The Effect of an Educating versus Normalizing Approach on Treatment Motivation in Patients Presenting with Delusions: An Experimental Investigation with Analogue Patients.

IF 3.6 Q1 PSYCHIATRY Schizophrenia Research and Treatment Pub Date : 2013-01-01 Epub Date: 2013-10-23 DOI:10.1155/2013/261587
Eva Lüllmann, Tania M Lincoln
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引用次数: 15

Abstract

Until recently a widespread recommendation for clinicians was not to respond to the content of patients' delusions but to stress at an early time point that the patient has a mental illness (educating approach). An opposed recommendation is to validate the patients' symptoms and normalize them (normalizing approach). This study used an experimental design to compare the impact of these two approaches on treatment motivation (TM). A cover story about a person who develops persecutory delusions was used to guide a sample of 81 healthy participants who served as analogue patients into imagining experiencing delusions. This was followed by a random assignment to either an educating or a normalizing consultation with a fictive clinician. Consultations only differed in content. Finally, we assessed the participants' motivation to accept medication (Medication TM), psychological treatment (Psychological TM), and treatment offered by this particular clinician independent of the kind of treatment (Clinician-related TM). Participants in the normalizing condition showed higher Clinician-related and Psychological TM than those in the educating condition. Medication TM was unaffected by condition. Following our results using a normalizing approach seems to be advisable in a first-contact situation with patients with delusions and favourable to a simple educating approach.

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教育与规范化方法对妄想患者治疗动机的影响:一项模拟患者的实验研究。
直到最近,对临床医生的广泛建议是,不要对患者妄想的内容作出反应,而是在早期强调患者患有精神疾病(教育方法)。相反的建议是确认患者的症状并使其正常化(正常化方法)。本研究采用实验设计比较这两种方法对治疗动机(TM)的影响。一个关于一个患有受迫害妄想症的人的封面故事被用来引导81名健康的参与者,他们作为模拟病人,想象自己正在经历妄想。随后是随机分配到一个有效的临床医生进行教育或正常咨询。磋商只是在内容上有所不同。最后,我们评估了参与者接受药物治疗(medication TM)、心理治疗(psychological TM)的动机,以及该特定临床医生提供的独立于治疗类型的治疗(与临床医生相关的TM)。规范化组的临床相关TM和心理TM均高于教育组。用药TM不受病情影响。根据我们的结果,在与妄想患者的首次接触情况下,使用正常化方法似乎是可取的,并且有利于简单的教育方法。
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来源期刊
CiteScore
4.60
自引率
0.00%
发文量
2
审稿时长
14 weeks
期刊介绍: Schizophrenia Research and Treatment is a peer-reviewed, Open Access journal that publishes original research articles, review articles, and clinical studies related to all aspects of schizophrenia.
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