自杀倾向患者同意治疗的能力发生变化
Emilie Olié1,2, Thomas Catanzaro3, Manon Malestroit4
1Department of Emergency Psychiatry and Acute Care, Lapeyronie Hospital, CHU Montpellier, Montpellier, France. e-olie@chu-montpellier.fr.
Annals of general psychiatry
|September 9, 2023
概括
抑郁症自杀未遂者往往对接受治疗的能力有损,在理解,推理和欣赏方面得分较低. 进一步的研究对于在这个脆弱人群中做出明智的治疗决策至关重要.
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
- 神经科学是一个神经科学.
背景情况:
- 许多患有抑郁症的患者,特别是自杀未遂者,由于缺乏治疗需求和决策能力受损,拒绝接受治疗.
- 这引发了关于他们是否有能力为治疗提供知情同意的重大问题.
研究的目的:
- 评估当前抑郁期患者的治疗同意能力,比较自杀未遂 (SAs) 与非SAs.
- 为了确定与此种人群中受损的同意能力相关的因素.
主要方法:
- 该研究使用麦克阿瑟治疗能力评估工具 (MacCAT-T) 评估了33名SA和27名非SA目前患有抑郁症的同意能力.
- 抑郁症的严重程度是通过贝克抑郁症清单 (BDI) 来衡量的,洞察力是通过贝克认知洞察量表来衡量的.
主要成果:
- 与未尝试自杀的人相比,自杀企图者表现出明显更高的抑郁严重程度 (BDI分数).
- 受损的同意能力很普遍,影响了所有患者的理解 (60%),推理 (53%) 和欣赏 (30%).
- 自杀尝试史和抑郁症严重程度与MacCAT-T子得分有负相关性,表明SAS的能力受损.
结论:
- 很大一部分抑郁症患者,特别是那些有过自杀尝试的患者,表现出对接受治疗的同意能力受损.
- 为了了解和解决这些缺陷,进一步的研究是必不可少的,确保自杀个体的知情治疗选择.
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