Factors That Influence MSW Students’ Referral Decisions for Depression: A Factorial Survey

IF 1.7 4区社会学 Q1 SOCIAL WORK

Research on Social Work Practice Pub Date : 2024-12-19 DOI:10.1177/10497315241303845

Melissa G. Murphy, Jeffrey R. Lacasse, Lisa Schelbe

引用次数: 0

Abstract

PurposeDepression is one of the most commonly treated conditions in mental health practice. However, outcomes have been poor and social workers face a host of treatment-related dilemmas.MethodThis study used factorial survey methodology to disentangle the effects of client, practice, and respondent characteristics on master's in social work (MSW) students’ antidepressant referral decisions. A total of 426 ( n = 426) MSW students each judged three unique vignette scenarios yielding 1,266 ( n = 1,266) judgments analyzed using multilevel model analyses.ResultsFindings suggest that the decision to refer was most influenced by previous response to antidepressant treatment, symptom profiles with suicidal ideations and anxiety, and recurrent episodes of depression. To a lesser degree, respondents’ personal use of psychotropic medications and beliefs about physician prescribing patterns also influenced antidepressant referral decisions.DiscussionThis study illuminates the complex effects of clinical and non-clinical factors on MSW students’ antidepressant referral decisions.

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影响城市生活垃圾学生抑郁症转诊决定的因素：一项析因调查

目的抑郁症是心理健康实践中最常治疗的疾病之一。然而，结果一直很糟糕，社会工作者面临着许多与治疗有关的困境。方法本研究采用因子调查方法，探讨来访者、实习和被调查者特征对社会工作硕士（MSW）学生的抗抑郁转诊决策的影响。共有426名（n = 426） MSW学生每人判断三个独特的小场景，产生1266个（n = 1266）个判断，使用多层次模型分析进行分析。结果研究结果表明，转诊的决定主要受以往抗抑郁药物治疗的反应、自杀意念和焦虑的症状概况以及抑郁症的复发性发作的影响。在较小程度上，受访者对精神药物的个人使用和对医生处方模式的信念也影响了抗抑郁药物的转诊决定。本研究阐明了临床和非临床因素对城市生活垃圾学生的抗抑郁转诊决策的复杂影响。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Research on Social Work Practice SOCIAL WORK-

CiteScore

3.50

自引率

11.10%

发文量

105

期刊介绍： Research on Social Work Practice, sponsored by the Society for Social Work and Research, is a disciplinary journal devoted to the publication of empirical research concerning the methods and outcomes of social work practice. Social work practice is broadly interpreted to refer to the application of intentionally designed social work intervention programs to problems of societal and/or interpersonal importance, including behavior analysis or psychotherapy involving individuals; case management; practice involving couples, families, and small groups; community practice education; and the development, implementation, and evaluation of social policies.