Preferencias por las decisiones compartidas en pacientes con depresión.

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 asum...

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Autores:: Fumero-Hernández, Ascensión
Marrero-Quevedo, Rosario J.
De las Cuevas-Castresana, Carlos
Peñate-Castro, Wenceslao

Tipo de recurso:: Article of investigation

Fecha de publicación:: 2015

Institución:: Universidad Católica de Colombia

Repositorio:: RIUCaC - Repositorio U. Católica

Idioma:: spa

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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.
title	Preferencias por las decisiones compartidas en pacientes con depresión.
spellingShingle	Preferencias por las decisiones compartidas en pacientes con depresión. Shared decision-making Health locus of control Psychological reactance Self-efficacy Depression Toma de decisión compartida Locus de control Reactancia psicológica Autoeficacia Depresión 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 Marrero-Quevedo, Rosario J. De las Cuevas-Castresana, Carlos Peñate-Castro, Wenceslao
dc.contributor.author.spa.fl_str_mv	Fumero-Hernández, Ascensión Marrero-Quevedo, Rosario J. De las Cuevas-Castresana, Carlos Peñate-Castro, Wenceslao
dc.subject.eng.fl_str_mv	Shared decision-making Health locus of control Psychological reactance Self-efficacy Depression
topic	Shared decision-making Health locus of control Psychological reactance Self-efficacy Depression Toma de decisión compartida Locus de control Reactancia psicológica Autoeficacia Depresión Tomada de decisão compartilhada Lócus de controle Reatância psicológica Autoeficácia Depressão
dc.subject.spa.fl_str_mv	Toma de decisión compartida Locus de control Reactancia psicológica Autoeficacia Depresión Tomada de decisão compartilhada Lócus de controle Reatância psicológica Autoeficácia Depressão
description	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.
publishDate	2015
dc.date.issued.none.fl_str_mv	2015-01-01
dc.date.accessioned.none.fl_str_mv	2016-01-01 00:00:00 2023-01-23T15:41:23Z
dc.date.available.none.fl_str_mv	2016-01-01 00:00:00 2023-01-23T15:41:23Z
dc.type.spa.fl_str_mv	Artículo de revista
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dc.identifier.doi.none.fl_str_mv	10.14718/ACP.2016.19.1.11
dc.identifier.eissn.none.fl_str_mv	1909-9711
dc.identifier.issn.none.fl_str_mv	0123-9155
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dc.identifier.url.none.fl_str_mv	https://doi.org/10.14718/ACP.2016.19.1.11
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dc.relation.bitstream.none.fl_str_mv	https://actacolombianapsicologia.ucatolica.edu.co/article/download/985/1051 https://actacolombianapsicologia.ucatolica.edu.co/article/download/985/pdf%20eng
dc.relation.citationedition.spa.fl_str_mv	Núm. 1 , Año 2016 : ACTA COLOMBIANA DE PSICOLOGÍA
dc.relation.citationendpage.none.fl_str_mv	259
dc.relation.citationissue.spa.fl_str_mv	1
dc.relation.citationstartpage.none.fl_str_mv	249
dc.relation.citationvolume.spa.fl_str_mv	19
dc.relation.ispartofjournal.spa.fl_str_mv	Acta Colombiana de Psicología
dc.relation.references.spa.fl_str_mv	Aljumah, K. & Hassali, M. A. (2015). Impact of pharmacist intervention on adherence and measurable patient outcomes among depressed patients: A randomised controlled study. BMC Psychiatry, 15, 219-227. http://dx.doi.org/10.1186/s12888-015-0605-8 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-pid=S0123-91552013000200012&script=sci_arttext&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?pid=S0213-91112010000100011&script=sci_arttext&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://apps.elsevier.es/watermark/ctl_serv-let?_f=10&pident_articulo=90295524&pident_usuario=0&pcontactid=&pident_revista=355&ty=0&accion=L&origen=zonadelectura&web=zl.elsevier.es&lan=en&fichero=355v14n02a90295524pdf001.pdf 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
dc.rights.spa.fl_str_mv	Ascensión Fumero Hernández - 2016
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spelling	Fumero-Hernández, Ascensióna62766e4-dfe6-4143-ad3b-8510d5d18b93Marrero-Quevedo, Rosario J.21eda894-44ee-42d4-a884-3b6df280a3d1De las Cuevas-Castresana, Carlos196d420e-9fd3-4494-ade3-94bc62331546Peñate-Castro, Wenceslao32bd41f6-6009-4744-8b57-6d5c3b82f4ff2016-01-01 00:00:002023-01-23T15:41:23Z2016-01-01 00:00:002023-01-23T15:41:23Z2015-01-01En 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/pdfapplication/pdf10.14718/ACP.2016.19.1.111909-97110123-9155https://hdl.handle.net/10983/28336https://doi.org/10.14718/ACP.2016.19.1.11spaUniversidad Católica de Colombiahttps://actacolombianapsicologia.ucatolica.edu.co/article/download/985/1051https://actacolombianapsicologia.ucatolica.edu.co/article/download/985/pdf%20engNúm. 1 , Año 2016 : ACTA COLOMBIANA DE PSICOLOGÍA259124919Acta Colombiana de PsicologíaAljumah, K. & Hassali, M. A. (2015). Impact of pharmacist intervention on adherence and measurable patient outcomes among depressed patients: A randomised controlled study. BMC Psychiatry, 15, 219-227. http://dx.doi.org/10.1186/s12888-015-0605-8Arora, 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-pid=S0123-91552013000200012&script=sci_arttext&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. 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Physicians’ shared decision-making behaviors in depression care. Archives of Internal Medicine, 168, 1404-1408. http://dx.doi.org/10.1001/archinte.168.13.1404Ascensión Fumero Hernández - 2016info:eu-repo/semantics/openAccesshttp://purl.org/coar/access_right/c_abf2https://creativecommons.org/licenses/by-nc-sa/4.0/https://actacolombianapsicologia.ucatolica.edu.co/article/view/985Shared decision-makingHealth locus of controlPsychological reactanceSelf-efficacyDepressionToma de decisión compartidaLocus de controlReactancia psicológicaAutoeficaciaDepresiónTomada de decisão compartilhadaLócus de controleReatância psicológicaAutoeficáciaDepressãoPreferencias por las decisiones compartidas en pacientes con depresión.Depressive patients’ preferences in shared decision-making.Artículo de revistahttp://purl.org/coar/resource_type/c_2df8fbb1http://purl.org/coar/version/c_970fb48d4fbd8a85Textinfo:eu-repo/semantics/articleJournal articlehttp://purl.org/redcol/resource_type/ARTinfo:eu-repo/semantics/publishedVersionPublicationOREORE.xmltext/xml3297https://repository.ucatolica.edu.co/bitstreams/db9b0f1f-9ee9-4bac-a5ed-ac5aa05e6ad7/download5a70ee5952a13505cbbb3b1992803681MD5110983/28336oai:repository.ucatolica.edu.co:10983/283362023-03-24 15:24:27.452https://creativecommons.org/licenses/by-nc-sa/4.0/Ascensión Fumero Hernández - 2016https://repository.ucatolica.edu.coRepositorio Institucional Universidad Católica de Colombia - RIUCaCbdigital@metabiblioteca.com

Preferencias por las decisiones compartidas en pacientes con depresión.

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