Preferencias por las decisiones compartidas en pacientes con depresión.

Preferencias por las decisiones compartidas en pacientes con depresión.

En el presente estudio se analizaron los procesos psicológicos asociados con las preferencias de los pacientes con depresión en la toma de decisión sobre su tratamiento psiquiátrico. Participaron 462 pacientes diagnosticados con un trastorno depresivo agudo o recurrente. La mayor parte prefirió asumir un rol colaborativo-pasivo o totalmente pasivo. Los resultados no mostraron diferencias significativas entre pacientes en función de su cronicidad en la preferencia por la toma de decisiones, aunque un mayor tiempo de tratamiento se asoció con un estilo más pasivo. El MANCOVA aplicado al total de participantes, controlando la edad, el nivel educativo y el tiempo de tratamiento, indicó que los pacientes colaborativos y pasivos mostraron mayor l... Ver más

Guardado en:

Acta Colombiana de Psicología

0123-9155

1909-9711

Peñate Castro, Wenceslao

de las Cuevas Castresana, Carlos

Marrero Quevedo, Rosario J.

Fumero Hernández, Ascensión

UNIVERSIDAD CATÓLICA DE COLOMBIA

10.14718/ACP.2016.19.1.11

19

2015-01-01

249

259

Colombia

Autoeficacia

Depressão

Autoeficácia

Reatância psicológica

Lócus de controle

Tomada de decisão compartilhada

Depresión

Reactancia psicológica

Locus de control

Toma de decisión compartida

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Ascensión Fumero Hernández - 2016

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spelling Preferencias por las decisiones compartidas en pacientes con depresión.
Hong, S. M. & Faedda, S. (1996). Refinement of the Hong psychological reactance scale. Educational and Psychological Measurement, 56, 173-182. http://dx.doi.org/10.1177/0013164496056001014
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. http://dx.doi.org/10.1007/s10597-010-9323-3
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. http://dx.doi.org/10.1177/1359105305055330
Makoul, G. & Clayman, M.L. (2006) An integrative model of shared decision making in medical encounters. Patient Education and Counseling, 60, 301-312. http://dx.doi.org/10.1016/j.pec.2005.06.010
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. http://dx.doi.org/10.4065/mcp.2009.0248
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. http://dx.doi.org/10.1016/j.pec.2007.03.023
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. http://dx.doi.org/10.1111/j.1525-1497.2005.04101.x
Katon, W. J. (2011). Epidemiology and treatment of depression in patients with chronic medical illness. Dialogues in Clinical Neuroscience, 13, 7-23. Retrieved from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3181964/
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. http://dx.doi.org/10.1159/000126073
Jerusalem, M. & Schwarzer, R. (1992). Self-efficacy as a resource factor in stress appraisal processes. En R. Schwarzer (Ed.), Self-efficacy: Thought control of action (pp. 195- 213). Washington, DC: Hemisphere.
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. http://dx.doi.org/10.1016/j.pec.2003.09.010
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, 670–5. http://dx.doi.org/10.1176/ps.2008.59.6.670
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. http://dx.doi.org/10.1007/s11606-011-1704-y
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Autoeficacia
19
Depressão
Autoeficácia
Reatância psicológica
Lócus de controle
Tomada de decisão compartilhada
Depresión
Reactancia psicológica
Artículo de revista
Locus de control
Toma de decisión compartida
Peñate Castro, Wenceslao
de las Cuevas Castresana, Carlos
Marrero Quevedo, Rosario J.
Fumero Hernández, Ascensión
En el presente estudio se analizaron los procesos psicológicos asociados con las preferencias de los pacientes con depresión en la toma de decisión sobre su tratamiento psiquiátrico. Participaron 462 pacientes diagnosticados con un trastorno depresivo agudo o recurrente. La mayor parte prefirió asumir un rol colaborativo-pasivo o totalmente pasivo. Los resultados no mostraron diferencias significativas entre pacientes en función de su cronicidad en la preferencia por la toma de decisiones, aunque un mayor tiempo de tratamiento se asoció con un estilo más pasivo. El MANCOVA aplicado al total de participantes, controlando la edad, el nivel educativo y el tiempo de tratamiento, indicó que los pacientes colaborativos y pasivos mostraron mayor locus de control centrado en la confianza en el psiquiatra que los activos. Se encontraron diferencias de género mostrando en los hombres mayor locus de control interno y reactancia psicológica, y en las mujeres, mayor locus centrado en el azar. Los análisis de regresión indicaron que en el caso de los hombres, la preferencia pasiva por la toma de decisión es explicada por el locus centrado en el psiquiatra. Sin embargo, en las mujeres tuvo mayor peso la edad, seguida del locus centrado en el azar, el locus centrado en el psiquiatra y una percepción de menor autoeficacia. Los hallazgos señalan la necesidad de estudiar desde una perspectiva diferencial la participación de los pacientes en la toma de decisión de acuerdo con los procesos psicológicos, así como la repercusión que esta tiene en la adherencia al tratamiento médico.
Núm. 1 , Año 2016 :ACTA COLOMBIANA DE PSICOLOGÍA
1
Publication
https://actacolombianapsicologia.ucatolica.edu.co/article/view/985
Botero, P. A. y 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. Retrieved from http://www.scielo.org.co/scielo.php-pid=S0123-91552013000200012&script=sci_arttext&tlng=pt
Bandura, A. (1977). Self-efficacy: Toward a unifying theory of behavioral change. Psychological Review, 84, 191-215. http://dx.doi.org/10.1037/0033-295X.84.2.191
Arora, N. K. & McHorney, C. A. (2000). Patient preferences for medical decision making: Who really wants to participate? Medical Care, 38, 335-341. http://dx.doi.org/10.1097/00005650-200003000-00010
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. http://dx.doi.org/10.1186/s12888-015-0605-8
https://creativecommons.org/licenses/by-nc-sa/4.0/
Español
Ascensión Fumero Hernández - 2016
Acta Colombiana de Psicología
Universidad Católica de Colombia
application/pdf
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Shared decision-making
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.
Depressive patients’ preferences in shared decision-making.
Journal article
Depression
Self-efficacy
Psychological reactance
Health locus of control
0123-9155
2016-01-01T00:00:00Z
259
https://actacolombianapsicologia.ucatolica.edu.co/article/download/985/1051
https://actacolombianapsicologia.ucatolica.edu.co/article/download/985/pdf%20eng
1909-9711
249
2016-01-01T00:00:00Z
https://doi.org/10.14718/ACP.2016.19.1.11
10.14718/ACP.2016.19.1.11
2015-01-01
institution UNIVERSIDAD CATÓLICA DE COLOMBIA
thumbnail https://nuevo.metarevistas.org/UNIVERSIDADCATOLICADECOLOMBIA/logo.png
country_str Colombia
collection Acta Colombiana de Psicología
title Preferencias por las decisiones compartidas en pacientes con depresión.
spellingShingle Preferencias por las decisiones compartidas en pacientes con depresión.
Peñate Castro, Wenceslao
de las Cuevas Castresana, Carlos
Marrero Quevedo, Rosario J.
Fumero Hernández, Ascensión
Autoeficacia
Depressão
Autoeficácia
Reatância psicológica
Lócus de controle
Tomada de decisão compartilhada
Depresión
Reactancia psicológica
Locus de control
Toma de decisión compartida
Shared decision-making
Depression
Self-efficacy
Psychological reactance
Health locus of control
title_short Preferencias por las decisiones compartidas en pacientes con depresión.
title_full Preferencias por las decisiones compartidas en pacientes con depresión.
title_fullStr Preferencias por las decisiones compartidas en pacientes con depresión.
title_full_unstemmed Preferencias por las decisiones compartidas en pacientes con depresión.
title_sort preferencias por las decisiones compartidas en pacientes con depresión.
title_eng Depressive patients’ preferences in shared decision-making.
description En el presente estudio se analizaron los procesos psicológicos asociados con las preferencias de los pacientes con depresión en la toma de decisión sobre su tratamiento psiquiátrico. Participaron 462 pacientes diagnosticados con un trastorno depresivo agudo o recurrente. La mayor parte prefirió asumir un rol colaborativo-pasivo o totalmente pasivo. Los resultados no mostraron diferencias significativas entre pacientes en función de su cronicidad en la preferencia por la toma de decisiones, aunque un mayor tiempo de tratamiento se asoció con un estilo más pasivo. El MANCOVA aplicado al total de participantes, controlando la edad, el nivel educativo y el tiempo de tratamiento, indicó que los pacientes colaborativos y pasivos mostraron mayor locus de control centrado en la confianza en el psiquiatra que los activos. Se encontraron diferencias de género mostrando en los hombres mayor locus de control interno y reactancia psicológica, y en las mujeres, mayor locus centrado en el azar. Los análisis de regresión indicaron que en el caso de los hombres, la preferencia pasiva por la toma de decisión es explicada por el locus centrado en el psiquiatra. Sin embargo, en las mujeres tuvo mayor peso la edad, seguida del locus centrado en el azar, el locus centrado en el psiquiatra y una percepción de menor autoeficacia. Los hallazgos señalan la necesidad de estudiar desde una perspectiva diferencial la participación de los pacientes en la toma de decisión de acuerdo con los procesos psicológicos, así como la repercusión que esta tiene en la adherencia al tratamiento médico.
description_eng 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.
author Peñate Castro, Wenceslao
de las Cuevas Castresana, Carlos
Marrero Quevedo, Rosario J.
Fumero Hernández, Ascensión
author_facet Peñate Castro, Wenceslao
de las Cuevas Castresana, Carlos
Marrero Quevedo, Rosario J.
Fumero Hernández, Ascensión
topicspa_str_mv Autoeficacia
Depressão
Autoeficácia
Reatância psicológica
Lócus de controle
Tomada de decisão compartilhada
Depresión
Reactancia psicológica
Locus de control
Toma de decisión compartida
topic Autoeficacia
Depressão
Autoeficácia
Reatância psicológica
Lócus de controle
Tomada de decisão compartilhada
Depresión
Reactancia psicológica
Locus de control
Toma de decisión compartida
Shared decision-making
Depression
Self-efficacy
Psychological reactance
Health locus of control
topic_facet Autoeficacia
Depressão
Autoeficácia
Reatância psicológica
Lócus de controle
Tomada de decisão compartilhada
Depresión
Reactancia psicológica
Locus de control
Toma de decisión compartida
Shared decision-making
Depression
Self-efficacy
Psychological reactance
Health locus of control
citationvolume 19
citationissue 1
citationedition Núm. 1 , Año 2016 :ACTA COLOMBIANA DE PSICOLOGÍA
publisher Universidad Católica de Colombia
ispartofjournal Acta Colombiana de Psicología
source https://actacolombianapsicologia.ucatolica.edu.co/article/view/985
language Español
format Article
rights http://purl.org/coar/access_right/c_abf2
info:eu-repo/semantics/openAccess
https://creativecommons.org/licenses/by-nc-sa/4.0/
Ascensión Fumero Hernández - 2016
references Hong, S. M. & Faedda, S. (1996). Refinement of the Hong psychological reactance scale. Educational and Psychological Measurement, 56, 173-182. http://dx.doi.org/10.1177/0013164496056001014
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. http://dx.doi.org/10.1007/s10597-010-9323-3
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. http://dx.doi.org/10.1177/1359105305055330
Makoul, G. & Clayman, M.L. (2006) An integrative model of shared decision making in medical encounters. Patient Education and Counseling, 60, 301-312. http://dx.doi.org/10.1016/j.pec.2005.06.010
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. http://dx.doi.org/10.4065/mcp.2009.0248
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. http://dx.doi.org/10.1016/j.pec.2007.03.023
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. http://dx.doi.org/10.1111/j.1525-1497.2005.04101.x
Katon, W. J. (2011). Epidemiology and treatment of depression in patients with chronic medical illness. Dialogues in Clinical Neuroscience, 13, 7-23. Retrieved from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3181964/
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. http://dx.doi.org/10.1159/000126073
Jerusalem, M. & Schwarzer, R. (1992). Self-efficacy as a resource factor in stress appraisal processes. En R. Schwarzer (Ed.), Self-efficacy: Thought control of action (pp. 195- 213). Washington, DC: Hemisphere.
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. http://dx.doi.org/10.1016/j.pec.2003.09.010
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