Correlates of preferring a passive role in decision-making among patients with schizophrenia or bipolar disorder

Morán-Sánchez, I; Bernal-López, MLÁ; Salmerón, Diego; Pérez-Cárceles, MD

Publication:
Correlates of preferring a passive role in decision-making among patients with schizophrenia or bipolar disorder

dc.contributor.author	Morán-Sánchez, I
dc.contributor.author	Bernal-López, MLÁ
dc.contributor.author	Salmerón, Diego
dc.contributor.author	Pérez-Cárceles, MD
dc.contributor.department	Ciencias Sociosanitarias
dc.date.accessioned	2024-01-12T12:58:22Z
dc.date.available	2024-01-12T12:58:22Z
dc.date.issued	2021-05-05
dc.description	© 2020 Elsevier B.V. This document is made available under the CC-BY-NC-ND 4.0 license http://creativecommons.org/licenses/by-nc-nd/4.0/. This document is the accepted version of a published work that appeared in final form in Patient Education and Counseling. To access the final edited and published work see https://doi.org/10.1016/j.pec.2020.10.019	es
dc.description.abstract	Objective: To assess the factors associated with the persistence of clinician-led style in the therapeutic relationship in cases of serious mental illness, and the conditioning factors that the patients identify as determinants of their health. Method: Assessment of preferences in the decision-making process and health-related control locus of 107 outpatients with DSM-5 diagnosis of schizophrenia or bipolar disorder. Demographic and clinical information was also obtained through review of available records and using several scales. Results: 64.4 % patients preferred to adopt a passive role in the therapeutic relationship. In the multivariate analysis, the preference of playing a passive role in the decision-making process was significantly associated with the elderly, being disabled, or the view that one's health depends on doctors (AUC ROC value: 0.80). Conclusions: Patients with severe mental illness more frequently preferred a passive role in the decision-making process. We found several factors associated with a preference for the "expert role" model. Practice implications: The identified factors may permit care to be tailored to the most probable expectations as regard decision-making. Since the populations concerned may be vulnerable and suffer inequalities in the provision of health services, promoting participation in the care process could help improve clinical parameters ethically.	es
dc.embargo.terms	2022-05-05
dc.format	application/pdf	es
dc.format.extent	7	es
dc.identifier.citation	Patient Education and Counseling Volume, Vol. 104, Issue 5, May 2021, pp. 1125-1131
dc.identifier.doi	https://doi.org/10.1016/j.pec.2020.10.019
dc.identifier.issn	Print: 0738-3991
dc.identifier.issn	Electronic: 1873-5134
dc.identifier.uri	http://hdl.handle.net/10201/137253
dc.language	eng	es
dc.publisher	Elsevier	es
dc.relation	Sin financiación externa a la Universidad	es
dc.relation.publisherversion	https://www.sciencedirect.com/science/article/pii/S0738399120305565?via%3Dihub	es
dc.rights	info:eu-repo/semantics/openAccess	es
dc.rights	Attribution-NonCommercial-NoDerivatives 4.0 Internacional	*
dc.rights.uri	http://creativecommons.org/licenses/by-nc-nd/4.0/	*
dc.subject	Decision making	es
dc.subject	Patient preferences	es
dc.subject	Schizophrenia	es
dc.subject	Bipolar disorder	es
dc.subject	Health-related control locus	es
dc.subject	Ethics	es
dc.title	Correlates of preferring a passive role in decision-making among patients with schizophrenia or bipolar disorder	es
dc.type	info:eu-repo/semantics/article	es
dspace.entity.type	Publication	es