精神病医生如何看待治疗极度耐药的患者?
Natalie J Dorfman1, Jennifer Blumenthal-Barby1, Peter A Ubel2
1Baylor College of Medicine.
AJOB neuroscience
|June 28, 2023
概括
精神病医生经常继续为那些有自杀念头的重病患者提供他们认为没有帮助的治疗方法. 这项研究突出了治疗不耐药的自杀想法管理的差距.
科学领域:
- 精神病学是一个精神病学.
- 临床心理学 临床心理学
- 医学伦理 医学伦理
背景情况:
- 限制无效的治疗方法在一般医学中很常见,但在精神病学中不太被探索.
- 严重治疗不耐药的疾病中自杀念头带来了独特的管理挑战.
研究的目的:
- 调查美国精神病医生关于他们对治疗不耐药患者管理自杀念头的态度.
- 描述精神病医生推他们认为可能没有帮助的干预措施的可能性.
主要方法:
- 对212名美国精神病医生的调查.
- 介绍两个临床细节:一个是边缘性人格障碍,一个是重度抑郁障碍,两者都有自杀念头并接受最大限度的治疗.
- 预期帮助度的评分和推住院,药物改变,神经刺激和心理治疗的可能性.
主要成果:
- 大多数精神病医生可能会提供干预措施,除了边缘性人格障碍的神经刺激外.
- 与他们提供这些干预的可能性相比,更少的精神病医生认为这些干预会有帮助.
- 显著的少数人会提供他们不认为有帮助的治疗方法.
结论:
- 虽然精神病医生承认一些患者可能对治疗没有反应,但许多人会继续提供干预措施.
- 这表明,在严重的,不耐药的自杀念头病例中,即使被认为可能没有帮助,也倾向于坚持治疗.
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