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Patient-Centered Care in Affective, Non-Affective, and Schizoaffective Groups: Patients’ Opinions and Attitudes

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Abstract

An outcome evaluation was conducted to obtain psychiatric inpatients’ perspectives on acute care mental health treatment and services. The applicability of diagnostic categories based on affective, non-affective, and schizoaffective disorder were considered in the predictability of responses to treatment regimens and the related services provided in an inpatient psychiatric unit. A multidimensional approach was used to survey patients, which included the DAI-30, the BMQ, the SERVQUAL, and the CSQ-8. Overall, findings indicate that inpatient satisfaction could be improved with tailoring treatment to suit their respective symptoms. Furthermore, this exploratory study demonstrates some preliminary support for the inclusion of patients with a diagnosis of schizoaffective disorder as a separate group toward improving acute mental health care while hospitalized.

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References

  • Agency for Healthcare Research and Quality (AHRQ). (2003). National healthcare disparities report 2003—full report, www.ahrq.gov/qual/nhdr03/fullreport.

  • American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders, 4th ed. DSM-IV-TR. Washington, DC: American Psychiatric Association.

    Google Scholar 

  • Ani, C., Bazargan, M., Hindman, D., Bell, D., Rodriguez, M., & Baker, R. S. (2009). Comorbid chronic illness and the diagnosis and treatment of depression in safety net primary care settings. Journal of the American Board of Family Medicine, 22, 123–135.

    Article  PubMed  Google Scholar 

  • Awad, A. G., & Voruganti, L. N. P. (2005). Neuroleptic dysphoria: Revisiting the concept 50 years later. Acta Psychiatrica Scandinavica, 111(s427), 6–13.

    Article  Google Scholar 

  • Babakus, E., & Mangold, W. G. (1992). Adapting the SERVQUAL scale to hospital services: An empirical investigation. Health Services Research, 26(6), 767–786.

    CAS  PubMed  Google Scholar 

  • Becker, T., Knapp, M., Kudsen, H. C., Schene, A. H., Tansella, M., Thornicroft, G., et al. (2000). Aims, outcome measures, study sites and patient sample. EPSILON Study 1. European Psychiatric Services: Inputs linked to outcome domains and needs. The British Journal of Psychiatry. Supplement, 39, S1–S7.

    Article  PubMed  Google Scholar 

  • Boeije, H. (2002). A purposeful approach to the constant comparative method in the analysis of qualitative interviews. Quality & Quantity, 36, 391–409.

    Article  Google Scholar 

  • Browne, C., Battista, D. R., Bruehlman, R., Sereika, S. S., Thase, M. E., & Dunbar-Jacob, J. (2005). Beliefs about antidepressant medications in primary care patients: Relationship to self-reported adherence. Medical Care, 43(12), 1203–1207.

    Article  Google Scholar 

  • Carr-Hill, R. A. (1992). The measurement of patient satisfaction. Journal of Public Health Medicine, 14(3), 236–249.

    CAS  PubMed  Google Scholar 

  • Cheniaux, E., Landiera-Fernadez, J., Lessa Tellas, L., Lessa, J. L., Dias, A., & Duncan, T. (2008). Does schizoaffective disorder really exist? A systematic review of the studies that compared schizoaffective disorder with schizophrenia and mood disorders. Journal of Affective Disorders, 106, 209–217.

    Article  PubMed  Google Scholar 

  • Committee on Quality of Health Care in America, Institute of Medicine. (2001). Crossing the quality chasm: A new health system for the 21st century (executive summary). Washington, DC: National Academy Press.

    Google Scholar 

  • Cook, J. A. (2005). Patient-centered and consumer-directed mental health services: Report prepared for the Institute of Medicine. Retrieved from University of Illinois at Chicago National Research and Training Center on Psychiatric Disability Website, http://www.cmhsrp.uic.edu/download/IOMreport.pdf.

  • Davis, K., Schoenbaum, S. C., & Audet, A. J. (2005). A 2020 vision of patient-centered primary care. Journal of General Internal Medicine, 20(10), 953–957.

    Article  PubMed  Google Scholar 

  • De Las, C. C., & Sanz, E. J. (2007). Attitudes toward psychiatric drug treatment: The experience of being treated. Eur J Clin Pharmacol, 16.

  • Dickinson, D., Wilkie, P., & Harris, M. (1999). Taking medicines: Concordance is not compliance. BMJ, 319(7212), 787.

    CAS  PubMed  Google Scholar 

  • Gaebel, W., & Zielasek, J. (2008). The DSM-V initiative “deconstructing psychosis” in the context of Kraepelin’s concept on nosology. European Archives of Psychiatry and Clinical Neuroscience, 258(Suppl 2), 41–47.

    Article  PubMed  Google Scholar 

  • Garnick, D. W., Hodgkin, D., & Horgan, C. (2002). Selecting data sources for substance abuse services research. Journal of Substance Abuse Treatment, 22, 11–22.

    Article  PubMed  Google Scholar 

  • Goldberg, R. W., Kreyenbuhl, J. A., Medoff, D. R., et al. (2007). Quality of diabetes care among adults with serious mental illness. Psychiatric Services, 58, 536–543.

    Article  PubMed  Google Scholar 

  • Grinshpoon, A., & Ponizovsky, A. M. (2008). The relationships between need profiles, clinical symptoms, functioning and the well-being of inpatients with severe mental disorders. Journal of Evaluation in Clinical Practice, 14(2), 218–225.

    Article  PubMed  Google Scholar 

  • Hackman, A., Brown, C., Yang, Y., Goldberg, R., Kreyenbuhl, J., Lucksted, A., et al. (2007). Consumer satisfaction with inpatient psychiatric treatment among persons with severe mental illness. Community Mental Health Journal, 43(6), 551–564.

    Article  PubMed  Google Scholar 

  • Hamann, J., Cohen, R., Leucht, S., Busch, R., & Kissling, W. (2005). Do patients with schizophrenia wish to be involved in decisions about their medical treatment? American Journal of Psychiatry, 162(12), 2382–2384.

    Article  PubMed  Google Scholar 

  • Hamilton, C., (2006). Healthy provinces, healthy Canadians: A provincial benchmarking report. The Conference Board of Canada. Report No.: 44.

  • Hansson, L. (1989). Patient satisfaction with in-hospital psychiatric care. A study of a 1-year population of patients hospitalized in a sectorized care organization. European Archives of Psychiatry and Neurological Sciences, 239, 92–100.

    Article  Google Scholar 

  • Hogan, T. P., Awad, A. G., & Eastwood, R. (1983). A self-report scale predictive of drug compliance in schizophrenics: Reliability and discriminative validity. Psychological Medicine, 13(1), 177–183.

    Article  CAS  PubMed  Google Scholar 

  • Horne, R., Weinman, J., & Hankins, M. (1999). The beliefs about medicines questionnaire: The development and evaluation of a new method for assessing the cognitive representation of medication. Psychology and Health, 14, 1–24.

    Article  Google Scholar 

  • Institute of Medicine of the National Academies. (2006). Improving the quality of health care for mental and substance—use conditions. Washington, DC: The National Academic Press. Prepared for: Committee on crossing the quality chasm: Adaptation to mental health and addictive disorder.

  • Janssen, B., Gaebel, W., Haerter, M., Komaharadi, F., Lindel, B., & Weinmann, S. (2006). Evaluation of factors influencing medication compliance in inpatient treatment of psychotic disorders. Psychopharmacology, 187(2), 229–236.

    Article  CAS  PubMed  Google Scholar 

  • Kasckow, J. W., & Zisook, S. (2008). Co-occurring depressive symptoms in the older patient with schizophrenia. Drug Aging, 25(8), 631–647.

    Article  CAS  Google Scholar 

  • Kestrup, A., Lund, K., Lauritsen, B., & Bech, P. (1993). Satisfaction with care reported by psychiatric inpatients. Relationship to diagnosis and medical treatment. Acta Psychiatrica Scandinavica, 87, 374–379.

    Article  Google Scholar 

  • Kuosmanen, L., Hatonen, H., Jyrkinew, A. R., et al. (2006). Patient satisfaction with psychiatric inpatient care. Journal of Advanced Nursing, 55, 655–663.

    Article  PubMed  Google Scholar 

  • Lang, A. J. (2005). Mental health treatment preferences of primary care patients. Journal of Behavioral Medicine, 28(6), 581–586.

    Article  PubMed  Google Scholar 

  • Larsen, D. L., Attkisson, C. C., Hargreaves, W. A., & Nguyen, T. D. (1979). Assessment of client/patient satisfaction: Development of a general scale. Evaluation and Program Planning, 2, 197–207.

    Article  CAS  PubMed  Google Scholar 

  • Middelboe, T., Schjodt, T., Byrsting, K., & Gjerris, A. (2001). Ward atmosphere in acute psychiatric in-patient care: Patients’ perceptions, ideals and satisfaction. Acta Psychiatrica Scandinavica, 103(3), 212–219.

    Article  CAS  PubMed  Google Scholar 

  • Moller, H. J. (2008). Systematic of psychiatric disorders between categorical and dimensional approaches: Kraepelin dichotomy and beyond. European Archives of Psychiatry and Clinical Neuroscience, 258(Suppl 2), 48–73.

    Article  PubMed  Google Scholar 

  • Murray, R. M., & Dutta, R. (2007). The right answer for the wrong reasons? World Psychiatry, 6, 29–30.

    Google Scholar 

  • Oehl, M., Hummer, M., & Fleischhacker, W. W. (2000). Compliance with antipsychotic treatment. Acta Psychiatrica Scandinavica, 102(407), 83–86.

    Article  Google Scholar 

  • Peytremann-Bridevaux, I., Scherer, F., Peer, L., et al. (2006). Satisfaction of patients hospitalized in psychiatric hospitals: A randomized comparison of two psychiatric-specific and one generic satisfaction questionnaires. BMC Health Services Research, 6, 108–116.

    Article  PubMed  Google Scholar 

  • Phillips, L. K., Voglmaier, M. M., & Deldin, P. J. (2007). A preliminary study of emotion processing interference in schizophrenia and schizoaffective disorder. Schizophrenia Research, 94, 207–214.

    Article  PubMed  Google Scholar 

  • President’s New Freedom Commission on Mental Health. (2003). Achieving the promise: Transforming mental health care in America. Final report. DHHS Pub. No. SMA-03-3832. Rockville, MD. http://www.mentalhealthcommission.gov/reports/reports.htm.

  • Prince, J. D. (2006). Determinants of care satisfaction in inpatients with schizophrenia. Community Mental Health Journal, 42, 189–196.

    Article  PubMed  Google Scholar 

  • Rowe, R., & Clark, T. (2008). A survey of psychiatrists’ attitudes to schizoaffective disorder. International Journal of Psychiatry in Clinical Practice, 12(1), 25–30.

    Article  Google Scholar 

  • Ruggeri, M., Lasalvia, A., Bisoffi, G., Thornicroft, G., Vazquez-Barquero, J. L., Becker, T., et al. (2003). Satisfaction with mental health services among people with schizophrenia in five European sites: Results from the EPSILON Study. Schizophrenia Bulletin, 29(2), 229–245.

    PubMed  Google Scholar 

  • Salvi, G., Jones, J., & Ruggeri, M. (2005). Systematic review of the role of service users as researchers in mental health studies. Epidemiologia e Psichiatria Sociale, 14(4), 217–226.

    PubMed  Google Scholar 

  • Singh, S. M., McDonald, P., Murphy, B., & O’Reilly, R. (2004). Incidental neurodevelopmental episodes in the etiology of schizophrenia: An expanded model involving epigenetics and development. Clinical Genetics, 65, 435–440.

    Article  CAS  PubMed  Google Scholar 

  • Slade, M., Leese, M., Cahill, S., Thornicroft, G., & Kuipers, E. (2005). Patient-related mental health needs and quality of life improvement. British Journal of Psychiatry, 187, 256–261.

    Article  PubMed  Google Scholar 

  • Standing Senate Committee on Social Affairs, Science, and Technology. (2006). Out of the shadows at last, transforming mental health, mental illness and addiction services in Canada. Highlights & Recommendations Final Report. Ottawa, ON: The Senate of Canada, May, http://www.parl.gc.ca/39/1/parlbus/commbus/senate/com-e/soci-e/rep-e/rep02may06-e.htm.

  • Szoke, A., Meary, A., Trandafir, A., Bellivier, F., Roy, I., Schurhoff, F., et al. (2008). Executive deficits in psychotic and bipolar disorders—implications for our understanding of schizoaffective disorder. European Psychiatry, 23, 20–25.

    Article  PubMed  Google Scholar 

  • Tunner, T. P., & Salzer, M. S. (2006). Consumer perspectives on quality of care in the treatment of schizophrenia. Mental Health & Mental Health Services Research, 33, 674–681.

    Google Scholar 

  • U.S. Department of Health and Human Services. (2002). Expanding patient-centered care to empower patients and assist providers. Research in Action, 5, 1–12.

    Google Scholar 

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Correspondence to Raymond Tempier.

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Tempier, R., Hepp, S.L., Duncan, C.R. et al. Patient-Centered Care in Affective, Non-Affective, and Schizoaffective Groups: Patients’ Opinions and Attitudes. Community Ment Health J 46, 452–460 (2010). https://doi.org/10.1007/s10597-010-9316-2

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  • DOI: https://doi.org/10.1007/s10597-010-9316-2

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