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PSYCHLOPS in Polish primary care: how do clients conceptualise their problems on a patient-generated outcome measure?

Research output: Contribution to journalArticle

Original languageEnglish
Article numbere02209
JournalHeliyon
Volume5
Issue number8
Early online date8 Aug 2019
DOIs
Publication statusPublished - Aug 2019

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King's Authors

Abstract

Background
PSYCHLOPS, a patient-generated mental health outcome questionnaire, invites clients to describe the problem that troubles them most. PSYCHLOPS was utilised in Polish primary care in the context of a brief CBT-based intervention for mild to moderate mental health problems.

Aim
To explore how patients conceptualise their problems and the consequences of these problems with the aid of PSYCHLOPS.

Method
243 patients were recruited from a primary care setting; 241 completed PSYCHLOPS. Free-text data were obtained from the Problem and Function domains of PSYCHLOPS, blind translated into English and independently analysed using a pre-existing thematic framework. A total of 780 free-text responses were analysed.

Results
The most commonly reported responses to the pre-therapy Problem domain category were “somatic” (denoting responses relating to physical health); the most common responses to the Function domain category were “competence/performance” (denoting responses relating to the respondents’ perceived ability to achieve, cope, function). Compared with pre-therapy Problem 1 domain categories, during-therapy responses revealed a higher proportion of the “interpersonal” category (denoting responses relating to social relationships) and a lower proportion of the “somatic” category.

Conclusions
Despite the brevity of clients' responses, PSYCHLOPS allowed an insight into patients' most troubling problems and their consequences. Possible reasons underlying the transition from a somatic to an interpersonal problem reporting during the course of talking therapy are discussed.

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