hong Psychological Reactance Scale in a large clinical sample. Personality and Individual Differences. 70. 85-91
- De las Cuevas, C., Peñate, W., Sanz, E. J.. (2014). Risk factors for non-adherence to antidepressant treatment in patients with mood disorders. European Journal of Clinical Pharmacology. 70. 89-98
- De las Cuevas, C., Peñate, W., Betancort, M., Cabrera, C.. (2015). What Do Psychiatric Patients Believe Regarding Where Control Over Their Illness Lies?: Validation of the Multidimensional Health Locus of Control Scale in Psychiatric Outpatient Care. The Journal of Nervous and Mental Disease. 203. 81-86
- Degner, L. F., Sloan, J. A., Venkatesh, P.. (1997). The Control Preferences Scale. Canadian Journal Nursing Research. 29. 21-43
- Delgado, A., López, L. A., Dios, J. D., Saletti, L., Gil, N., Puga, A.. (2010). Expectativas de los pacientes sobre la toma de decisiones ante diferentes problemas de salud. Gaceta Sanitaria. 24. 66-71
- Flynn, K. E., Smith, M. A., Vanness, D.. (2006). A typology of preferences for participation in healthcare decision making. Social Science & Medicine. 63. 1158-1169
- Geddes, J. R., Carney, S. M., Davies, C., Furukawa, T. A., Kupfer, D. J., Frank, E., Goodwin, G. M.. (2003). Relapse prevention with antidepressant drug treatment in depressive disorders: A systematic review. The Lancet. 361. 653-661
- Gili, M., Roca, M., Basu, S., McKee, M., Stuckler, D.. (2013). The mental health risks of economic crisis in Spain: Evidence from primary care centers, 2006 and 2010. The European Journal of Public Health. 23. 103-108
- Grenard, J. L., Munjas, B. A., Adams, J. L., Suttorp, M., Maglione, M., McGlynn, E. A., Gellad, W. F.. (2011). Depression and medication adherence in the treatment of chronic diseases in the United States: A meta-analysis. Journal of General Internal Medicine. 26. 1175-1182
- Hashimoto, H., Fukuhara, S.. (2004). The influence of locus of control on preferences for information and decision making. Patient Education and Counseling. 55. 236-240
- Hong, S. M., Faedda, S.. (1996). Refinement of the Hong psychological reactance scale. Educational and Psychological Measurement. 56. 173-182
- Jerusalem, M., Schwarzer, R.. (1992). Self-efficacy: Thought control of action. Hemisphere. Washington, DC.
- Joosten, E. A., De Fuentes-Merillas, L., De Weert, G. H., Sensky, T., Van Der Staak, C. P. F., de Jong, C. A.. (2008). Systematic review of the effects of shared decision-making on patient satisfaction, treatment adherence and health status. Psychotherapy and Psychosomatics. 77. 219-226
- Katon, W. J.. (2011). Epidemiology and treatment of depression in patients with chronic medical illness. Dialogues in Clinical Neuroscience. 13. 7-23
- Levinson, W., Kao, A., Kuby, A., Thisted, R. A.. (2005). Not all patients want to participate in decision making. A national study of public preferences. Journal of General Internal Medicine. 20. 531-535
- Loh, A., Simon, D., Wills, C. E., Kriston, L., Niebling, W., Härter, M.. (2007). The effects of a shared decision-making intervention in primary care of depression: A cluster-randomized controlled trial. Patient Education and Counseling. 67. 324-332
- Longtin, Y., Sax, H., Leape, L. L., Sheridan, S. E., Donaldson, L., Pittet, D.. (2010). Patient participation: Current knowledge and applicability to patient safety. Mayo Clinic Proceedings. 85. 53-62
- Makoul, G., Clayman, M.L.. (2006). An integrative model of shared decision making in medical encounters. Patient Education and Counseling. 60. 301-312
- O'Hea, E. L., Grothe, K. B., Bodenlos, J. S., Boudreaux, E. D., White, M. A., Brantley, P. J.. (2005). Predicting medical regimen adherence: The interactions of health locus of control beliefs. Journal of Health Psychology. 10. 705-717
- Patel, S. R., Bakken, S.. (2010). Preferences for participation in decision making among ethnically diverse patients with anxiety and depression. Community Mental Health Journal. 46. 466-473
- Pérez-Wehbe, A. I., Perestelo, L., Bethencourt, J. M., Cuéllar, L., Peñate, W.. (2014). Treatment-resistant depression: A systematic review of systematic reviews. International Journal of Clinical and Health Psychology. 14. 145-153
- Proctor, E. K., Hasche, L., Morrow-Howell, N., Shumway, M., Snell, G.. (2008). Perceptions about competing psychosocial problems and treatment priorities among older adults with depression. Psychiatry Services. 59. 670
- Pudrovska, T.. (2015). Gender and Health Control Beliefs Among Middle-Aged and Older Adults. Journal of Aging and Health. 27. 284-303
- Sanjuán, P., Pérez, A. M., Bermúdez, J.. (2000). Escala de autoeficacia general: datos psicométricos de la adaptación para población española. Psicothema. 12. 509-513
- Schneider, A., Körner, T., Mehring, M., Wensing, M., Elwyn, G., Szecsenyi, J.. (2006). Impact of age, health locus of control and psychological co-morbidity on patients' preferences for shared decision making in general practice. Patient Education and Counseling. 61. 292-298
- Schwarzer, R., Fuchs, R.. (1996). Self-efficacy and health behaviours. Predicting health behaviour: Research and practice with social cognition models. Open University Press. Buckingham.
- Serra-Taylor, J., Irizarry-Robles, C.Y.. (2015). Factores protectores de la depresión en una muestra de adultos mayores en Puerto Rico: Autoeficacia, escolaridad y otras variables sociodemográficas. Acta Colombiana de Psicología. 18. 125-134
- Singh, J. A., Sloan, J. A., Atherton, P. J., Smith, T., Hack, T. F., Huschka, M. M., Degner, L. F.. (2010). Preferred roles in treatment decision making among patients with cancer: A pooled analysis of studies using the Control Preferences Scale. The American Journal of Managed Care. 16. 688-696
- Solberg, L. I., Crain, A. L., Rubenstein, L., Unützer, J., Whitebird, R. R., Beck, A.. (2014). How much shared decision making occurs in usual primary care of depression?. The Journal of the American Board of Family Medicine. 27. 199-208
- Swanson, K. A., Bastani, R., Rubenstein, L. V., Meredith, L. S., Ford, D. E.. (2007). Effect of mental health care and shared decision making on patient satisfaction in a community sample of patients with depression. Medical Care Research and Review. 64. 416-430
- Tariman, J. D., Doorenbos, A., Schepp, K. G., Singhal, S., Berry, D. L.. (2014). Older adults newly diagnosed with symptomatic myeloma and treatment decision making. Oncology Nursing Forum. 41. 411-419
- Thunholm, P.. (2004). Decision-making style: Habit, style or both?. Personality and Individual Differences. 36. 931-944
- Wallston, K. A.. (1992). Hocus-pocus, the focus isn't strictly on locus: Rotter's social learning theory modified for health. Cognitive Therapy and Research. 16. 183-199
- Wallston, K. A., Stein, M. J., Smith, C. A.. (1994). Form C of the MHLC scales: A condition-specific measure of locus of control. Journal of Personality Assessment. 63. 534-553
- (2004). International statistical classification of diseases and health related problems (The) ICD-10. World Health Organization.
- Young, H. N., Bell, R. A., Epstein, R. M., Feldman, M. D., Kravitz, R. L.. (2008). Physicians' shared decision-making behaviors in depression care. Archives of Internal Medicine. 168. 1404-1408