Preferencias por las decisiones compartidas en pacientes con depresión

Neste estudo, analisaram-se os processos psicológicos associados com as preferências dos pacientes com depressão na tomada de decisão sobre seu tratamento psiquiátrico. Participaram 462 pacientes diagnosticados com um transtorno depressivo agudo ou recorrente. A maior parte preferiu assumir um papel...

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Autores:
Fumero-Hernández, Ascensión
De las Cuevas-Castresana, Carlos
Marrero-Quevedo, Rosario J.
Peñate-Castro, Wenceslao
Tipo de recurso:
Article of journal
Fecha de publicación:
2016
Institución:
Universidad Católica de Colombia
Repositorio:
RIUCaC - Repositorio U. Católica
Idioma:
eng
spa
OAI Identifier:
oai:repository.ucatolica.edu.co:10983/16156
Acceso en línea:
http://hdl.handle.net/10983/16156
Palabra clave:
PSICODIAGNÓSTICO
TOMA DE DECISIÓN COMPARTIDA
LOCUS DE CONTROL
REACTANCIA PSICOLÓGICA
AUTOEFICACIA
DEPRESIÓN
SHARED DECISION-MAKING
HEALTH LOCUS OF CONTROL
PSYCHOLOGICAL REACTANCE
SELF-EFFICACY
DEPRESSION
TOMADA DE DECISÃO COMPARTILHADA
LÓCUS DE CONTROLE
REATÂNCIA PSICOLÓGICA
AUTOEFICÁCIA
DEPRESSÃO
Rights
openAccess
License
Derechos Reservados - Universidad Católica de Colombia, 2016
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network_name_str RIUCaC - Repositorio U. Católica
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dc.title.spa.fl_str_mv Preferencias por las decisiones compartidas en pacientes con depresión
dc.title.translated.eng.fl_str_mv Depressive patients' preferences in shared decision-making
Preferências pelas decisões compartilhadas em pacientes com depressão
title Preferencias por las decisiones compartidas en pacientes con depresión
spellingShingle Preferencias por las decisiones compartidas en pacientes con depresión
PSICODIAGNÓSTICO
TOMA DE DECISIÓN COMPARTIDA
LOCUS DE CONTROL
REACTANCIA PSICOLÓGICA
AUTOEFICACIA
DEPRESIÓN
SHARED DECISION-MAKING
HEALTH LOCUS OF CONTROL
PSYCHOLOGICAL REACTANCE
SELF-EFFICACY
DEPRESSION
TOMADA DE DECISÃO COMPARTILHADA
LÓCUS DE CONTROLE
REATÂNCIA PSICOLÓGICA
AUTOEFICÁCIA
DEPRESSÃO
title_short Preferencias por las decisiones compartidas en pacientes con depresión
title_full Preferencias por las decisiones compartidas en pacientes con depresión
title_fullStr Preferencias por las decisiones compartidas en pacientes con depresión
title_full_unstemmed Preferencias por las decisiones compartidas en pacientes con depresión
title_sort Preferencias por las decisiones compartidas en pacientes con depresión
dc.creator.fl_str_mv Fumero-Hernández, Ascensión
De las Cuevas-Castresana, Carlos
Marrero-Quevedo, Rosario J.
Peñate-Castro, Wenceslao
dc.contributor.author.spa.fl_str_mv Fumero-Hernández, Ascensión
De las Cuevas-Castresana, Carlos
Marrero-Quevedo, Rosario J.
Peñate-Castro, Wenceslao
dc.subject.armarc.spa.fl_str_mv PSICODIAGNÓSTICO
topic PSICODIAGNÓSTICO
TOMA DE DECISIÓN COMPARTIDA
LOCUS DE CONTROL
REACTANCIA PSICOLÓGICA
AUTOEFICACIA
DEPRESIÓN
SHARED DECISION-MAKING
HEALTH LOCUS OF CONTROL
PSYCHOLOGICAL REACTANCE
SELF-EFFICACY
DEPRESSION
TOMADA DE DECISÃO COMPARTILHADA
LÓCUS DE CONTROLE
REATÂNCIA PSICOLÓGICA
AUTOEFICÁCIA
DEPRESSÃO
dc.subject.proposal.spa.fl_str_mv TOMA DE DECISIÓN COMPARTIDA
LOCUS DE CONTROL
REACTANCIA PSICOLÓGICA
AUTOEFICACIA
DEPRESIÓN
SHARED DECISION-MAKING
HEALTH LOCUS OF CONTROL
PSYCHOLOGICAL REACTANCE
SELF-EFFICACY
DEPRESSION
TOMADA DE DECISÃO COMPARTILHADA
LÓCUS DE CONTROLE
REATÂNCIA PSICOLÓGICA
AUTOEFICÁCIA
DEPRESSÃO
description Neste estudo, analisaram-se os processos psicológicos associados com as preferências dos pacientes com depressão na tomada de decisão sobre seu tratamento psiquiátrico. Participaram 462 pacientes diagnosticados com um transtorno depressivo agudo ou recorrente. A maior parte preferiu assumir um papel colaborativo-passivo ou totalmente passivo. Os resultados não mostraram diferenças significativas entre pacientes em função de sua cronicidade na preferência por tomada de decisões, embora um maior tempo de tratamento tenha sido associado com um estilo mais passivo. O MANCOVA aplicado ao total de participantes, controlando a idade, o nível educativo e o tempo de tratamento, indicou que os pacientes colaborativos e passivos mostraram maior lócus de controle centralizado na confiança no psiquiatra do que os ativos. Constataram-se diferenças de gênero que mostraram nos homens maior lócus de controle interno e reatância psicológica, e, nas mulheres, maior lócus centralizado no aleatório, o lócus centralizado no psiquiatra e uma percepção de menor autoeficácia. Os achados indicam a necessidade de estudar, sob uma perspectiva diferencial, a participação dos pacientes na tomada de decisão de acordo com os processos psicológicos e a repercussão que esta tem na aderência ao tratamento médico.
publishDate 2016
dc.date.issued.spa.fl_str_mv 2016-06
dc.date.accessioned.spa.fl_str_mv 2018-07-18T19:09:16Z
dc.date.available.spa.fl_str_mv 2018-07-18T19:09:16Z
dc.type.spa.fl_str_mv Artículo de revista
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dc.type.content.spa.fl_str_mv Text
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dc.identifier.citation.spa.fl_str_mv Fumero-Hernández, A., Marrero-Quevedo, R., de las Cuevas-Castresana, C., & Peñate-Castro, W. (2016). Preferencias por las decisiones compartidas en pacientes con depresión / Depressive patients’ preferences in shared decision-making. Acta Colombiana de Psicología, 19(1), 249-259. Recuperado de http://editorial.ucatolica.edu.co/ojsucatolica/revistas_ucatolica/index.php/acta-colombiana-psicologia/article/view/985
dc.identifier.issn.spa.fl_str_mv 0123-9155
dc.identifier.uri.spa.fl_str_mv http://hdl.handle.net/10983/16156
identifier_str_mv Fumero-Hernández, A., Marrero-Quevedo, R., de las Cuevas-Castresana, C., & Peñate-Castro, W. (2016). Preferencias por las decisiones compartidas en pacientes con depresión / Depressive patients’ preferences in shared decision-making. Acta Colombiana de Psicología, 19(1), 249-259. Recuperado de http://editorial.ucatolica.edu.co/ojsucatolica/revistas_ucatolica/index.php/acta-colombiana-psicologia/article/view/985
0123-9155
url http://hdl.handle.net/10983/16156
dc.language.iso.spa.fl_str_mv eng
spa
language eng
spa
dc.relation.ispartof.spa.fl_str_mv Acta Colombiana de Psicología, Vol. 19, no. 1 (ene.-jun. 2016); p. 249-259
dc.relation.references.spa.fl_str_mv Acta Colombiana de Psicología, Vol. 19, no. 1 (ene.-jun. 2016); p. 249-259
Arora, N. K. & McHorney, C. A. (2000). Patient preferences for medical decision making: Who really wants to participate? Medical Care, 38, 335-341. http://dx.doi.org/10.1097/00005650-200003000-00010
Bandura, A. (1977). Self-efficacy: Toward a unifying theory of behavioral change. Psychological Review, 84, 191-215. http://dx.doi.org/10.1037/0033-295X.84.2.191
Botero, P. A. y Londoño, C. (2013). Factores psicosociales predictores de la calidad de vida en personas en situación de discapacidad física. Acta Colombiana de Psicología, 16, 125-137. Retrieved from http://www.scielo.org.co/scielo.php=S0123-91552013000200012-script=sci_artte-tlng=pt
Brehm, S. S. & Brehm, J. W. (2013). Psychological reactance: A theory of freedom and control. New York: Academic Press, INC.
Cantrell, C. R., Eaddy, M. T., Shah, M. B., Regan, T. S. & Sokol, M. C. (2006). Methods for evaluating patient adherence to antidepressant therapy: A real-world comparison of adherence and economic outcomes. Medical Care, 44, 300-303. http://dx.doi.org/10.1097/01.mlr.0000204287.82701.9b
De Almeida, A. C. & Chen, T. F. (2008). When pharmacotherapeutic recommendations may lead to the reverse effect on physician decision-making. Pharmacy World & Science, 30, 3-8. http://dx.doi.org/10.1007/s11096-007-9143-x
De las Cuevas, C. & Peñate, W. (2014). To what extent psychiatric patients feel involved in decision making about their mental health care? Relationships with socio-demographic, clinical, and psychological variables. Acta Neuropsychiatrica, 26, 372-381. http://dx.doi.org/10.1017/neu.2014.21
De las Cuevas, C., Peñate, W., Betancort, M. & de Rivera, L. (2014). Psychological reactance in psychiatric patients: Examining the dimensionality and correlates of the Hong Psychological Reactance Scale in a large clinical sample. Personality and Individual Differences, 70, 85-91. http://dx.doi.org/10.1016/j.paid.2014.06.027
De las Cuevas, C., Peñate, W. & Sanz, E. J. (2014). Risk factors for non-adherence to antidepressant treatment in patients with mood disorders. European Journal of Clinical Pharmacology, 70, 89-98. http://dx.doi.org/10.1007/s00228-013-1582-9
De las Cuevas, C., Peñate, W., Betancort, M. & Cabrera, C. (2015). What Do Psychiatric Patients Believe Regarding Where Control Over Their Illness Lies?: Validation of the Multidimensional Health Locus of Control Scale in Psychiatric Outpatient Care. The Journal of Nervous and Mental Disease, 203(2), 81-86. http://dx.doi.org/10.1097/NMD.0000000000000244
Degner, L. F., Sloan, J. A. & Venkatesh, P. (1997). The Control Preferences Scale. Canadian Journal Nursing Research, 29, 21-43.
Delgado, A., López, L. A., Dios, J. D., Saletti, L., Gil, N. & Puga, A. (2010). Expectativas de los pacientes sobre la toma de decisiones ante diferentes problemas de salud. Gaceta Sanitaria, 24, 66-71. Retrieved from http://www.scielosp.org/scielo.php=S0213-91112010000100011-scri=sci_arttex-tlng=es
Flynn, K. E., Smith, M. A. & Vanness, D. (2006). A typology of preferences for participation in healthcare decision making. Social Science & Medicine, 63, 1158-1169. http://dx.doi.org/10.1016/j.socscimed.2006.03.030
Geddes, J. R., Carney, S. M., Davies, C., Furukawa, T. A., Kupfer, D. J., Frank, E. & Goodwin, G. M. (2003). Relapse prevention with antidepressant drug treatment in depressive disorders: A systematic review. The Lancet, 361, 653-661. http://dx.doi.org/10.1016/S0140-6736(03)12599-8
Gili, M., Roca, M., Basu, S., McKee, M. & Stuckler, D. (2013). The mental health risks of economic crisis in Spain: Evidence from primary care centers, 2006 and 2010. The European Journal of Public Health, 23, 103-108. http://dx.doi.org/10.1093/eurpub/cks035
Grenard, J. L., Munjas, B. A., Adams, J. L., Suttorp, M., Maglione, M., McGlynn, E. A. & Gellad, W. F. (2011). Depression and medication adherence in the treatment of chronic diseases in the United States: A meta-analysis. Journal of General Internal Medicine, 26, 1175-1182. http://dx.doi.org/10.1007/s11606-011-1704-y
Hashimoto, H. & Fukuhara, S. (2004). The influence of locus of control on preferences for information and decision making. Patient Education and Counseling, 55, 236-240. http://dx.doi.org/10.1016/j.pec.2003.09.010
Hong, S. M. & Faedda, S. (1996). Refinement of the Hong psychological reactance scale. Educational and Psychological Measurement, 56, 173-182. http://dx.doi.org/10.1177/0013164496056001014
Jerusalem, M. & Schwarzer, R. (1992). Self-efficacy as a resource factor in stress appraisal processes. En R. Schwarzer (Ed.), Self-efficacy: Thought control of action (pp. 195-213). Washington, DC: Hemisphere.
Joosten, E. A., De Fuentes-Merillas, L., De Weert, G. H., Sensky, T., Van Der Staak, C. P. F. & de Jong, C. A. (2008). Systematic review of the effects of shared decision-making on patient satisfaction, treatment adherence and health status. Psychotherapy and Psychosomatics, 77, 219-226. http://dx.doi.org/10.1159/000126073
Katon, W. J. (2011). Epidemiology and treatment of depression in patients with chronic medical illness. Dialogues in Clinical Neuroscience, 13, 7-23. Retrieved from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3181964/
Levinson, W., Kao, A., Kuby, A. & Thisted, R. A. (2005). Not all patients want to participate in decision making. A national study of public preferences. Journal of General Internal Medicine, 20, 531-535. http://dx.doi.org/10.1111/j.1525-1497.2005.04101.x
Loh, A., Simon, D., Wills, C. E., Kriston, L., Niebling, W. & Härter, M. (2007). The effects of a shared decision-making intervention in primary care of depression: A cluster-randomized controlled trial. Patient Education and Counseling, 67, 324-332. http://dx.doi.org/10.1016/j.pec.2007.03.023
Longtin, Y., Sax, H., Leape, L. L., Sheridan, S. E., Donaldson, L. & Pittet, D. (2010). Patient participation: Current knowledge and applicability to patient safety. Mayo Clinic Proceedings, 85, 53-62. http://dx.doi.org/10.4065/mcp.2009.0248
Makoul, G. & Clayman, M.L. (2006) An integrative model of shared decision making in medical encounters. Patient Education and Counseling, 60, 301-312. http://dx.doi.org/10.1016/j.pec.2005.06.010
O'Hea, E. L., Grothe, K. B., Bodenlos, J. S., Boudreaux, E. D., White, M. A. & Brantley, P. J. (2005). Predicting medical regimen adherence: The interactions of health locus of control beliefs. Journal of Health Psychology, 10, 705-717. http://dx.doi.org/10.1177/1359105305055330
Patel, S. R. & Bakken, S. (2010). Preferences for participation in decision making among ethnically diverse patients with anxiety and depression. Community Mental Health Journal, 46, 466-473. http://dx.doi.org/10.1007/s10597-010-9323-3
Pérez-Wehbe, A. I., Perestelo, L., Bethencourt, J. M., Cuéllar, L. & Peñate, W. (2014). Treatment-resistant depression: A systematic review of systematic reviews. International Journal of Clinical and Health Psychology, 14, 145-153. Retrieved from http://www.elsevier.es/en-revista-international-journal-of-clinical-and-355-articulo-treatment-resistant-depression-a-systematic-review-90295524
Proctor, E. K., Hasche, L., Morrow-Howell, N., Shumway, M. & Snell, G. (2008). Perceptions about competing psychosocial problems and treatment priorities among older adults with depression. Psychiatry Services, 59, 670-5. http://dx.doi.org/10.1176/ps.2008.59.6.670
Pudrovska, T. (2015). Gender and Health Control Beliefs Among Middle-Aged and Older Adults. Journal of Aging and Health, 27, 284-303. http://dx.doi.org/10.1177/0898264314549659
Sanjuán, P., Pérez, A. M. y Bermúdez, J. (2000). Escala de autoeficacia general: datos psicométricos de la adaptación para población española. Psicothema, 12, 509-513. Retrieved from http://www.unioviedo.es/reunido/index.php/PST/article/view/7741
Schneider, A., Körner, T., Mehring, M., Wensing, M., Elwyn, G. & Szecsenyi, J. (2006). Impact of age, health locus of control and psychological co-morbidity on patients' preferences for shared decision making in general practice. Patient Education and Counseling, 61, 292-298. http://dx.doi.org/10.1016/j.pec.2005.04.008
Schwarzer, R. & Fuchs, R. (1996). Self-efficacy and health behaviours. Predicting health behaviour: Research and practice with social cognition models. Buckingham: Open University Press.
Serra-Taylor, J. y Irizarry-Robles, C.Y. (2015). Factores protectores de la depresión en una muestra de adultos mayores en Puerto Rico: Autoeficacia, escolaridad y otras variables sociodemográficas. Acta Colombiana de Psicología,18, 125-134. http://dx.doi.org/10.14718/ACP.2015.18.1.12
Singh, J. A., Sloan, J. A., Atherton, P. J., Smith, T., Hack, T. F., Huschka, M. M., ... & Degner, L. F. (2010). Preferred roles in treatment decision making among patients with cancer: A pooled analysis of studies using the Control Preferences Scale. The American Journal of Managed Care, 16, 688-696. Retrieved from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3020073/
Solberg, L. I., Crain, A. L., Rubenstein, L., Unützer, J., Whitebird, R. R. & Beck, A. (2014). How much shared decision making occurs in usual primary care of depression? The Journal of the American Board of Family Medicine, 27, 199-208. http://dx.doi.org/10.3122/jabfm.2014.02.130164
Swanson, K. A., Bastani, R., Rubenstein, L. V., Meredith, L. S. & Ford, D. E. (2007). Effect of mental health care and shared decision making on patient satisfaction in a community sample of patients with depression. Medical Care Research and Review, 64, 416-430. http://dx.doi.org/10.1177/1077558707299479
Tariman, J. D., Doorenbos, A., Schepp, K. G., Singhal, S. & Berry, D. L. (2014). Older adults newly diagnosed with symptomatic myeloma and treatment decision making. Oncology Nursing Forum, 41, 411-419. http://dx.doi.org/10.1188/14
Thunholm, P. (2004). Decision-making style: Habit, style or both? Personality and Individual Differences, 36, 931-944.http://dx.doi.org/10.1016/S0191-8869(03)00162-4
Wallston, K. A. (1992). Hocus-pocus, the focus isn't strictly on locus: Rotter's social learning theory modified for health. Cognitive Therapy and Research, 16, 183-199. http://dx.doi.org/10.1007/BF01173488
Wallston, K. A., Stein, M. J. & Smith, C. A. (1994). Form C of the MHLC scales: A condition-specific measure of locus of control. Journal of Personality Assessment, 63, 534-553. http://dx.doi.org/10.1207/s15327752jpa6303_10
World Health Organization. (2004). International statistical classification of diseases and health related problems (The) ICD-10. World Health Organization.
Young, H. N., Bell, R. A., Epstein, R. M., Feldman, M. D. & Kravitz, R. L. (2008). Physicians' shared decision-making behaviors in depression care. Archives of Internal Medicine, 168, 1404-1408. http://dx.doi.org/10.1001/archinte.168.13.1404
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spelling Fumero-Hernández, Ascensióna62766e4-dfe6-4143-ad3b-8510d5d18b93-1De las Cuevas-Castresana, Carlos196d420e-9fd3-4494-ade3-94bc62331546Marrero-Quevedo, Rosario J.21eda894-44ee-42d4-a884-3b6df280a3d1-1Peñate-Castro, Wenceslao32bd41f6-6009-4744-8b57-6d5c3b82f4ff-12018-07-18T19:09:16Z2018-07-18T19:09:16Z2016-06Neste estudo, analisaram-se os processos psicológicos associados com as preferências dos pacientes com depressão na tomada de decisão sobre seu tratamento psiquiátrico. Participaram 462 pacientes diagnosticados com um transtorno depressivo agudo ou recorrente. A maior parte preferiu assumir um papel colaborativo-passivo ou totalmente passivo. Os resultados não mostraram diferenças significativas entre pacientes em função de sua cronicidade na preferência por tomada de decisões, embora um maior tempo de tratamento tenha sido associado com um estilo mais passivo. O MANCOVA aplicado ao total de participantes, controlando a idade, o nível educativo e o tempo de tratamento, indicou que os pacientes colaborativos e passivos mostraram maior lócus de controle centralizado na confiança no psiquiatra do que os ativos. Constataram-se diferenças de gênero que mostraram nos homens maior lócus de controle interno e reatância psicológica, e, nas mulheres, maior lócus centralizado no aleatório, o lócus centralizado no psiquiatra e uma percepção de menor autoeficácia. Os achados indicam a necessidade de estudar, sob uma perspectiva diferencial, a participação dos pacientes na tomada de decisão de acordo com os processos psicológicos e a repercussão que esta tem na aderência ao tratamento médico.En el presente estudio se analizaron los procesos psicológicos asociados con las preferencias de los pacientes con depresión en la toma de decisión sobre su tratamiento psiquiátrico. Participaron 462 pacientes diagnosticados con un trastorno depresivo agudo o recurrente. La mayor parte prefirió asumir un rol colaborativo-pasivo o totalmente pasivo. Los resultados no mostraron diferencias significativas entre pacientes en función de su cronicidad en la preferencia por la toma de decisiones, aunque un mayor tiempo de tratamiento se asoció con un estilo más pasivo. El MANCOVA aplicado al total de participantes, controlando la edad, el nivel educativo y el tiempo de tratamiento, indicó que los pacientes colaborativos y pasivos mostraron mayor locus de control centrado en la confianza en el psiquiatra que los activos. Se encontraron diferencias de género mostrando en los hombres mayor locus de control interno y reactancia psicológica, y en las mujeres, mayor locus centrado en el azar. Los análisis de regresión indicaron que en el caso de los hombres, la preferencia pasiva por la toma de decisión es explicada por el locus centrado en el psiquiatra. Sin embargo, en las mujeres tuvo mayor peso la edad, seguida del locus centrado en el azar, el locus centrado en el psiquiatra y una percepción de menor autoeficacia. Los hallazgos señalan la necesidad de estudiar desde una perspectiva diferencial la participación de los pacientes en la toma de decisión de acuerdo con los procesos psicológicos, así como la repercusión que esta tiene en la adherencia al tratamiento médico.This study analyzed the role of psychological processes predicting depressed patients’ preferences in clinical decision-making about psychiatric treatment. 462 patients diagnosed with depressive disorders, acute or recurrent, participated in a crosssectional survey. Most participants preferred collaborative-passive or totally passive roles. Results showed no significant differences between acute and recurrent patients in their preference of participation in decision-making, but longer treatment duration was associated with a more passive style. MANCOVA, controlling age, educational level and treatment duration variables, showed that collaborative and passive patients had a greater locus of control focused on their psychiatrist than active patients. Gender differences were found. Men showed greater internal locus of control and psychological reactance, while women showed greater external locus of control focused on chance. Regression analysis indicated that, for men, passive preferred role was explained by external locus centered on their psychiatrist. However, age registered the highest weight for women’ passive decision-making, followed by the locus focused on chance, locus focused on the psychiatrist and lower self-efficacy. Our findings suggest the need to study shared decision-making from a differential perspective that involves psychological processes and the impact of these processes in adherence to medical treatments.application/pdfFumero-Hernández, A., Marrero-Quevedo, R., de las Cuevas-Castresana, C., & Peñate-Castro, W. (2016). Preferencias por las decisiones compartidas en pacientes con depresión / Depressive patients’ preferences in shared decision-making. Acta Colombiana de Psicología, 19(1), 249-259. Recuperado de http://editorial.ucatolica.edu.co/ojsucatolica/revistas_ucatolica/index.php/acta-colombiana-psicologia/article/view/9850123-9155http://hdl.handle.net/10983/16156engspaUniversidad Católica de Colombia. Facultad de PsicologíaActa Colombiana de Psicología, Vol. 19, no. 1 (ene.-jun. 2016); p. 249-259Acta Colombiana de Psicología, Vol. 19, no. 1 (ene.-jun. 2016); p. 249-259Arora, N. K. & McHorney, C. A. (2000). Patient preferences for medical decision making: Who really wants to participate? Medical Care, 38, 335-341. http://dx.doi.org/10.1097/00005650-200003000-00010Bandura, A. (1977). Self-efficacy: Toward a unifying theory of behavioral change. Psychological Review, 84, 191-215. http://dx.doi.org/10.1037/0033-295X.84.2.191Botero, P. A. y Londoño, C. (2013). Factores psicosociales predictores de la calidad de vida en personas en situación de discapacidad física. Acta Colombiana de Psicología, 16, 125-137. Retrieved from http://www.scielo.org.co/scielo.php=S0123-91552013000200012-script=sci_artte-tlng=ptBrehm, S. S. & Brehm, J. W. (2013). Psychological reactance: A theory of freedom and control. New York: Academic Press, INC.Cantrell, C. R., Eaddy, M. T., Shah, M. B., Regan, T. S. & Sokol, M. C. (2006). Methods for evaluating patient adherence to antidepressant therapy: A real-world comparison of adherence and economic outcomes. Medical Care, 44, 300-303. http://dx.doi.org/10.1097/01.mlr.0000204287.82701.9bDe Almeida, A. C. & Chen, T. F. (2008). When pharmacotherapeutic recommendations may lead to the reverse effect on physician decision-making. Pharmacy World & Science, 30, 3-8. http://dx.doi.org/10.1007/s11096-007-9143-xDe las Cuevas, C. & Peñate, W. (2014). To what extent psychiatric patients feel involved in decision making about their mental health care? Relationships with socio-demographic, clinical, and psychological variables. Acta Neuropsychiatrica, 26, 372-381. http://dx.doi.org/10.1017/neu.2014.21De las Cuevas, C., Peñate, W., Betancort, M. & de Rivera, L. (2014). Psychological reactance in psychiatric patients: Examining the dimensionality and correlates of the Hong Psychological Reactance Scale in a large clinical sample. Personality and Individual Differences, 70, 85-91. http://dx.doi.org/10.1016/j.paid.2014.06.027De las Cuevas, C., Peñate, W. & Sanz, E. J. (2014). Risk factors for non-adherence to antidepressant treatment in patients with mood disorders. European Journal of Clinical Pharmacology, 70, 89-98. http://dx.doi.org/10.1007/s00228-013-1582-9De las Cuevas, C., Peñate, W., Betancort, M. & Cabrera, C. (2015). What Do Psychiatric Patients Believe Regarding Where Control Over Their Illness Lies?: Validation of the Multidimensional Health Locus of Control Scale in Psychiatric Outpatient Care. The Journal of Nervous and Mental Disease, 203(2), 81-86. http://dx.doi.org/10.1097/NMD.0000000000000244Degner, L. F., Sloan, J. A. & Venkatesh, P. (1997). The Control Preferences Scale. Canadian Journal Nursing Research, 29, 21-43.Delgado, A., López, L. A., Dios, J. D., Saletti, L., Gil, N. & Puga, A. (2010). Expectativas de los pacientes sobre la toma de decisiones ante diferentes problemas de salud. Gaceta Sanitaria, 24, 66-71. Retrieved from http://www.scielosp.org/scielo.php=S0213-91112010000100011-scri=sci_arttex-tlng=esFlynn, K. E., Smith, M. A. & Vanness, D. (2006). A typology of preferences for participation in healthcare decision making. Social Science & Medicine, 63, 1158-1169. http://dx.doi.org/10.1016/j.socscimed.2006.03.030Geddes, J. R., Carney, S. M., Davies, C., Furukawa, T. A., Kupfer, D. J., Frank, E. & Goodwin, G. M. (2003). Relapse prevention with antidepressant drug treatment in depressive disorders: A systematic review. The Lancet, 361, 653-661. http://dx.doi.org/10.1016/S0140-6736(03)12599-8Gili, M., Roca, M., Basu, S., McKee, M. & Stuckler, D. (2013). The mental health risks of economic crisis in Spain: Evidence from primary care centers, 2006 and 2010. The European Journal of Public Health, 23, 103-108. http://dx.doi.org/10.1093/eurpub/cks035Grenard, J. L., Munjas, B. A., Adams, J. L., Suttorp, M., Maglione, M., McGlynn, E. A. & Gellad, W. F. (2011). Depression and medication adherence in the treatment of chronic diseases in the United States: A meta-analysis. Journal of General Internal Medicine, 26, 1175-1182. http://dx.doi.org/10.1007/s11606-011-1704-yHashimoto, H. & Fukuhara, S. (2004). The influence of locus of control on preferences for information and decision making. Patient Education and Counseling, 55, 236-240. http://dx.doi.org/10.1016/j.pec.2003.09.010Hong, S. M. & Faedda, S. (1996). Refinement of the Hong psychological reactance scale. Educational and Psychological Measurement, 56, 173-182. http://dx.doi.org/10.1177/0013164496056001014Jerusalem, M. & Schwarzer, R. (1992). Self-efficacy as a resource factor in stress appraisal processes. En R. Schwarzer (Ed.), Self-efficacy: Thought control of action (pp. 195-213). Washington, DC: Hemisphere.Joosten, E. A., De Fuentes-Merillas, L., De Weert, G. H., Sensky, T., Van Der Staak, C. P. F. & de Jong, C. A. (2008). Systematic review of the effects of shared decision-making on patient satisfaction, treatment adherence and health status. Psychotherapy and Psychosomatics, 77, 219-226. http://dx.doi.org/10.1159/000126073Katon, W. J. (2011). Epidemiology and treatment of depression in patients with chronic medical illness. Dialogues in Clinical Neuroscience, 13, 7-23. Retrieved from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3181964/Levinson, W., Kao, A., Kuby, A. & Thisted, R. A. (2005). Not all patients want to participate in decision making. A national study of public preferences. Journal of General Internal Medicine, 20, 531-535. http://dx.doi.org/10.1111/j.1525-1497.2005.04101.xLoh, A., Simon, D., Wills, C. E., Kriston, L., Niebling, W. & Härter, M. (2007). The effects of a shared decision-making intervention in primary care of depression: A cluster-randomized controlled trial. Patient Education and Counseling, 67, 324-332. http://dx.doi.org/10.1016/j.pec.2007.03.023Longtin, Y., Sax, H., Leape, L. L., Sheridan, S. E., Donaldson, L. & Pittet, D. (2010). Patient participation: Current knowledge and applicability to patient safety. Mayo Clinic Proceedings, 85, 53-62. http://dx.doi.org/10.4065/mcp.2009.0248Makoul, G. & Clayman, M.L. (2006) An integrative model of shared decision making in medical encounters. Patient Education and Counseling, 60, 301-312. http://dx.doi.org/10.1016/j.pec.2005.06.010O'Hea, E. L., Grothe, K. B., Bodenlos, J. S., Boudreaux, E. D., White, M. A. & Brantley, P. J. (2005). Predicting medical regimen adherence: The interactions of health locus of control beliefs. Journal of Health Psychology, 10, 705-717. http://dx.doi.org/10.1177/1359105305055330Patel, S. R. & Bakken, S. (2010). Preferences for participation in decision making among ethnically diverse patients with anxiety and depression. Community Mental Health Journal, 46, 466-473. http://dx.doi.org/10.1007/s10597-010-9323-3Pérez-Wehbe, A. I., Perestelo, L., Bethencourt, J. M., Cuéllar, L. & Peñate, W. (2014). Treatment-resistant depression: A systematic review of systematic reviews. International Journal of Clinical and Health Psychology, 14, 145-153. Retrieved from http://www.elsevier.es/en-revista-international-journal-of-clinical-and-355-articulo-treatment-resistant-depression-a-systematic-review-90295524Proctor, E. K., Hasche, L., Morrow-Howell, N., Shumway, M. & Snell, G. (2008). Perceptions about competing psychosocial problems and treatment priorities among older adults with depression. Psychiatry Services, 59, 670-5. http://dx.doi.org/10.1176/ps.2008.59.6.670Pudrovska, T. (2015). Gender and Health Control Beliefs Among Middle-Aged and Older Adults. Journal of Aging and Health, 27, 284-303. http://dx.doi.org/10.1177/0898264314549659Sanjuán, P., Pérez, A. M. y Bermúdez, J. (2000). Escala de autoeficacia general: datos psicométricos de la adaptación para población española. Psicothema, 12, 509-513. Retrieved from http://www.unioviedo.es/reunido/index.php/PST/article/view/7741Schneider, A., Körner, T., Mehring, M., Wensing, M., Elwyn, G. & Szecsenyi, J. (2006). Impact of age, health locus of control and psychological co-morbidity on patients' preferences for shared decision making in general practice. Patient Education and Counseling, 61, 292-298. http://dx.doi.org/10.1016/j.pec.2005.04.008Schwarzer, R. & Fuchs, R. (1996). Self-efficacy and health behaviours. Predicting health behaviour: Research and practice with social cognition models. Buckingham: Open University Press.Serra-Taylor, J. y Irizarry-Robles, C.Y. (2015). Factores protectores de la depresión en una muestra de adultos mayores en Puerto Rico: Autoeficacia, escolaridad y otras variables sociodemográficas. Acta Colombiana de Psicología,18, 125-134. http://dx.doi.org/10.14718/ACP.2015.18.1.12Singh, J. A., Sloan, J. A., Atherton, P. J., Smith, T., Hack, T. F., Huschka, M. M., ... & Degner, L. F. (2010). Preferred roles in treatment decision making among patients with cancer: A pooled analysis of studies using the Control Preferences Scale. The American Journal of Managed Care, 16, 688-696. Retrieved from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3020073/Solberg, L. I., Crain, A. L., Rubenstein, L., Unützer, J., Whitebird, R. R. & Beck, A. (2014). How much shared decision making occurs in usual primary care of depression? The Journal of the American Board of Family Medicine, 27, 199-208. http://dx.doi.org/10.3122/jabfm.2014.02.130164Swanson, K. A., Bastani, R., Rubenstein, L. V., Meredith, L. S. & Ford, D. E. (2007). Effect of mental health care and shared decision making on patient satisfaction in a community sample of patients with depression. Medical Care Research and Review, 64, 416-430. http://dx.doi.org/10.1177/1077558707299479Tariman, J. D., Doorenbos, A., Schepp, K. G., Singhal, S. & Berry, D. L. (2014). Older adults newly diagnosed with symptomatic myeloma and treatment decision making. Oncology Nursing Forum, 41, 411-419. http://dx.doi.org/10.1188/14Thunholm, P. (2004). Decision-making style: Habit, style or both? Personality and Individual Differences, 36, 931-944.http://dx.doi.org/10.1016/S0191-8869(03)00162-4Wallston, K. A. (1992). Hocus-pocus, the focus isn't strictly on locus: Rotter's social learning theory modified for health. Cognitive Therapy and Research, 16, 183-199. http://dx.doi.org/10.1007/BF01173488Wallston, K. A., Stein, M. J. & Smith, C. A. (1994). Form C of the MHLC scales: A condition-specific measure of locus of control. Journal of Personality Assessment, 63, 534-553. http://dx.doi.org/10.1207/s15327752jpa6303_10World Health Organization. (2004). International statistical classification of diseases and health related problems (The) ICD-10. World Health Organization.Young, H. N., Bell, R. A., Epstein, R. M., Feldman, M. D. & Kravitz, R. L. (2008). Physicians' shared decision-making behaviors in depression care. Archives of Internal Medicine, 168, 1404-1408. http://dx.doi.org/10.1001/archinte.168.13.1404Derechos Reservados - Universidad Católica de Colombia, 2016info:eu-repo/semantics/openAccessAtribución-NoComercial-SinDerivadas 4.0 Internacional (CC BY-NC-ND 4.0)https://creativecommons.org/licenses/by-nc-nd/4.0/http://purl.org/coar/access_right/c_abf2PSICODIAGNÓSTICOTOMA DE DECISIÓN COMPARTIDALOCUS DE CONTROLREACTANCIA PSICOLÓGICAAUTOEFICACIADEPRESIÓNSHARED DECISION-MAKINGHEALTH LOCUS OF CONTROLPSYCHOLOGICAL REACTANCESELF-EFFICACYDEPRESSIONTOMADA DE DECISÃO COMPARTILHADALÓCUS DE CONTROLEREATÂNCIA PSICOLÓGICAAUTOEFICÁCIADEPRESSÃOPreferencias por las decisiones compartidas en pacientes con depresiónDepressive patients' preferences in shared decision-makingPreferências pelas decisões compartilhadas em pacientes com depressãoArtículo de revistahttp://purl.org/coar/resource_type/c_6501http://purl.org/coar/resource_type/c_2df8fbb1Textinfo:eu-repo/semantics/articlehttp://purl.org/redcol/resource_type/ARTinfo:eu-repo/semantics/publishedVersionhttp://purl.org/coar/version/c_970fb48d4fbd8a85PublicationORIGINALPREFERENCIAS POR LAS DECISIONES COMPARTIDAS EN PACIENTES.pdfPREFERENCIAS POR LAS DECISIONES COMPARTIDAS EN PACIENTES.pdfArtículo en españolapplication/pdf248424https://repository.ucatolica.edu.co/bitstreams/5e13da32-f29f-488f-8ad7-6bba1ddbc734/download004d1fdea65cb2f8f5a0b42adff7710bMD51DEPRESSIVE PATIENTS’ PREFERENCES IN SHARED DECISION-MAKING .pdfDEPRESSIVE PATIENTS’ PREFERENCES IN SHARED DECISION-MAKING .pdfArtículo en inglesapplication/pdf349075https://repository.ucatolica.edu.co/bitstreams/0f859485-599f-4120-bb79-d89f8e747203/downloadca70a1909400a851cc35bc93067941bbMD52TEXTPREFERENCIAS POR LAS DECISIONES COMPARTIDAS EN PACIENTES.pdf.txtPREFERENCIAS POR LAS DECISIONES COMPARTIDAS EN PACIENTES.pdf.txtExtracted texttext/plain47678https://repository.ucatolica.edu.co/bitstreams/e1309231-ee91-4d58-9dde-af6140f67240/download4f2dc8f4e5445dd0a42552d84398ae9dMD53DEPRESSIVE PATIENTS’ PREFERENCES IN SHARED DECISION-MAKING .pdf.txtDEPRESSIVE PATIENTS’ PREFERENCES IN SHARED DECISION-MAKING .pdf.txtExtracted texttext/plain44813https://repository.ucatolica.edu.co/bitstreams/5d98549a-dc24-4068-ae2b-3fb0460022ef/download6b10a23f7558cbe62b2cd73379d5b903MD55THUMBNAILPREFERENCIAS POR LAS DECISIONES COMPARTIDAS EN PACIENTES.pdf.jpgPREFERENCIAS POR LAS DECISIONES COMPARTIDAS EN PACIENTES.pdf.jpgRIUCACimage/jpeg25750https://repository.ucatolica.edu.co/bitstreams/a1486488-bac9-43af-a428-9a8a73805031/download4673d999be830f52c5c87d7a9261e45eMD54DEPRESSIVE PATIENTS’ PREFERENCES IN SHARED DECISION-MAKING .pdf.jpgDEPRESSIVE PATIENTS’ PREFERENCES IN SHARED DECISION-MAKING .pdf.jpgRIUCACimage/jpeg25763https://repository.ucatolica.edu.co/bitstreams/8c848259-9313-4b15-a7b7-da793cfada95/downloadabaf5fabf656193915820a8253a5eebeMD5610983/16156oai:repository.ucatolica.edu.co:10983/161562023-03-24 18:04:05.501https://creativecommons.org/licenses/by-nc-nd/4.0/Derechos Reservados - Universidad Católica de Colombia, 2016https://repository.ucatolica.edu.coRepositorio Institucional Universidad Católica de Colombia - RIUCaCbdigital@metabiblioteca.com

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