精神病学家对在英国治疗寻求庇护者和难民的态度和知识
Dominique Tham1, Alua Yeskendir2, Hugh Grant-Peterkin3
1University Hospitals Sussex NHS Foundation Trust, Brighton, UK.
BJPsych open
|August 22, 2025
概括
大多数精神病医生缺乏足够的知识来治疗寻求庇护者和难民 (ASR). 改善心理健康培训可以提高精神病医生的能力,减少痛苦,使患者和临床医生受益.
科学领域:
- 精神病学
- 全球健康
- 心理健康培训
背景情况:
- 全球超过1%的人口被迫流离失所,而寻求庇护者和难民面临严重精神疾病的高风险.
- 尽管ASR群体对心理健康服务的需求很高,但对精神病医生的态度,知识和治疗能力的理解有限.
研究的目的:
- 确定治疗寻求庇护者和难民 (ASR) 的精神病学培训的缺口.
- 为医疗教育和ASR精神卫生保健政策制定提供信息.
主要方法:
- 首次对英国精神病医生和实习生进行全国调查 (N=18,182) 是于2022年进行的.
- 在线调查问卷评估了治疗ASR患者的态度,知识和能力.
- 使用探索性和确认性因子分析来确定问卷结构,使用线性回归来探索得分变化.
主要成果:
- 分析了609名精神病医生和学员的数据, 揭示了四个潜在的构造:感知知识,积极的态度,消极的态度和痛苦.
- 只有42%的精神病医生认为他们有足够的知识来有效地治疗ASR患者,34.7%的人报告了与工作相关的情绪困扰.
- 更多的知识与更多的积极和消极态度以及更少的痛苦有关. 女性精神科医生报告了更高的痛苦水平.
结论:
- 只有不到一半的受访精神病医生认为他们有足够的知识来治疗寻求庇护者和难民.
- 很大一部分精神病学家在与ASR工作时经历了痛苦.
- 加强精神病学家对ASR心理健康的了解对于缓解这些挑战至关重要.
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