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Schizophrenic outpatient perceptions of psychiatric treatment and psychotic symptomatology: An investigation using structural equation modeling
Author(s) -
Hayashi Naoki,
Yamashina Mitsuru,
Taguchi Hisako,
Ishige Naoko,
Igarashi Yoshito
Publication year - 2001
Publication title -
psychiatry and clinical neurosciences
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.609
H-Index - 74
eISSN - 1440-1819
pISSN - 1323-1316
DOI - 10.1046/j.1440-1819.2001.00910.x
Subject(s) - structural equation modeling , perception , psychology , schizophrenia (object oriented programming) , positive and negative syndrome scale , clinical psychology , psychological intervention , psychiatry , construct (python library) , patient satisfaction , psychosis , medicine , statistics , mathematics , nursing , neuroscience , computer science , programming language
Schizophrenic patient perceptions of treatment have clinical value and deserve detailed psychiatric investigation. The present study sought a model indicating statistically estimated cause–effect relationships of perceptions and psychotic symptomatology of outpatients with schizophrenia by applying a method of structural equation modeling. The perceptions included in this model were patient satisfaction with treatment, perceptions of their treating psychiatrists, and patient‐role perception. Scores of Positive and Negative Syndrome Scale and poor insight measures were added to the model as possible influential factors. The constructed model revealed that the poor insight exerted a major influence on the patient‐role perception that had small effects on the reliable therapist perception and the satisfaction. It was also shown that satisfaction was chiefly determined by the reliable therapist perception that was formed in the treatment relationship, rather independently of the other construct. These findings were valuable in terms of their implications for understanding the makeup of the perceptions and the strategy for interventions to improve them.