英国における亡命者や難民の治療に対する精神科医の態度と知識
Dominique Tham1, Alua Yeskendir2, Hugh Grant-Peterkin3
1University Hospitals Sussex NHS Foundation Trust, Brighton, UK.
BJPsych open
|August 22, 2025
まとめ
ほとんどの精神科医は,亡命希望者や難民 (ASR) の治療に十分な知識を持っていません. ASRのメンタルヘルス訓練の改善は 精神科医の能力を高め 苦痛を軽減し 患者と臨床医の両方に利益をもたらします
科学分野:
- 精神科
- 世界保健
- メンタルヘルス 訓練
背景:
- 世界の人口の1%以上が 強制移住しており 難民や亡命希望者は 深刻な精神疾患の危険にさらされています
- ASRの間でメンタルヘルスサービスへの需要が高いにもかかわらず,この集団を治療する精神科医の態度,知識,能力の理解は限られています.
研究 の 目的:
- 庇護希望者や難民の治療のための精神医学訓練の欠陥を特定する.
- 医療教育とASRのメンタルヘルスケアに関する政策決定に情報を提供すること.
主な方法:
- イギリスの精神科医と研修生 (N=18,182) の最初の全国調査は2022年に実施された.
- オンラインアンケートでは,ASRの被験者に対する態度,知識,能力が評価されました.
- 探索的および確認的因子分析を用いて,スコアの変動を調査する線形回帰を用いて,質問書の構造を決定した.
主要な成果:
- 609人の精神科医と 訓練生から得たデータを分析した結果 4つの隠された構造が明らかになりました 認識された知識 ポジティブな態度 否定的な態度 苦悩です
- 精神科医の42%だけが,ASR被験者を適切に治療するのに十分な知識があると感じていました. 34.7%が仕事に関連した感情的苦痛を報告しました.
- 知識の増大は ポジティブとネガティブな態度と 苦悩の減少と相関しています 女性の精神科医は ストレスレベルが 高いと報告しています
結論:
- 調査対象の精神科医の半数未満が,難民や亡命希望者の治療に十分な知識を持っていると考えている.
- 精神科医の有意な割合は,ASRと仕事をしているときに苦悩を経験します.
- 精神科医の精神衛生に関する知識の向上は これらの課題を緩和するために不可欠です
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