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Signal Attenuation as a Rat Model of Obsessive Compulsive Disorder
Published on: January 9, 2015
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Patient Perceptions of Illness Causes and Treatment Preferences for Obsessive-Compulsive Disorder: A Mixed-Methods
Neil Krishan Aggarwal1,2, Shima Sadaghiyani3, Schahryar Kananian4
1Department of Psychiatry, Columbia University Irving Medical Center, Columbia University, New York, USA. neil.aggarwal@nyspi.columbia.edu.
Culture, Medicine and Psychiatry
|June 19, 2024
Summary
Understanding patient perspectives on obsessive-compulsive disorder (OCD) causes and treatments is crucial. Eliciting these explanations can enhance engagement and guide personalized care for individuals with OCD.
Area of Science:
- Mental Health
- Psychiatry
- Cultural Psychiatry
Background:
- Obsessive-compulsive disorder (OCD) presents significant morbidity and mortality.
- Patient-centered care emphasizes understanding individual illness perceptions and treatment preferences.
- The Cultural Formulation Interview (CFI) integrates anthropological approaches into mental health services.
Purpose of the Study:
- To analyze perceived causes and treatment preferences in adults with OCD using the CFI.
- To investigate the relationship between past treatment experiences and current symptom cause perceptions.
- To inform culturally sensitive and personalized mental healthcare for OCD patients.
Main Methods:
- Qualitative-quantitative mixed-methods approach.
- Analysis of Cultural Formulation Interview (CFI) transcripts from 55 adults with OCD.
- Exploration of perceived illness causes and treatment preferences.
Main Results:
- Commonly cited causes included circumstantial stressors, genetics, and personal psychological traits.
- Psychotherapy was the most preferred treatment, followed by 'anything' or 'nothing'.
- A trend suggested prior medication history correlated with reporting biological causes, though not statistically significant.
Conclusions:
- Eliciting patient explanations of illness causes and treatment preferences is vital for effective OCD care.
- Findings support integrating patient perspectives into treatment planning for enhanced engagement.
- The CFI is a valuable tool for person-centered mental health service delivery.
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