Informing patients about possible negative effects of psychological treatment: A survey of Swedish clinical psychologists' attitudes and practices.

IF 2.6 1区心理学 Q2 PSYCHOLOGY, CLINICAL

Psychotherapy Research Pub Date : 2024-07-01 Epub Date: 2023-09-27 DOI:10.1080/10503307.2023.2259064

Fanny Westin, Alexander Rozental

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引用次数: 0

Abstract

Objective: The present study explored Swedish clinical psychologists' attitudes and practices of informing patients about possible negative effects of psychological treatment.

Method: An anonymous online survey with closed and open-ended questions was distributed via Facebook and two mailing lists. In total, 320 clinical psychologists (age M = 38.6, SD = 10.3; 76% women; 77.3% Cognitive Behavior Therapy) completed the survey. Responses were analyzed using χ², binominal regression analysis, and thematic analysis.

Results: No significant associations were identified between demographic variables selected a priori and informing patients about possible negative effects, i.e., years in practice, therapeutic orientation, age, and male gender. The thematic analysis resulted in several positive (e.g., creating realistic expectations of treatment and increasing resilience) and negative attitudes (e.g., causing excessive worry) of sharing patients with information about possible negative effects. It also revealed various factors that prevent an open discussion on the topic, despite being seen as important.

Conclusion: The need to offer patients information about possible negative effects should be included in ethical guidelines, codes of conduct, and taught during clinical training. Lack of knowledge, fear, lack of time, and patient characteristics however seem to prevent therapists from discussing the issue during the informed consent procedure.

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告知患者心理治疗可能产生的负面影响：瑞典临床心理学家的态度和实践调查。

目的：本研究探讨瑞典临床心理学家告知患者心理治疗可能产生的负面影响的态度和做法。方法：通过Facebook和两个邮件列表分发一份匿名在线调查，包括封闭式和开放式问题。总共有320名临床心理学家（年龄M = 38.6，标准差 = 10.3；76%为女性；77.3%的认知行为疗法）完成了调查。采用χ2、二项回归分析和主题分析对回答进行分析。结果：先验选择的人口统计学变量与告知患者可能的负面影响（即实践年限、治疗方向、年龄和男性）之间没有发现显著关联。主题分析产生了一些积极的态度（例如，对治疗产生现实的期望并提高恢复力）和消极的态度（如，引起过度担忧），即与患者分享可能产生的负面影响的信息。它还揭示了阻碍就这一主题进行公开讨论的各种因素，尽管这些因素被认为是重要的。结论：向患者提供可能的负面影响信息的必要性应包括在伦理指南、行为准则中，并在临床培训中教授。然而，缺乏知识、恐惧、缺乏时间和患者特征似乎阻碍了治疗师在知情同意程序中讨论这个问题。

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

Psychotherapy Research PSYCHOLOGY, CLINICAL-

CiteScore

7.80

自引率

10.30%

发文量

期刊介绍： Psychotherapy Research seeks to enhance the development, scientific quality, and social relevance of psychotherapy research and to foster the use of research findings in practice, education, and policy formulation. The Journal publishes reports of original research on all aspects of psychotherapy, including its outcomes, its processes, education of practitioners, and delivery of services. It also publishes methodological, theoretical, and review articles of direct relevance to psychotherapy research. The Journal is addressed to an international, interdisciplinary audience and welcomes submissions dealing with diverse theoretical orientations, treatment modalities.