National attitudes towards mental health treatment: the importance of research evidence.
Cogn Behav Ther
; 45(6): 458-72, 2016 11.
Article
em En
| MEDLINE
| ID: mdl-27352993
ABSTRACT
Most conceptualizations of evidence-based practice view it as a "three legged stool" consisting of the use of best available research evidence, clinical expertise, and client preferences. Although empirical evidence and clinical expertise have received greater empirical attention, relatively little research has systematically explored client preferences. The present study analyzed self-reported treatment preferences for various clinical and non-clinical presentations. Adult participants (n = 1262) residing in the United States were presented with diagnostic vignettes and rated their relative preferences among 5 treatment variables, including use of an empirically supported treatment (EST), quality of the client-therapist relationship, therapist empathy, therapist experience, and client speaking for the majority of therapy sessions. Results indicated that participants endorsed significant preference for receiving an EST over other treatment variables for all clinical disorders, with effect sizes ranging from small to large depending on the diagnosis. There was slightly greater variability in treatment preferences for non-clinical issues, though participants generally reported greater preference for receiving an EST. Follow-up questions provided further evidence for EST preferences. The implications of these results are discussed.
Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Relações Profissional-Paciente
/
Psicoterapia
/
Atitude Frente a Saúde
/
Empatia
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Prática Clínica Baseada em Evidências
/
Transtornos Mentais
Tipo de estudo:
Diagnostic_studies
Limite:
Adolescent
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Adult
/
Aged
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Female
/
Humans
/
Male
/
Middle aged
País/Região como assunto:
America do norte
Idioma:
En
Ano de publicação:
2016
Tipo de documento:
Article