Patient Voices: Lived Experiences of Decision-Making Process in Long-Term Antipsychotic Medication Treatment.

IF 1.8 4区 医学 Q3 HEALTH POLICY & SERVICES
Refael Yonatan-Leus, Nili Karako-Eyal
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引用次数: 0

Abstract

This research explores patients' perspectives on the decision-making process for long-term antipsychotic treatment. Twenty individuals on non-compulsory antipsychotic medications were interviewed, and their responses were analyzed using grounded theory. The analysis revealed three interconnected themes that suggest a cyclical process potentially eroding patient autonomy: According to participants' accounts, they often received limited information about dependence, withdrawal symptoms, or expected treatment duration before starting medication. Subsequently, many reported developing desires to stop or reduce their antipsychotic treatment. Participants then described experiencing dismissal of their reported side effects or treatment ineffectiveness, lack of alternatives, and opposition to reduction attempts from their psychiatrists. These experiences formed a cycle where initial information gaps contributed to later challenges when attempting treatment modifications. The findings emphasize the value of comprehensive information delivery, serious consideration of patients' reported experiences, and treatment processes that enhance patients' sense of autonomy in their psychiatric care.

病人的声音:长期抗精神病药物治疗决策过程的生活经验。
本研究探讨患者对长期抗精神病药物治疗决策过程的看法。对20名服用非强制性抗精神病药物的个体进行了访谈,并使用扎根理论分析了他们的反应。分析揭示了三个相互关联的主题,表明周期性过程可能会侵蚀患者的自主权:根据参与者的描述,他们在开始服药前通常获得有关依赖性、戒断症状或预期治疗持续时间的有限信息。随后,许多人报告产生了停止或减少抗精神病药物治疗的愿望。然后,参与者描述了他们报告的副作用或治疗无效的经历,缺乏替代方案,以及他们的精神科医生对减少尝试的反对。这些经历形成了一个循环,最初的信息差距导致了后来尝试修改治疗时的挑战。研究结果强调了全面信息传递的价值,对患者报告经历的认真考虑,以及在精神科护理中增强患者自主意识的治疗过程。
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来源期刊
CiteScore
5.30
自引率
3.70%
发文量
133
期刊介绍: Community Mental Health Journal focuses on the needs of people experiencing serious forms of psychological distress, as well as the structures established to address those needs. Areas of particular interest include critical examination of current paradigms of diagnosis and treatment, socio-structural determinants of mental health, social hierarchies within the public mental health systems, and the intersection of public mental health programs and social/racial justice and health equity. While this is the journal of the American Association for Community Psychiatry, we welcome manuscripts reflecting research from a range of disciplines on recovery-oriented services, public health policy, clinical delivery systems, advocacy, and emerging and innovative practices.
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