治疗偏好和抑郁症中的自我耻辱:简要的ATDT-SF的开发和验证
Kristian H R Jensen1, Malene Sørensen1, Anders Spanggård2
1Department of Psychiatry, Psychiatric Centre Copenhagen, Copenhagen, Denmark; Neurobiology Research Unit, Rigshospitalet, Copenhagen, Denmark; Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark.
Journal of affective disorders
|September 9, 2025
概括
一个新的简短问卷,ATDT-SF,可靠地测量患者对抑郁症及其治疗的态度. 这个工具有助于理解影响治疗坚持和结果的信念.
科学领域:
- 精神病学和心理健康 精神病学和心理健康
- 心理测量 心理测量 心理测量
- 临床心理学 临床心理学
背景情况:
- 患者对抑郁症和治疗的看法会影响患者的坚持和结果.
- 最初的"对抑郁症及其治疗的态度" (ATDT) 问卷有心理测量方面的局限性.
- 需要一个可靠的,缩短版本的ATDT.
研究的目的:
- 开发和验证简化版本的ATDT问卷 (ATDT-SF).
- 为了提高原始ATDT的可靠性和心理测量特性.
- 评估对抑郁症的态度及其治疗在首次出现抑郁症的队列.
主要方法:
- 分析了321名患有第一次抑郁症的患者的数据.
- 使用探索性和确认性因子分析来识别和确认因子结构.
- 评估了ATDT-SF的可靠性和与临床变量的关联.
主要成果:
- 一个13项,四因素模型 (对抗抑郁药物的负面态度,寻求帮助,自我耻辱,对心理治疗的偏好) 显示了可接受的匹配.
- 年龄与负面态度正相关;抑郁症的严重程度与耻辱正相关.
- 丹麦患者报告比加拿大和澳大利亚样本更强烈的求助和更高的自我耻辱感.
结论:
- ATDT-SF是评估人们对抑郁症和治疗态度的可靠指标.
- 自我耻辱和治疗态度是抑郁症管理的重要因素.
- ATDT-SF可以帮助个性化的抑郁症治疗计划.
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