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Psychiatrists' attitudes toward preventive intervention in routine clinical practice
Hospital & Community Psychiatry
|June 1, 1988
Summary
Psychiatrists generally support preventive care for at-risk children but face ethical and knowledge uncertainties. Financial, educational, and time barriers hinder implementation, with personal beliefs influencing attitudes.
Area of Science:
- Psychiatry
- Child Psychiatry
- Preventive Medicine
Background:
- Preventive activities for high-risk children are crucial in clinical practice.
- Understanding psychiatrists' attitudes is key to improving these services.
Purpose of the Study:
- To survey psychiatrists' attitudes toward preventive activities for high-risk children.
- To identify factors influencing these attitudes and perceived barriers.
Main Methods:
- Survey of 189 psychiatrists on their views regarding preventive care.
- Analysis of attitudes concerning appropriateness, efficacy, ethicality, and knowledge base.
- Exploration of barriers and demographic/professional/personal belief correlations.
Main Results:
- Generally positive attitudes toward the appropriateness and efficacy of preventive activities.
- Uncertainty regarding the ethicality and knowledge base of prevention.
- Significant barriers identified: financial, educational, and time constraints.
- Attitudinal differences linked to age, career, academic involvement, publication record, marital status, vacation time, and child psychiatry training.
- Internal locus of control positively correlated with favorable attitudes toward prevention.
Conclusions:
- Psychiatrists recognize the value of preventive care but require more clarity on ethical and knowledge aspects.
- Addressing practical barriers is essential for successful implementation of preventive strategies.
- Personal health beliefs, particularly an internal locus of control, significantly shape psychiatrists' engagement with preventive activities.