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Promoting better mental health care for patients with psychosis by focusing on differences in causal beliefs between patients and clinicians

Published online by Cambridge University Press:  01 September 2022

R. Rosenthal Oren ,
D. Roe ,
I. Hasson-Ohayon  and
Y. Zisman-Ilani
R. Rosenthal Oren*
Affiliation:
University of Haifa, Department Of Community Mental Health, Haifa, Israel
D. Roe
Affiliation:
University of Haifa, Department Of Community Mental Health, Haifa, Israel
I. Hasson-Ohayon
Affiliation:
Bar Ilan University, Department Of Psychology, Ramat Gan, Israel
Y. Zisman-Ilani
Affiliation:
Temple University, Department Of Social And Behavioral Sciences, Philadelphia, United States of America
*
*Corresponding author.

Abstract

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Introduction

Nonadherence to antipsychotic medications and disengagement from psychiatric services are frequent among people with psychosis. Research indicates how the beliefs of people with psychosis about the etiology of their symptoms, or their causal beliefs, affect treatment choice and outcomes. Yet, there is less research on causal beliefs of clinicians or on the impact of patient–clinician disagreements on treatment and adherence.

Objectives

This review aimed to explore the scope of the literature focusing on clinicians’ causal beliefs and to map the degree of patient–clinician concordance in causal beliefs.

Methods

A systematic literature search of PubMed, Embase, Scopus, PsycInfo, and ASSIA and a grey literature search of PsyArXiv and MedNar yielded 11,821 eligible references.

Results

Forty-two articles indicated that whereas clinicians endorse mainly biogenetic beliefs (9/15 articles, 60%), patients endorse mainly psychosocial causal beliefs (16/31, 52%) and other non-biogenetic causal beliefs (8/31, 26%). Most studies did not compare causal beliefs of people with psychosis and their treating clinicians.

Conclusions

While clinicians and people with psychosis often hold complex causal models, a gap in causal beliefs between these groups appears to exist, which may affect the therapeutic relationship and pose barriers to treatment adherence. Future studies should address this gap by developing interventions that facilitate open communication about causal beliefs to promote treatment alliance and an agreed-on treatment plan.

Disclosure

No significant relationships.

Keywords

causal beliefsPsychosis
Type
Abstract
Information
European Psychiatry , Volume 65 , Special Issue S1: Abstracts of the 30th European Congress of Psychiatry , June 2022 , pp. S778
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2022. Published by Cambridge University Press on behalf of the European Psychiatric Association
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