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The customer is always right? Subjective target symptoms and treatment preferences in patients with psychosis

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Abstract

Clinicians and patients differ concerning the goals of treatment. Eighty individuals with schizophrenia were assessed online about which symptoms they consider the most important for treatment, as well as their experience with different interventions. Treatment of affective and neuropsychological problems was judged as more important than treatment of positive symptoms (p < 0.005). While most individuals had experience with Occupational and Sports Therapy, only a minority had received Cognitive-Behavioral Therapy, Family Therapy, and Psychoeducation with family members before. Patients appraised Talk, Psychoanalytic, and Art Therapy as well as Metacognitive Training as the most helpful treatments. Clinicians should carefully take into consideration patients’ preferences, as neglect of consumers’ views may compromise outcome and adherence to treatment.

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Authors and Affiliations

  1. Department of Psychiatry and Psychotherapy, University Medical Center Hamburg-Eppendorf, Hamburg, Germany

    Steffen Moritz & Fabrice Berna

  2. Department of Psychiatry and Psychotherapy I, Ulm University, ZfP Südwürttemberg, Ravensburg, Germany

    Susanne Jaeger

  3. Department of Clinical Psychology and Psychotherapy, Institute of Psychology, University of Bern, Bern, Switzerland

    Stefan Westermann

  4. Department of Psychiatry and Psychotherapy, Asklepios Clinic North, Hamburg, Germany

    Matthias Nagel

  5. Department of Psychiatry and Psychotherapy, University Luebeck, Lübeck, Germany

    Matthias Nagel

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  1. Steffen Moritz
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  2. Fabrice Berna
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  3. Susanne Jaeger
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  4. Stefan Westermann
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Correspondence to Steffen Moritz.

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Moritz, S., Berna, F., Jaeger, S. et al. The customer is always right? Subjective target symptoms and treatment preferences in patients with psychosis. Eur Arch Psychiatry Clin Neurosci 267, 335–339 (2017). https://doi.org/10.1007/s00406-016-0694-5

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  • DOI: https://doi.org/10.1007/s00406-016-0694-5

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