Views about neuromodulation interventions for depression by stakeholder group, treatment modality, and depression severity
Background: The past few decades have seen the emergence both of new neuromodulation treatment protocols and novel applications of standard neuromodulation interventions in psychiatry. Yet little is known about different stakeholders' views about these interventions. Methods: We administered an...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2023-04-01
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| Series: | Comprehensive Psychiatry |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S0010440X23000020 |
| _version_ | 1811161906156666880 |
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| author | L.Y. Cabrera E.D. Achtyes R. Bluhm A.M. McCright |
| author_facet | L.Y. Cabrera E.D. Achtyes R. Bluhm A.M. McCright |
| author_sort | L.Y. Cabrera |
| collection | DOAJ |
| description | Background: The past few decades have seen the emergence both of new neuromodulation treatment protocols and novel applications of standard neuromodulation interventions in psychiatry. Yet little is known about different stakeholders' views about these interventions. Methods: We administered an online survey with an embedded video vignette experiment to four national samples: the general public (N = 1022), caregivers for people with depression (N = 1026), patients living with depression (N = 1050), and board-certified psychiatrists (N = 505). We randomly assigned subjects to one of eight conditions in our full factorial design: four neuromodulation interventions [electroconvulsive therapy, repetitive transcranial magnetic stimulation, deep brain stimulation, or adaptive brain implants] by two depression severity levels [moderate or severe]. In this paper we present results from ANOVA and linear regression models explaining how views about these four neuromodulation interventions—as measured in five attitudinal scales (general affect, perceived influence on self, perceived benefit, perceived risk, and perceived invasiveness)—vary by (1) intervention, (2) depression severity, and/or (3) stakeholder group. Results: Our results provide evidence that psychiatrists views differ significantly in important ways from other stakeholder groups. Type of intervention also shaped participants' attitudes, including perceptions of invasiveness, effectiveness, and safety. Conclusions: Given the differing affective valence among stakeholders and the differences found by modality and stakeholder groups across the different scales, future targeted educational initiatives could be developed to help address key misunderstandings and misinformed perceptions. |
| first_indexed | 2024-04-10T06:21:34Z |
| format | Article |
| id | doaj.art-56b6649c481b4a4d8fa24209d4abe365 |
| institution | Directory Open Access Journal |
| issn | 0010-440X |
| language | English |
| last_indexed | 2024-04-10T06:21:34Z |
| publishDate | 2023-04-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Comprehensive Psychiatry |
| spelling | doaj.art-56b6649c481b4a4d8fa24209d4abe3652023-03-02T04:58:39ZengElsevierComprehensive Psychiatry0010-440X2023-04-01122152365Views about neuromodulation interventions for depression by stakeholder group, treatment modality, and depression severityL.Y. Cabrera0E.D. Achtyes1R. Bluhm2A.M. McCright3Pennsylvania State University, University Park, PA 18602, USA; Corresponding author at: Center for Neural Engineering, Department of Engineering Science and Mechanics, Research Associate, Rock Ethics Institute, Affiliate Associate Professor Huck Institutes of Life Sciences, The Pennsylvania State University, W-316 Millennium Science Complex, University Park, PA 16802, USA.Michigan State University, Grand Rapids, MI 49503, USAMichigan State University, 368 Farm Lane, East Lansing, MI 48824, USAMichigan State University, 509 East Circle Drive, Room 317, East Lansing, MI 48824, USABackground: The past few decades have seen the emergence both of new neuromodulation treatment protocols and novel applications of standard neuromodulation interventions in psychiatry. Yet little is known about different stakeholders' views about these interventions. Methods: We administered an online survey with an embedded video vignette experiment to four national samples: the general public (N = 1022), caregivers for people with depression (N = 1026), patients living with depression (N = 1050), and board-certified psychiatrists (N = 505). We randomly assigned subjects to one of eight conditions in our full factorial design: four neuromodulation interventions [electroconvulsive therapy, repetitive transcranial magnetic stimulation, deep brain stimulation, or adaptive brain implants] by two depression severity levels [moderate or severe]. In this paper we present results from ANOVA and linear regression models explaining how views about these four neuromodulation interventions—as measured in five attitudinal scales (general affect, perceived influence on self, perceived benefit, perceived risk, and perceived invasiveness)—vary by (1) intervention, (2) depression severity, and/or (3) stakeholder group. Results: Our results provide evidence that psychiatrists views differ significantly in important ways from other stakeholder groups. Type of intervention also shaped participants' attitudes, including perceptions of invasiveness, effectiveness, and safety. Conclusions: Given the differing affective valence among stakeholders and the differences found by modality and stakeholder groups across the different scales, future targeted educational initiatives could be developed to help address key misunderstandings and misinformed perceptions.http://www.sciencedirect.com/science/article/pii/S0010440X23000020ElectroceuticalsNeuromodulationNeurostimulationDepressionAttitudesStakeholders |
| spellingShingle | L.Y. Cabrera E.D. Achtyes R. Bluhm A.M. McCright Views about neuromodulation interventions for depression by stakeholder group, treatment modality, and depression severity Comprehensive Psychiatry Electroceuticals Neuromodulation Neurostimulation Depression Attitudes Stakeholders |
| title | Views about neuromodulation interventions for depression by stakeholder group, treatment modality, and depression severity |
| title_full | Views about neuromodulation interventions for depression by stakeholder group, treatment modality, and depression severity |
| title_fullStr | Views about neuromodulation interventions for depression by stakeholder group, treatment modality, and depression severity |
| title_full_unstemmed | Views about neuromodulation interventions for depression by stakeholder group, treatment modality, and depression severity |
| title_short | Views about neuromodulation interventions for depression by stakeholder group, treatment modality, and depression severity |
| title_sort | views about neuromodulation interventions for depression by stakeholder group treatment modality and depression severity |
| topic | Electroceuticals Neuromodulation Neurostimulation Depression Attitudes Stakeholders |
| url | http://www.sciencedirect.com/science/article/pii/S0010440X23000020 |
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