Skip to main content
Erschienen in: Community Mental Health Journal 5/2010

01.10.2010 | Original Paper

Patient-Centered Care in Affective, Non-Affective, and Schizoaffective Groups: Patients’ Opinions and Attitudes

verfasst von: Raymond Tempier, Shelanne L. Hepp, C. Randy Duncan, Betty Rohr, Krystal Hachey, Karen Mosier

Erschienen in: Community Mental Health Journal | Ausgabe 5/2010

Einloggen, um Zugang zu erhalten

Abstract

An outcome evaluation was conducted to obtain psychiatric inpatients’ perspectives on acute care mental health treatment and services. The applicability of diagnostic categories based on affective, non-affective, and schizoaffective disorder were considered in the predictability of responses to treatment regimens and the related services provided in an inpatient psychiatric unit. A multidimensional approach was used to survey patients, which included the DAI-30, the BMQ, the SERVQUAL, and the CSQ-8. Overall, findings indicate that inpatient satisfaction could be improved with tailoring treatment to suit their respective symptoms. Furthermore, this exploratory study demonstrates some preliminary support for the inclusion of patients with a diagnosis of schizoaffective disorder as a separate group toward improving acute mental health care while hospitalized.
Literatur
Zurück zum Zitat American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders, 4th ed. DSM-IV-TR. Washington, DC: American Psychiatric Association. American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders, 4th ed. DSM-IV-TR. Washington, DC: American Psychiatric Association.
Zurück zum Zitat Ani, C., Bazargan, M., Hindman, D., Bell, D., Rodriguez, M., & Baker, R. S. (2009). Comorbid chronic illness and the diagnosis and treatment of depression in safety net primary care settings. Journal of the American Board of Family Medicine, 22, 123–135.CrossRefPubMed Ani, C., Bazargan, M., Hindman, D., Bell, D., Rodriguez, M., & Baker, R. S. (2009). Comorbid chronic illness and the diagnosis and treatment of depression in safety net primary care settings. Journal of the American Board of Family Medicine, 22, 123–135.CrossRefPubMed
Zurück zum Zitat Awad, A. G., & Voruganti, L. N. P. (2005). Neuroleptic dysphoria: Revisiting the concept 50 years later. Acta Psychiatrica Scandinavica, 111(s427), 6–13.CrossRef Awad, A. G., & Voruganti, L. N. P. (2005). Neuroleptic dysphoria: Revisiting the concept 50 years later. Acta Psychiatrica Scandinavica, 111(s427), 6–13.CrossRef
Zurück zum Zitat Babakus, E., & Mangold, W. G. (1992). Adapting the SERVQUAL scale to hospital services: An empirical investigation. Health Services Research, 26(6), 767–786.PubMed Babakus, E., & Mangold, W. G. (1992). Adapting the SERVQUAL scale to hospital services: An empirical investigation. Health Services Research, 26(6), 767–786.PubMed
Zurück zum Zitat Becker, T., Knapp, M., Kudsen, H. C., Schene, A. H., Tansella, M., Thornicroft, G., et al. (2000). Aims, outcome measures, study sites and patient sample. EPSILON Study 1. European Psychiatric Services: Inputs linked to outcome domains and needs. The British Journal of Psychiatry. Supplement, 39, S1–S7.CrossRefPubMed Becker, T., Knapp, M., Kudsen, H. C., Schene, A. H., Tansella, M., Thornicroft, G., et al. (2000). Aims, outcome measures, study sites and patient sample. EPSILON Study 1. European Psychiatric Services: Inputs linked to outcome domains and needs. The British Journal of Psychiatry. Supplement, 39, S1–S7.CrossRefPubMed
Zurück zum Zitat Boeije, H. (2002). A purposeful approach to the constant comparative method in the analysis of qualitative interviews. Quality & Quantity, 36, 391–409.CrossRef Boeije, H. (2002). A purposeful approach to the constant comparative method in the analysis of qualitative interviews. Quality & Quantity, 36, 391–409.CrossRef
Zurück zum Zitat Browne, C., Battista, D. R., Bruehlman, R., Sereika, S. S., Thase, M. E., & Dunbar-Jacob, J. (2005). Beliefs about antidepressant medications in primary care patients: Relationship to self-reported adherence. Medical Care, 43(12), 1203–1207.CrossRef Browne, C., Battista, D. R., Bruehlman, R., Sereika, S. S., Thase, M. E., & Dunbar-Jacob, J. (2005). Beliefs about antidepressant medications in primary care patients: Relationship to self-reported adherence. Medical Care, 43(12), 1203–1207.CrossRef
Zurück zum Zitat Carr-Hill, R. A. (1992). The measurement of patient satisfaction. Journal of Public Health Medicine, 14(3), 236–249.PubMed Carr-Hill, R. A. (1992). The measurement of patient satisfaction. Journal of Public Health Medicine, 14(3), 236–249.PubMed
Zurück zum Zitat Cheniaux, E., Landiera-Fernadez, J., Lessa Tellas, L., Lessa, J. L., Dias, A., & Duncan, T. (2008). Does schizoaffective disorder really exist? A systematic review of the studies that compared schizoaffective disorder with schizophrenia and mood disorders. Journal of Affective Disorders, 106, 209–217.CrossRefPubMed Cheniaux, E., Landiera-Fernadez, J., Lessa Tellas, L., Lessa, J. L., Dias, A., & Duncan, T. (2008). Does schizoaffective disorder really exist? A systematic review of the studies that compared schizoaffective disorder with schizophrenia and mood disorders. Journal of Affective Disorders, 106, 209–217.CrossRefPubMed
Zurück zum Zitat Committee on Quality of Health Care in America, Institute of Medicine. (2001). Crossing the quality chasm: A new health system for the 21st century (executive summary). Washington, DC: National Academy Press. Committee on Quality of Health Care in America, Institute of Medicine. (2001). Crossing the quality chasm: A new health system for the 21st century (executive summary). Washington, DC: National Academy Press.
Zurück zum Zitat Davis, K., Schoenbaum, S. C., & Audet, A. J. (2005). A 2020 vision of patient-centered primary care. Journal of General Internal Medicine, 20(10), 953–957.CrossRefPubMed Davis, K., Schoenbaum, S. C., & Audet, A. J. (2005). A 2020 vision of patient-centered primary care. Journal of General Internal Medicine, 20(10), 953–957.CrossRefPubMed
Zurück zum Zitat De Las, C. C., & Sanz, E. J. (2007). Attitudes toward psychiatric drug treatment: The experience of being treated. Eur J Clin Pharmacol, 16. De Las, C. C., & Sanz, E. J. (2007). Attitudes toward psychiatric drug treatment: The experience of being treated. Eur J Clin Pharmacol, 16.
Zurück zum Zitat Dickinson, D., Wilkie, P., & Harris, M. (1999). Taking medicines: Concordance is not compliance. BMJ, 319(7212), 787.PubMed Dickinson, D., Wilkie, P., & Harris, M. (1999). Taking medicines: Concordance is not compliance. BMJ, 319(7212), 787.PubMed
Zurück zum Zitat Gaebel, W., & Zielasek, J. (2008). The DSM-V initiative “deconstructing psychosis” in the context of Kraepelin’s concept on nosology. European Archives of Psychiatry and Clinical Neuroscience, 258(Suppl 2), 41–47.CrossRefPubMed Gaebel, W., & Zielasek, J. (2008). The DSM-V initiative “deconstructing psychosis” in the context of Kraepelin’s concept on nosology. European Archives of Psychiatry and Clinical Neuroscience, 258(Suppl 2), 41–47.CrossRefPubMed
Zurück zum Zitat Garnick, D. W., Hodgkin, D., & Horgan, C. (2002). Selecting data sources for substance abuse services research. Journal of Substance Abuse Treatment, 22, 11–22.CrossRefPubMed Garnick, D. W., Hodgkin, D., & Horgan, C. (2002). Selecting data sources for substance abuse services research. Journal of Substance Abuse Treatment, 22, 11–22.CrossRefPubMed
Zurück zum Zitat Goldberg, R. W., Kreyenbuhl, J. A., Medoff, D. R., et al. (2007). Quality of diabetes care among adults with serious mental illness. Psychiatric Services, 58, 536–543.CrossRefPubMed Goldberg, R. W., Kreyenbuhl, J. A., Medoff, D. R., et al. (2007). Quality of diabetes care among adults with serious mental illness. Psychiatric Services, 58, 536–543.CrossRefPubMed
Zurück zum Zitat Grinshpoon, A., & Ponizovsky, A. M. (2008). The relationships between need profiles, clinical symptoms, functioning and the well-being of inpatients with severe mental disorders. Journal of Evaluation in Clinical Practice, 14(2), 218–225.CrossRefPubMed Grinshpoon, A., & Ponizovsky, A. M. (2008). The relationships between need profiles, clinical symptoms, functioning and the well-being of inpatients with severe mental disorders. Journal of Evaluation in Clinical Practice, 14(2), 218–225.CrossRefPubMed
Zurück zum Zitat Hackman, A., Brown, C., Yang, Y., Goldberg, R., Kreyenbuhl, J., Lucksted, A., et al. (2007). Consumer satisfaction with inpatient psychiatric treatment among persons with severe mental illness. Community Mental Health Journal, 43(6), 551–564.CrossRefPubMed Hackman, A., Brown, C., Yang, Y., Goldberg, R., Kreyenbuhl, J., Lucksted, A., et al. (2007). Consumer satisfaction with inpatient psychiatric treatment among persons with severe mental illness. Community Mental Health Journal, 43(6), 551–564.CrossRefPubMed
Zurück zum Zitat Hamann, J., Cohen, R., Leucht, S., Busch, R., & Kissling, W. (2005). Do patients with schizophrenia wish to be involved in decisions about their medical treatment? American Journal of Psychiatry, 162(12), 2382–2384.CrossRefPubMed Hamann, J., Cohen, R., Leucht, S., Busch, R., & Kissling, W. (2005). Do patients with schizophrenia wish to be involved in decisions about their medical treatment? American Journal of Psychiatry, 162(12), 2382–2384.CrossRefPubMed
Zurück zum Zitat Hamilton, C., (2006). Healthy provinces, healthy Canadians: A provincial benchmarking report. The Conference Board of Canada. Report No.: 44. Hamilton, C., (2006). Healthy provinces, healthy Canadians: A provincial benchmarking report. The Conference Board of Canada. Report No.: 44.
Zurück zum Zitat Hansson, L. (1989). Patient satisfaction with in-hospital psychiatric care. A study of a 1-year population of patients hospitalized in a sectorized care organization. European Archives of Psychiatry and Neurological Sciences, 239, 92–100.CrossRef Hansson, L. (1989). Patient satisfaction with in-hospital psychiatric care. A study of a 1-year population of patients hospitalized in a sectorized care organization. European Archives of Psychiatry and Neurological Sciences, 239, 92–100.CrossRef
Zurück zum Zitat Hogan, T. P., Awad, A. G., & Eastwood, R. (1983). A self-report scale predictive of drug compliance in schizophrenics: Reliability and discriminative validity. Psychological Medicine, 13(1), 177–183.CrossRefPubMed Hogan, T. P., Awad, A. G., & Eastwood, R. (1983). A self-report scale predictive of drug compliance in schizophrenics: Reliability and discriminative validity. Psychological Medicine, 13(1), 177–183.CrossRefPubMed
Zurück zum Zitat Horne, R., Weinman, J., & Hankins, M. (1999). The beliefs about medicines questionnaire: The development and evaluation of a new method for assessing the cognitive representation of medication. Psychology and Health, 14, 1–24.CrossRef Horne, R., Weinman, J., & Hankins, M. (1999). The beliefs about medicines questionnaire: The development and evaluation of a new method for assessing the cognitive representation of medication. Psychology and Health, 14, 1–24.CrossRef
Zurück zum Zitat Institute of Medicine of the National Academies. (2006). Improving the quality of health care for mental and substance—use conditions. Washington, DC: The National Academic Press. Prepared for: Committee on crossing the quality chasm: Adaptation to mental health and addictive disorder. Institute of Medicine of the National Academies. (2006). Improving the quality of health care for mental and substance—use conditions. Washington, DC: The National Academic Press. Prepared for: Committee on crossing the quality chasm: Adaptation to mental health and addictive disorder.
Zurück zum Zitat Janssen, B., Gaebel, W., Haerter, M., Komaharadi, F., Lindel, B., & Weinmann, S. (2006). Evaluation of factors influencing medication compliance in inpatient treatment of psychotic disorders. Psychopharmacology, 187(2), 229–236.CrossRefPubMed Janssen, B., Gaebel, W., Haerter, M., Komaharadi, F., Lindel, B., & Weinmann, S. (2006). Evaluation of factors influencing medication compliance in inpatient treatment of psychotic disorders. Psychopharmacology, 187(2), 229–236.CrossRefPubMed
Zurück zum Zitat Kasckow, J. W., & Zisook, S. (2008). Co-occurring depressive symptoms in the older patient with schizophrenia. Drug Aging, 25(8), 631–647.CrossRef Kasckow, J. W., & Zisook, S. (2008). Co-occurring depressive symptoms in the older patient with schizophrenia. Drug Aging, 25(8), 631–647.CrossRef
Zurück zum Zitat Kestrup, A., Lund, K., Lauritsen, B., & Bech, P. (1993). Satisfaction with care reported by psychiatric inpatients. Relationship to diagnosis and medical treatment. Acta Psychiatrica Scandinavica, 87, 374–379.CrossRef Kestrup, A., Lund, K., Lauritsen, B., & Bech, P. (1993). Satisfaction with care reported by psychiatric inpatients. Relationship to diagnosis and medical treatment. Acta Psychiatrica Scandinavica, 87, 374–379.CrossRef
Zurück zum Zitat Kuosmanen, L., Hatonen, H., Jyrkinew, A. R., et al. (2006). Patient satisfaction with psychiatric inpatient care. Journal of Advanced Nursing, 55, 655–663.CrossRefPubMed Kuosmanen, L., Hatonen, H., Jyrkinew, A. R., et al. (2006). Patient satisfaction with psychiatric inpatient care. Journal of Advanced Nursing, 55, 655–663.CrossRefPubMed
Zurück zum Zitat Lang, A. J. (2005). Mental health treatment preferences of primary care patients. Journal of Behavioral Medicine, 28(6), 581–586.CrossRefPubMed Lang, A. J. (2005). Mental health treatment preferences of primary care patients. Journal of Behavioral Medicine, 28(6), 581–586.CrossRefPubMed
Zurück zum Zitat Larsen, D. L., Attkisson, C. C., Hargreaves, W. A., & Nguyen, T. D. (1979). Assessment of client/patient satisfaction: Development of a general scale. Evaluation and Program Planning, 2, 197–207.CrossRefPubMed Larsen, D. L., Attkisson, C. C., Hargreaves, W. A., & Nguyen, T. D. (1979). Assessment of client/patient satisfaction: Development of a general scale. Evaluation and Program Planning, 2, 197–207.CrossRefPubMed
Zurück zum Zitat Middelboe, T., Schjodt, T., Byrsting, K., & Gjerris, A. (2001). Ward atmosphere in acute psychiatric in-patient care: Patients’ perceptions, ideals and satisfaction. Acta Psychiatrica Scandinavica, 103(3), 212–219.CrossRefPubMed Middelboe, T., Schjodt, T., Byrsting, K., & Gjerris, A. (2001). Ward atmosphere in acute psychiatric in-patient care: Patients’ perceptions, ideals and satisfaction. Acta Psychiatrica Scandinavica, 103(3), 212–219.CrossRefPubMed
Zurück zum Zitat Moller, H. J. (2008). Systematic of psychiatric disorders between categorical and dimensional approaches: Kraepelin dichotomy and beyond. European Archives of Psychiatry and Clinical Neuroscience, 258(Suppl 2), 48–73.CrossRefPubMed Moller, H. J. (2008). Systematic of psychiatric disorders between categorical and dimensional approaches: Kraepelin dichotomy and beyond. European Archives of Psychiatry and Clinical Neuroscience, 258(Suppl 2), 48–73.CrossRefPubMed
Zurück zum Zitat Murray, R. M., & Dutta, R. (2007). The right answer for the wrong reasons? World Psychiatry, 6, 29–30. Murray, R. M., & Dutta, R. (2007). The right answer for the wrong reasons? World Psychiatry, 6, 29–30.
Zurück zum Zitat Oehl, M., Hummer, M., & Fleischhacker, W. W. (2000). Compliance with antipsychotic treatment. Acta Psychiatrica Scandinavica, 102(407), 83–86.CrossRef Oehl, M., Hummer, M., & Fleischhacker, W. W. (2000). Compliance with antipsychotic treatment. Acta Psychiatrica Scandinavica, 102(407), 83–86.CrossRef
Zurück zum Zitat Peytremann-Bridevaux, I., Scherer, F., Peer, L., et al. (2006). Satisfaction of patients hospitalized in psychiatric hospitals: A randomized comparison of two psychiatric-specific and one generic satisfaction questionnaires. BMC Health Services Research, 6, 108–116.CrossRefPubMed Peytremann-Bridevaux, I., Scherer, F., Peer, L., et al. (2006). Satisfaction of patients hospitalized in psychiatric hospitals: A randomized comparison of two psychiatric-specific and one generic satisfaction questionnaires. BMC Health Services Research, 6, 108–116.CrossRefPubMed
Zurück zum Zitat Phillips, L. K., Voglmaier, M. M., & Deldin, P. J. (2007). A preliminary study of emotion processing interference in schizophrenia and schizoaffective disorder. Schizophrenia Research, 94, 207–214.CrossRefPubMed Phillips, L. K., Voglmaier, M. M., & Deldin, P. J. (2007). A preliminary study of emotion processing interference in schizophrenia and schizoaffective disorder. Schizophrenia Research, 94, 207–214.CrossRefPubMed
Zurück zum Zitat Prince, J. D. (2006). Determinants of care satisfaction in inpatients with schizophrenia. Community Mental Health Journal, 42, 189–196.CrossRefPubMed Prince, J. D. (2006). Determinants of care satisfaction in inpatients with schizophrenia. Community Mental Health Journal, 42, 189–196.CrossRefPubMed
Zurück zum Zitat Rowe, R., & Clark, T. (2008). A survey of psychiatrists’ attitudes to schizoaffective disorder. International Journal of Psychiatry in Clinical Practice, 12(1), 25–30.CrossRef Rowe, R., & Clark, T. (2008). A survey of psychiatrists’ attitudes to schizoaffective disorder. International Journal of Psychiatry in Clinical Practice, 12(1), 25–30.CrossRef
Zurück zum Zitat Ruggeri, M., Lasalvia, A., Bisoffi, G., Thornicroft, G., Vazquez-Barquero, J. L., Becker, T., et al. (2003). Satisfaction with mental health services among people with schizophrenia in five European sites: Results from the EPSILON Study. Schizophrenia Bulletin, 29(2), 229–245.PubMed Ruggeri, M., Lasalvia, A., Bisoffi, G., Thornicroft, G., Vazquez-Barquero, J. L., Becker, T., et al. (2003). Satisfaction with mental health services among people with schizophrenia in five European sites: Results from the EPSILON Study. Schizophrenia Bulletin, 29(2), 229–245.PubMed
Zurück zum Zitat Salvi, G., Jones, J., & Ruggeri, M. (2005). Systematic review of the role of service users as researchers in mental health studies. Epidemiologia e Psichiatria Sociale, 14(4), 217–226.PubMed Salvi, G., Jones, J., & Ruggeri, M. (2005). Systematic review of the role of service users as researchers in mental health studies. Epidemiologia e Psichiatria Sociale, 14(4), 217–226.PubMed
Zurück zum Zitat Singh, S. M., McDonald, P., Murphy, B., & O’Reilly, R. (2004). Incidental neurodevelopmental episodes in the etiology of schizophrenia: An expanded model involving epigenetics and development. Clinical Genetics, 65, 435–440.CrossRefPubMed Singh, S. M., McDonald, P., Murphy, B., & O’Reilly, R. (2004). Incidental neurodevelopmental episodes in the etiology of schizophrenia: An expanded model involving epigenetics and development. Clinical Genetics, 65, 435–440.CrossRefPubMed
Zurück zum Zitat Slade, M., Leese, M., Cahill, S., Thornicroft, G., & Kuipers, E. (2005). Patient-related mental health needs and quality of life improvement. British Journal of Psychiatry, 187, 256–261.CrossRefPubMed Slade, M., Leese, M., Cahill, S., Thornicroft, G., & Kuipers, E. (2005). Patient-related mental health needs and quality of life improvement. British Journal of Psychiatry, 187, 256–261.CrossRefPubMed
Zurück zum Zitat Szoke, A., Meary, A., Trandafir, A., Bellivier, F., Roy, I., Schurhoff, F., et al. (2008). Executive deficits in psychotic and bipolar disorders—implications for our understanding of schizoaffective disorder. European Psychiatry, 23, 20–25.CrossRefPubMed Szoke, A., Meary, A., Trandafir, A., Bellivier, F., Roy, I., Schurhoff, F., et al. (2008). Executive deficits in psychotic and bipolar disorders—implications for our understanding of schizoaffective disorder. European Psychiatry, 23, 20–25.CrossRefPubMed
Zurück zum Zitat Tunner, T. P., & Salzer, M. S. (2006). Consumer perspectives on quality of care in the treatment of schizophrenia. Mental Health & Mental Health Services Research, 33, 674–681. Tunner, T. P., & Salzer, M. S. (2006). Consumer perspectives on quality of care in the treatment of schizophrenia. Mental Health & Mental Health Services Research, 33, 674–681.
Zurück zum Zitat U.S. Department of Health and Human Services. (2002). Expanding patient-centered care to empower patients and assist providers. Research in Action, 5, 1–12. U.S. Department of Health and Human Services. (2002). Expanding patient-centered care to empower patients and assist providers. Research in Action, 5, 1–12.
Metadaten
Titel
Patient-Centered Care in Affective, Non-Affective, and Schizoaffective Groups: Patients’ Opinions and Attitudes
verfasst von
Raymond Tempier
Shelanne L. Hepp
C. Randy Duncan
Betty Rohr
Krystal Hachey
Karen Mosier
Publikationsdatum
01.10.2010
Verlag
Springer US
Erschienen in
Community Mental Health Journal / Ausgabe 5/2010
Print ISSN: 0010-3853
Elektronische ISSN: 1573-2789
DOI
https://doi.org/10.1007/s10597-010-9316-2

Weitere Artikel der Ausgabe 5/2010

Community Mental Health Journal 5/2010 Zur Ausgabe

Endlich: Zi zeigt, mit welchen PVS Praxen zufrieden sind

IT für Ärzte Nachrichten

Darauf haben viele Praxen gewartet: Das Zi hat eine Liste von Praxisverwaltungssystemen veröffentlicht, die von Nutzern positiv bewertet werden. Eine gute Grundlage für wechselwillige Ärzte und Psychotherapeuten.

Demenzkranke durch Antipsychotika vielfach gefährdet

23.04.2024 Demenz Nachrichten

Wenn Demenzkranke aufgrund von Symptomen wie Agitation oder Aggressivität mit Antipsychotika behandelt werden, sind damit offenbar noch mehr Risiken verbunden als bislang angenommen.

Weniger postpartale Depressionen nach Esketamin-Einmalgabe

Bislang gibt es kein Medikament zur Prävention von Wochenbettdepressionen. Das Injektionsanästhetikum Esketamin könnte womöglich diese Lücke füllen.

„Psychotherapie ist auch bei sehr alten Menschen hochwirksam!“

22.04.2024 DGIM 2024 Kongressbericht

Die Kombination aus Medikamenten und Psychotherapie gilt als effektivster Ansatz bei Depressionen. Das ist bei betagten Menschen nicht anders, trotz Besonderheiten.

Update Psychiatrie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.