Mental Health Provider Knowledge and Attitudes Toward Diagnosing Anxiety Disorders in the Veterans Health Administration.

Autor: Plasencia M; Michael E. DeBakey VA Medical Center, VA HSR&D Houston Center of Innovations in Quality, Effectiveness and Safety, (MEDVAMC 152), 2002 Holcombe Blvd, Houston, TX, 77030, USA. maribel.plasencia@bcm.edu.; Menninger Department of Psychiatry and Behavioral Sciences, Baylor College of Medicine, One Baylor Plaza, Houston, TX, 77030, USA. maribel.plasencia@bcm.edu.; Education and Clinical Center, VA South Central Mental Illness Research, Houston, TX, USA. maribel.plasencia@bcm.edu., Chen PV; Michael E. DeBakey VA Medical Center, VA HSR&D Houston Center of Innovations in Quality, Effectiveness and Safety, (MEDVAMC 152), 2002 Holcombe Blvd, Houston, TX, 77030, USA.; Department of Medicine, Baylor College of Medicine, One Baylor Plaza, Houston, TX, 77030, USA., Hundt NE; Michael E. DeBakey VA Medical Center, VA HSR&D Houston Center of Innovations in Quality, Effectiveness and Safety, (MEDVAMC 152), 2002 Holcombe Blvd, Houston, TX, 77030, USA.; Menninger Department of Psychiatry and Behavioral Sciences, Baylor College of Medicine, One Baylor Plaza, Houston, TX, 77030, USA.; Education and Clinical Center, VA South Central Mental Illness Research, Houston, TX, USA., Kunik ME; Michael E. DeBakey VA Medical Center, VA HSR&D Houston Center of Innovations in Quality, Effectiveness and Safety, (MEDVAMC 152), 2002 Holcombe Blvd, Houston, TX, 77030, USA.; Menninger Department of Psychiatry and Behavioral Sciences, Baylor College of Medicine, One Baylor Plaza, Houston, TX, 77030, USA.; Education and Clinical Center, VA South Central Mental Illness Research, Houston, TX, USA., Giardina TD; Michael E. DeBakey VA Medical Center, VA HSR&D Houston Center of Innovations in Quality, Effectiveness and Safety, (MEDVAMC 152), 2002 Holcombe Blvd, Houston, TX, 77030, USA.; Department of Medicine, Baylor College of Medicine, One Baylor Plaza, Houston, TX, 77030, USA., Christie IC; Michael E. DeBakey VA Medical Center, VA HSR&D Houston Center of Innovations in Quality, Effectiveness and Safety, (MEDVAMC 152), 2002 Holcombe Blvd, Houston, TX, 77030, USA.; Department of Medicine, Baylor College of Medicine, One Baylor Plaza, Houston, TX, 77030, USA., Sansgiry S; Michael E. DeBakey VA Medical Center, VA HSR&D Houston Center of Innovations in Quality, Effectiveness and Safety, (MEDVAMC 152), 2002 Holcombe Blvd, Houston, TX, 77030, USA.; Education and Clinical Center, VA South Central Mental Illness Research, Houston, TX, USA.; Department of Medicine, Baylor College of Medicine, One Baylor Plaza, Houston, TX, 77030, USA., Fletcher TL; Michael E. DeBakey VA Medical Center, VA HSR&D Houston Center of Innovations in Quality, Effectiveness and Safety, (MEDVAMC 152), 2002 Holcombe Blvd, Houston, TX, 77030, USA.; Menninger Department of Psychiatry and Behavioral Sciences, Baylor College of Medicine, One Baylor Plaza, Houston, TX, 77030, USA.; Education and Clinical Center, VA South Central Mental Illness Research, Houston, TX, USA.
Jazyk: angličtina
Zdroj: Journal of clinical psychology in medical settings [J Clin Psychol Med Settings] 2024 Dec 15. Date of Electronic Publication: 2024 Dec 15.
DOI: 10.1007/s10880-024-10060-2
Abstrakt: Clinical practice guidelines indicate treatments for specific anxiety diagnoses. Misdiagnosing specific anxiety disorders as unspecified anxiety may prevent patients from receiving appropriate care. Provider knowledge and attitudes may influence diagnostic practices. This study evaluated provider knowledge of diagnostic criteria for anxiety disorders and attitudes toward diagnostic processes and the relevance of diagnosis to patients' treatment. This qualitative analysis of interviews included 32 Veterans Health Administration providers in Primary Care Behavioral Health and Specialty Mental Health. Interview guides were created using a framework that outlines barriers regarding provider knowledge, attitudes, and behaviors as they pertain to following clinical practice guidelines. Most providers described themselves as familiar with diagnostic criteria for anxiety disorders and discussed consulting the Diagnostic and Statistical Manual of Mental Disorders if unsure about criteria. Providers were divided on the relevance of diagnostic specificity to a patient's treatment plan and outcomes. In the Veterans Health Administration, providers across different settings, roles, and tendency toward assigning specific diagnosis disagree on the relevance of diagnostic specificity for a patient's treatment and outcomes. Future research should seek to understand this divide and evaluate methods for optimizing a patient's likelihood of receiving a proper, accurate diagnosis.
Competing Interests: Declarations. Conflict of interest: Maribel Plasencia, Patricia V. Chen, Natalie E. Hundt, Mark E. Kunik, Traber D. Giardina, Israel C. Christie, Shubhada Sansgiry, and Terri L. Fletcher have not disclosed any conflict of interest. Ethical Approval: The study was approved by the Institutional Review Board at Baylor College of Medicine, a private medical institution, and affiliate VAMC partner in Houston, TX (H-44592). All study participants provided verbal consent at the start of the interview and granted permission to record the interview.
(© 2024. This is a U.S. Government work and not under copyright protection in the US; foreign copyright protection may apply.)
Databáze: MEDLINE
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