Marjolein J van Tongeren, Wiebren Markus, Barbara Stringer, Janneke M de Man, Cornelis A J de Jong, Berno van Meijel
{"title":"药物使用障碍门诊患者士气低落的临床判断与自评:一项横断面研究。","authors":"Marjolein J van Tongeren, Wiebren Markus, Barbara Stringer, Janneke M de Man, Cornelis A J de Jong, Berno van Meijel","doi":"10.1111/ppc.12912","DOIUrl":null,"url":null,"abstract":"<p><strong>Purpose: </strong>To investigate the ability of case managers, working in ambulatory treatment settings specialized in addiction care, to clinically judge demoralization in substance-dependent patients.</p><p><strong>Design and methods: </strong>In a cross-sectional study, clinical judgments of case managers were compared with the patients' scores on the Demoralization Scale, by calculating the sensitivity and specificity scores.</p><p><strong>Findings: </strong>Case managers identified demoralization in 85% of the cases (sensitivity), the specificity of 62% suggests that demoralization was overestimated by case managers.</p><p><strong>Practice implications: </strong>Demoralization is a frequently occurring phenomenon in patients. Methods should be developed that allow professionals and patients to identify demoralization collaboratively, and to develop tailored interventions to prevent demoralization and its negative consequences.</p>","PeriodicalId":20019,"journal":{"name":"Perspectives in Psychiatric Care","volume":"58 3","pages":"1138-1143"},"PeriodicalIF":1.9000,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/ppc.12912","citationCount":"4","resultStr":"{\"title\":\"Clinical judgement versus self-rating of demoralization in outpatients with a substance-use disorder: A cross-sectional study.\",\"authors\":\"Marjolein J van Tongeren, Wiebren Markus, Barbara Stringer, Janneke M de Man, Cornelis A J de Jong, Berno van Meijel\",\"doi\":\"10.1111/ppc.12912\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Purpose: </strong>To investigate the ability of case managers, working in ambulatory treatment settings specialized in addiction care, to clinically judge demoralization in substance-dependent patients.</p><p><strong>Design and methods: </strong>In a cross-sectional study, clinical judgments of case managers were compared with the patients' scores on the Demoralization Scale, by calculating the sensitivity and specificity scores.</p><p><strong>Findings: </strong>Case managers identified demoralization in 85% of the cases (sensitivity), the specificity of 62% suggests that demoralization was overestimated by case managers.</p><p><strong>Practice implications: </strong>Demoralization is a frequently occurring phenomenon in patients. Methods should be developed that allow professionals and patients to identify demoralization collaboratively, and to develop tailored interventions to prevent demoralization and its negative consequences.</p>\",\"PeriodicalId\":20019,\"journal\":{\"name\":\"Perspectives in Psychiatric Care\",\"volume\":\"58 3\",\"pages\":\"1138-1143\"},\"PeriodicalIF\":1.9000,\"publicationDate\":\"2022-07-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://sci-hub-pdf.com/10.1111/ppc.12912\",\"citationCount\":\"4\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Perspectives in Psychiatric Care\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1111/ppc.12912\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2021/7/8 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"Q2\",\"JCRName\":\"NURSING\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Perspectives in Psychiatric Care","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1111/ppc.12912","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2021/7/8 0:00:00","PubModel":"Epub","JCR":"Q2","JCRName":"NURSING","Score":null,"Total":0}
Clinical judgement versus self-rating of demoralization in outpatients with a substance-use disorder: A cross-sectional study.
Purpose: To investigate the ability of case managers, working in ambulatory treatment settings specialized in addiction care, to clinically judge demoralization in substance-dependent patients.
Design and methods: In a cross-sectional study, clinical judgments of case managers were compared with the patients' scores on the Demoralization Scale, by calculating the sensitivity and specificity scores.
Findings: Case managers identified demoralization in 85% of the cases (sensitivity), the specificity of 62% suggests that demoralization was overestimated by case managers.
Practice implications: Demoralization is a frequently occurring phenomenon in patients. Methods should be developed that allow professionals and patients to identify demoralization collaboratively, and to develop tailored interventions to prevent demoralization and its negative consequences.
期刊介绍：
Perspectives in Psychiatric Care (PPC) is recognized and respected as THE journal for advanced practice psychiatric nurses. The journal provides advanced practice nurses with current research, clinical application, and knowledge about psychiatric nursing, prescriptive treatment, and education. It publishes peer-reviewed papers that reflect clinical practice issues, psychobiological information, and integrative perspectives that are evidence-based. Perspectives in Psychiatric Care includes regular columns on the biology of mental illness and pharmacology, the art of prescribing, integrative perspectives, and private practice issues.
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