Preferencias por las decisiones compartidas en pacientes con depresión

  1. Ascensión Ángeles Fumero Hernández
  2. Rosario Josefa Marrero Quevedo
  3. Carlos de las Cuevas Castresana
  4. Wenceslao Peñate Castro
Journal:
Acta Colombiana de Psicología

ISSN: 1909-9711,  0123-9155

Year of publication: 2016

Volume: 19

Issue: 1

Pages: 260-269

Type: Article

DOI: 10.14718/ACP.2016.19.1.11 DIALNET GOOGLE SCHOLAR lock_openOpen access editor

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.

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Data source: Dialnet