双极性障碍症状监测措施:对患者偏好的混合方法研究
Joseph M Cerimele1, Gabriel Franta1, Brittany E Blanchard1
1Department of Psychiatry and Behavioral Sciences, University of Washington School of Medicine, Seattle, WA.
Journal of the Academy of Consultation-Liaison Psychiatry
|November 15, 2023
概括
患有双相情感障碍的人更喜欢患者躁狂问卷-9 (PMQ-9) 和患者健康问卷-9 (PHQ-9) 组合用于症状监测. 这种综合措施在易用性和准确的体验描述方面被评为最高.
科学领域:
- 精神病学和心理健康 精神病学和心理健康
- 临床心理学 临床心理学
- 患者报告的结果
背景情况:
- 双极性障碍症状监测对于有效治疗至关重要.
- 患者对症状评估工具的偏好可能会影响其坚持性和效用.
- 现有的措施在双相情感障碍患者的接受度和帮助程度上可能有所不同.
研究的目的:
- 评估不同双相情绪障碍症状的感知可接受性和有用性.
- 根据患者偏好对症状指标进行排名.
- 确定影响症状评估工具选择的以患者为中心的因素.
主要方法:
- 采用混合方法的方法,对20名被诊断患有双相情感障碍的成年人进行了研究.
- 参与者完成了三个症状测量集:情感自我评价量表;PMQ-9/PHQ-9;和奥尔特曼自我评价狂热/PHQ-9.
- 半结构面试和数值排名被用来收集定性和定量偏好数据.
主要成果:
- 患者狂热问卷-9 (PMQ-9) 和患者健康问卷-9 (PHQ-9) 的组合是最喜欢的测量方法 (平均排名为1.48).
- 情感自我评价表排名第二 (平均排名为1.68),其次是阿尔特曼自我评价狂热/PHQ-9组合 (平均排名为2.85).
- 影响偏好的关键主题包括测量格式,患者体验,临床效用和感知到的治疗效果.
结论:
- 双相情感障碍患者在治疗监测中高度喜欢PMQ-9/PHQ-9组合.
- 优势包括其用户友好的格式,易于解释,以及准确反映患者的经验.
- 这一首选措施证明了临床实践和患者参与的可行性.
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