基于证据的心理治疗实施的障碍:关于工作负载,培训和临床实践的国际调查
Naoki Takamatsu1, Ekachaeryanti Zain2,3, Ka Ying Heidi Lo4
1Department of Neuropsychiatry, University of Tokyo Hospital, Tokyo, Japan.
Psychiatry and clinical neurosciences
|January 12, 2026
概括
国际精神病学家重视基于证据的心理治疗,但面临重大障碍. 系统层面的约束,特别是在日本,阻碍了实施,尽管实践者有强烈的动机和改善培训的愿望.
科学领域:
- 精神病学是一个精神病学.
- 医疗保健管理的管理
- 临床心理学 临床心理学
背景情况:
- 基于证据的心理治疗 (EBP) 对于有效的心理健康护理至关重要.
- 国际上实施EBP面临着各种挑战.
- 了解这些挑战是改善全球心理健康结果的关键.
研究的目的:
- 评估EBP在精神病学中的全球实施情况.
- 确定影响EBP临床治疗的障碍.
- 为了比较EBP熟悉度和在不同国际医疗保健环境中的使用情况.
主要方法:
- 对精神病学家进行了一项国际性的,横截面的,基于网络的调查.
- 该调查收集了EBP熟悉度,使用,信心,障碍和工作负载的数据.
- 通过使用统计测试,分析了来自五个地区的16个国家的答案.
主要成果:
- 几乎一半的424名受访者对EBP的熟悉程度很低,区域差异很大.
- 日本呈现出最受限制的环境,咨询时间很短,患者负担很高,影响了EBP的使用.
- 尽管存在障碍,77.4%的精神病医生认为EBP非常重要,优先考虑加强培训和监督.
结论:
- 在全球范围内,EBP的实施不一致,受到医疗保健系统结构的严重影响.
- 组织障碍,如时间限制和患者数量,阻碍了EBP的采用.
- 成功的EBP整合需要在教育,交付和支付方面进行系统性改革,而不仅仅是培训.
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