在青少年精神病学中超越共享决策:决策实践的动态连续
Raffaella Di Schiena1, Pauline Reciputi2, Maxime Morsa2
1Department of Psychology, University of Liège, Liège, Belgium. raffaella.dischiena@uliege.be.
Community mental health journal
|December 13, 2025
概括
儿童和青少年精神病医生支持共享决策 (SDM),但灵活地适应实践. 他们的临床决策涉及连续性,平衡合作与保护年轻人的措施.
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
- 青少年健康 青少年健康
背景情况:
- 共享决策 (SDM) 是成人精神病学的关键模式.
- 在青少年精神病学中,SDM的实施和具体挑战尚未得到充分探索.
研究的目的:
- 调查儿童和青少年精神病医生如何描述和调整他们的决策实践.
- 探索精神病学家的态度,策略和SDM在青少年心理健康护理中的感知局限性.
主要方法:
- 探索性定性研究. 探索性定性研究.
- 通过视频会议与青少年精神病学家进行了16次半结构化采访.
- 对面试数据进行主题分析.
主要成果:
- 精神病医生认为SDM有好处,包括改善了坚持和参与.
- 决策存在于一个动态连续的过程中,从充分的合作到保护性决定.
- 父母参与和情境因素影响了共同决策的程度.
结论:
- 青少年精神病医生通常支持SDM,但采用灵活,情境敏感的实践.
- 青少年精神病学中的临床决策通常涉及SDM和替代性/保护性决策的混合.
- 需要有细微的理解,考虑到年龄,发育,疾病和父母的角色.
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