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The CARE project - study protocol and pilot results from the Polish population
Anna Julia Krupa1, Silvana Galderisi2, Armida Mucci2
1Department of Affective Disorders, Jagiellonian University Medical College, Cracow, Poland.
Frontiers in Psychiatry
|August 7, 2025
Summary
Early career psychiatrists show limited knowledge in managing schizophrenia negative symptoms. The CARE project highlights a need for improved training to address this critical treatment gap.
Area of Science:
- Psychiatry
- Schizophrenia Research
- Medical Education
Background:
- Negative symptoms of schizophrenia (SZ) represent a significant unmet need in patient treatment.
- Existing clinical tools and guidance papers address the evaluation and management of these symptoms.
- The Competence and confidence Assessment of early career psychiatrists' (CARE) project was initiated to assess ECPs' skills in this area.
Purpose of the Study:
- To publish the CARE project protocol.
- To present a pilot analysis of data from the Polish ECP population.
- To examine the competence and confidence of ECPs in assessing and treating negative symptoms of SZ.
Main Methods:
- An international, cross-sectional online survey (CARE project) with 23 items.
- Data collected from early career psychiatrists (ECPs) across European countries.
- Pilot analysis of 140 responses from Polish ECPs.
Main Results:
- Few ECPs (6.4%) correctly identified negative symptom domains.
- A majority (55%) felt well-trained in using assessment tools, but only 32.8% and 25.9% felt competent in evaluation and management, respectively.
- Specialist status and experience correlated with higher perceived competence; clinical research engagement linked to better symptom domain identification.
Conclusions:
- Pilot data from Polish ECPs reveal significant gaps in knowledge and preparedness for managing negative symptoms of SZ.
- The CARE study aims to identify broader European ECPs' knowledge and skill deficits.
- Findings will inform the development of targeted educational interventions to improve care for negative symptoms in schizophrenia.
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