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Informing patients about possible negative effects of psychological treatment: A survey of Swedish clinical psychologists’ attitudes and practices
Department of Psychology, Uppsala University, Uppsala, Sweden.
Luleå tekniska universitet, Institutionen för hälsa, lärande och teknik, Hälsa, medicin och rehabilitering. Department of Psychology, Uppsala University, Uppsala, Sweden; Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden.ORCID-id: 0000-0002-1019-0245
2024 (Engelska)Ingår i: Psychotherapy Research, ISSN 1050-3307, E-ISSN 1468-4381, Vol. 34, nr 6, s. 709-721Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

Objective: The present study explored Swedish clinical psychologists’ attitudes and practices of informing patients about possible negative effects of psychological treatment.

Method: An anonymous online survey with closed and open-ended questions was distributed via Facebook and two mailing lists. In total, 320 clinical psychologists (age M = 38.6, SD = 10.3; 76% women; 77.3% Cognitive Behavior Therapy) completed the survey. Responses were analyzed using χ2, binominal regression analysis, and thematic analysis.

Results: No significant associations were identified between demographic variables selected a priori and informing patients about possible negative effects, i.e., years in practice, therapeutic orientation, age, and male gender. The thematic analysis resulted in several positive (e.g., creating realistic expectations of treatment and increasing resilience) and negative attitudes (e.g., causing excessive worry) of sharing patients with information about possible negative effects. It also revealed various factors that prevent an open discussion on the topic, despite being seen as important.

Conclusion: The need to offer patients information about possible negative effects should be included in ethical guidelines, codes of conduct, and taught during clinical training. Lack of knowledge, fear, lack of time, and patient characteristics however seem to prevent therapists from discussing the issue during the informed consent procedure.

Ort, förlag, år, upplaga, sidor
Taylor & Francis, 2024. Vol. 34, nr 6, s. 709-721
Nyckelord [en]
attitudes, informed consent, negative effects, online survey, practice, psychological treatment, thematic analysis
Nationell ämneskategori
Tillämpad psykologi
Forskningsämne
Psykologi
Identifikatorer
URN: urn:nbn:se:ltu:diva-101860DOI: 10.1080/10503307.2023.2259064ISI: 001074728800001PubMedID: 37757474Scopus ID: 2-s2.0-85173119457OAI: oai:DiVA.org:ltu-101860DiVA, id: diva2:1808421
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Validerad;2024;Nivå 2;2024-06-27 (hanlid);

Licens full text: CC BY

Tillgänglig från: 2023-10-31 Skapad: 2023-10-31 Senast uppdaterad: 2024-06-27Bibliografiskt granskad

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