What do you expect from psychological care? A qualitative study of depressed patients' expectations treated in mental healthcare settings

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Názov: What do you expect from psychological care? A qualitative study of depressed patients' expectations treated in mental healthcare settings
Autori: Ana Karina Zúñiga Caiseo, Guillermo De la Parra, Lucía Núñez, Mariane Krause
Zdroj: Res Psychother
Research in Psychotherapy (2025)
Informácie o vydavateľovi: PAGEPress Publications, Pavia, Italy, 2025.
Rok vydania: 2025
Predmety: depression, Psychology, psychological care, Patients' expectations, Article, qualitative methods, BF1-990
Popis: Depression is one of the main reasons for seeking mental health services; however, few studies have focused on the perspective of depressed patients to understand what they expect from this instance. This study aims to develop a comprehensive model of patients' initial expectations regarding psychological treatment in mental healthcare settings. Semi-structured interviews were conducted with sixteen depressed adult patients referred to psychological care before their first session. Data was analyzed using grounded theory and consensual qualitative methods. Patients had expectations regarding the characteristics of psychological treatment, the psychologist, and changes. Patients expect psychological care to have a clear purpose and to last the time required until they feel better. They expect the psychologist to be an active and responsive professional. Regarding changes, patients expect to understand why they have depression, develop personal resources, and improve their self-esteem and mood. Facilitating factors (e.g., preferences for psychological support over medical treatment) and hindering factors (e.g., institutional constraints) were identified in achieving these expectations. Based on patients' expectations, a helping relationship that is more responsive to their needs is underlined. Therapeutic skills and contextual factors are key facilitating elements to meet these expectations. The findings discuss how addressing expectations can serve as input for delivering more satisfactory treatment to patients.
Druh dokumentu: Article
Other literature type
Jazyk: English
ISSN: 2239-8031
DOI: 10.4081/ripppo.2025.839
Prístupová URL adresa: https://pubmed.ncbi.nlm.nih.gov/40143739
https://doaj.org/article/ef1c4a350580442c98129e70070805d2
Rights: URL: http://creativecommons.org/licenses/by-nc/4.0/This work is licensed under a Creative Commons Attribution NonCommercial 4.0 License (CC BY-NC 4.0).
Prístupové číslo: edsair.pmid.dedup....72740e407c9dbe0c380b02068cc00b76
Databáza: OpenAIRE
Popis
Abstrakt:Depression is one of the main reasons for seeking mental health services; however, few studies have focused on the perspective of depressed patients to understand what they expect from this instance. This study aims to develop a comprehensive model of patients' initial expectations regarding psychological treatment in mental healthcare settings. Semi-structured interviews were conducted with sixteen depressed adult patients referred to psychological care before their first session. Data was analyzed using grounded theory and consensual qualitative methods. Patients had expectations regarding the characteristics of psychological treatment, the psychologist, and changes. Patients expect psychological care to have a clear purpose and to last the time required until they feel better. They expect the psychologist to be an active and responsive professional. Regarding changes, patients expect to understand why they have depression, develop personal resources, and improve their self-esteem and mood. Facilitating factors (e.g., preferences for psychological support over medical treatment) and hindering factors (e.g., institutional constraints) were identified in achieving these expectations. Based on patients' expectations, a helping relationship that is more responsive to their needs is underlined. Therapeutic skills and contextual factors are key facilitating elements to meet these expectations. The findings discuss how addressing expectations can serve as input for delivering more satisfactory treatment to patients.
ISSN:22398031
DOI:10.4081/ripppo.2025.839