Patient Perceptions of Illness Causes and Treatment Preferences for Obsessive-Compulsive Disorder: A Mixed-Methods Study.

Autor: Aggarwal NK; Department of Psychiatry, Columbia University Irving Medical Center, Columbia University, New York, USA. neil.aggarwal@nyspi.columbia.edu.; New York State Psychiatric Institute, New York, USA. neil.aggarwal@nyspi.columbia.edu., Sadaghiyani S; New York State Psychiatric Institute, New York, USA., Kananian S; Department of Clinical Psychology and Psychotherapy, Goethe University, Frankfurt, Germany., Lam P; New York State Psychiatric Institute, New York, USA., Messner G; New York State Psychiatric Institute, New York, USA., Marincowitz C; SA MRC Unit on Risk and Resilience in Mental Disorders, Department of Psychiatry, University of Stellenbosch, Stellenbosch, South Africa., Narayan M; Department of Psychiatry, National Institute of Mental Health and Neurosciences, Bangalore, India., Luciano AC; Department and Institute of Psychiatry, Faculdade de Medicina, Universidade de São Paulo, São Paulo, Brazil., van Balkom AJLM; Department of Psychiatry, Amsterdam University Medical Center, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.; GGZ inGeest, Amsterdam, The Netherlands., Hezel D; New York State Psychiatric Institute, New York, USA., Lochner C; SA MRC Unit on Risk and Resilience in Mental Disorders, Department of Psychiatry, University of Stellenbosch, Stellenbosch, South Africa., Shavitt RG; Obsessive-Compulsive Spectrum Disorders Program, LIM-23, Instituto de Psiquiatria do Hospital das Clinicas HCFMUSP, Faculdade de Medicina, Universidade de São Paulo, São Paulo, Brazil., van den Heuvel OA; Department of Psychiatry, Amsterdam University Medical Center, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.; Department of Anatomy and Neuroscience, Amsterdam University Medical Center, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.; Compulsivity Impulsivity Attention Program, Amsterdam Neuroscience, Amsterdam, The Netherlands., Simpson B; Department of Psychiatry, Columbia University Irving Medical Center, Columbia University, New York, USA.; New York State Psychiatric Institute, New York, USA., Lewis-Fernández R; Department of Psychiatry, Columbia University Irving Medical Center, Columbia University, New York, USA.; New York State Psychiatric Institute, New York, USA.
Jazyk: angličtina
Zdroj: Culture, medicine and psychiatry [Cult Med Psychiatry] 2024 Sep; Vol. 48 (3), pp. 591-613. Date of Electronic Publication: 2024 Jun 19.
DOI: 10.1007/s11013-024-09865-5
Abstrakt: Obsessive-compulsive disorder (OCD) is a condition with high patient morbidity and mortality. Research shows that eliciting patient explanations about illness causes and treatment preferences promotes cross-cultural work and engagement in health services. These topics are in the Cultural Formulation Interview (CFI), a semi-structured interview first published in DSM-5 that applies anthropological approaches within mental health services to promote person-centered care. This study focuses on the New York City site of an international multi-site study that used qualitative-quantitative mixed methods to: (1) analyze CFI transcripts with 55 adults with OCD to explore perceived illness causes and treatment preferences, and (2) explore whether past treatment experiences are related to perceptions about causes of current symptoms. The most commonly named causes were circumstantial stressors (n = 16), genetics (n = 12), personal psychological traits (n = 9), an interaction between circumstantial stressors and participants' brains (n = 6), and a non-specific brain problem (n = 6). The most common treatment preferences were psychotherapy (n = 42), anything (n = 4), nothing (n = 4), and medications (n = 2). Those with a prior medication history had twice the odds of reporting a biological cause, though this was not a statistically significant difference. Our findings suggest that providers should ask patients about illness causes and treatment preferences to guide treatment choice.
(© 2024. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.)
Databáze: MEDLINE
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