Using attachment theory to explore patient preferences and satisfaction with collaborative care for people with depression and comorbid long term conditions

摘要: Introduction: Attachment theory is a of interpersonal behaviour based on whether people feel anxious in relationships (attachment anxiety), and how comfortable they are seeking support from others avoidance). anxiety avoidance have been found to be associated with psychological treatment outcomes attachment has proposed as an underlying framework for the service delivery design mental health services. However, patterns illness behaviours unclear. Aims: The aim this study was outline test use conceptual healthcare setting.Method: This mixed methods study. Study 1 systematic review quantitative studies using narrative synthesis map associations between critically appraise evidence framework. 2 qualitative that tested by exploring cognitions underpinned expressed preferences depression. Interviews patients diabetes and/ or coronary heart disease who received therapy within randomised controlled trial explored behaviours. These were self-disclosure about depression, adherence, help-seeking family friends, utilisation building rapport. A novel approach analysis employed examine individual accounts reflected high low levels avoidance. Results: out 8 which behaviours, few had strong methodological quality ratings. adherence utilisation, only. findings suggested coping mapped onto Adherence rapport different professionals did not well range clinical, social related beliefs underpin unresponsive. There no collaborative care. Conclusions: results may utilisation. Implications discussed terms policy personalisation need prospective research testing association patients? reports types interventions. Research area would help us determine designing services taking account any patient reported benefit. ?