ArticleSocial psychiatry and psychiatric epidemiology2014
The motivation paradox: higher psychosocial problem levels in severely mentally ill patients are associated with less motivation for treatment.
Article in Social psychiatry and psychiatric epidemiology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
What it found
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Who cites it
8 citing papers in PubMed.
- Article
- Development of the Everyday Life Rehabilitation model for persons with long-term and complex mental health needs: Preliminary process findings on usefulness and implementation aspects in sheltered and supported housing facilities.Frontiers in psychiatry · 2022Article
- Agreement between patients and mental healthcare providers on unmet care needs in child and adolescent psychiatry.Social psychiatry and psychiatric epidemiology · 2021Article
- Validation of the Finnish Health Improvement Profile (HIP) with patients with severe mental illness.BMC psychiatry · 2020Article
- Employment Rates in Flexible Assertive Community Treatment Teams in The Netherlands: An Observational Study.Community mental health journal · 2019Observational
- Testing the Integral Model of treatment motivation in outpatients with severe mental illness.Motivation and emotion · 2018Article
- Depot-medication compliance for patients with psychotic disorders: the importance of illness insight and treatment motivation.Neuropsychiatric disease and treatment · 2016Article
- Changes in individual needs for care and quality of life in Assertive Community Treatment patients: an observational study.BMC psychiatry · 2014Observational
Corrections and comments
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Authors and funding
3 authors.
Funding
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Abstract
purposeLack of motivation for treatment makes a subgroup of patients with severe mental illness (SMI) difficult to engage in psychiatric treatment. Such difficult-to-engage patients may also be the most in need of treatment. We hypothesized that the level of psychosocial problems would be inversely related to motivation for treatment.
methodsCross-sectional study in two independent samples. The first sample (n = 294) included SMI patients who participated in a randomized controlled trial and were assessed using the Health of the Nation Outcome Scales (HoNOS) and self-rated and clinician-rated motivation-for-treatment scales. The second sample (n = 1,170) included SMI patients who were treated in Assertive Outreach Teams and were routinely assessed with the HoNOS and a motivation-for-treatment scale. In both samples, patients also self-rated their quality of life.
resultsIn both samples, patients with HoNOS scores of 16 and higher had lower motivation scores on all motivation scales than patients with lower HoNOS scores, and also a lower quality of life.
conclusionsA motivation paradox seems inherent to this association between higher psychosocial problems levels, less motivation for treatment, and lower quality of life. Such a paradox has clinical relevance, as it may provide an ethical basis for outreach services which aim to engage marginally motivated SMI patients with severe psychosocial problems into mental health care.
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