title: The customer is always right? Subjective target symptoms and treatment preferences in patients with psychosis.
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.
authors.affiliation: Department of Psychiatry and Psychotherapy, University Medical Center Hamburg-Eppendorf, Hamburg, Germany. moritz@uke.uni-hamburg.de.
authors.forename: Steffen
authors.initials: S
authors.lastname: Moritz
authors.affiliation: Department of Psychiatry and Psychotherapy, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
authors.forename: Fabrice
authors.initials: F
authors.lastname: Berna
authors.affiliation: Department of Psychiatry and Psychotherapy I, Ulm University, ZfP Südwürttemberg, Ravensburg, Germany.
authors.forename: Susanne
authors.initials: S
authors.lastname: Jaeger
authors.affiliation: Department of Clinical Psychology and Psychotherapy, Institute of Psychology, University of Bern, Bern, Switzerland.
authors.forename: Stefan
authors.identifier: http://orcid.org/0000-0002-4785-0024
authors.initials: S
authors.lastname: Westermann
authors.affiliation: Department of Psychiatry and Psychotherapy, Asklepios Clinic North, Hamburg, Germany.|Department of Psychiatry and Psychotherapy, University Luebeck, Lübeck, Germany.
authors.forename: Matthias
authors.initials: M
authors.lastname: Nagel
mesh_terms: D000328:Adult; D014150:Antipsychotic Agents / Q000627:therapeutic use; D001155:Art Therapy; D066264:Datasets as Topic / Q000706:statistics & numerical data; D034742:Electronic Mail; D005260:Female; D006801:Humans; D008297:Male; D000067489:Metacognition; D008875:Middle Aged; D057240:Patient Preference; D011569:Psychiatric Status Rating Scales; D011613:Psychotherapy / Q000379:methods*; D011618:Psychotic Disorders / Q000523:psychology* / Q000628:therapy*; D012649:Self Concept; D011795:Surveys and Questionnaires; D016896:Treatment Outcome
chemical_list: D014150:Antipsychotic Agents
keywords: Psychosis; Schizophrenia; Treatment gap; Treatment preferences