关键词: antidepressants depression disasters post-graduate medical education post-traumatic stress disorder psychiatrists

来  源:   DOI:10.3389/fpsyt.2024.1368242   PDF(Pubmed)

Abstract:
UNASSIGNED: Disaster-related psychiatric disorders (DRPD) present a significant challenge to mental health professionals, yet there is a notable lack of emphasis on the preparedness of psychiatrists in managing these conditions within post-graduate medical education.
UNASSIGNED: This study utilized a questionnaire to collect data from psychiatrists, focusing on their prior involvement in managing DRPD, perceived competence, medication preferences, and factors influencing their experiences in handling such disorders. Analysis included distribution and ranking of variables, alongside cross-analysis examining associations between demographic factors (age, gender, hospital levels, years of practice, board certification) and treatment experiences, as well as readiness for in-hospital or outside-hospital mobilization in DRPD management.
UNASSIGNED: One hundred and three Taiwanese psychiatrists participated in the study, with the majority reporting involvement in managing DRPD (71.8%), particularly in post-traumatic stress disorder (PTSD) and depression. Antidepressants, specifically serotonin selective reuptake inhibitors, were commonly preferred for DRPD treatment, including PTSD and depression. Psychiatrists aged over 40, with more than 10 years of practice, and hold the board-certified status, showed greater experiences for outside- or inside- the hospital mobilization in DRPD management.
UNASSIGNED: Findings suggest that within post-graduate medical education, Taiwanese psychiatrists demonstrate significant experience, willingness, and capacity to effectively manage DRPD. However, there is a need to integrate comprehensive training on disaster psychiatry into post-graduate psychiatric education programs to further enhance preparedness and optimize outcomes in managing these challenging conditions.
摘要:
与灾难有关的精神疾病(DRPD)对精神卫生专业人员提出了重大挑战,然而,在研究生医学教育中,精神科医生在管理这些疾病方面的准备工作明显缺乏重视。
这项研究利用问卷从精神科医生那里收集数据,专注于他们之前参与管理DRPD,感知能力,药物偏好,以及影响他们处理此类疾病经验的因素。分析包括变量的分布和排序,除了交叉分析之外,还检查了人口因素(年龄,性别,医院级别,多年的实践,董事会认证)和治疗经验,以及在DRPD管理中进行院内或院外动员的准备。
一百零三名台湾精神科医生参与了这项研究,大多数报告参与管理DRPD(71.8%),特别是创伤后应激障碍(PTSD)和抑郁症。抗抑郁药,特别是5-羟色胺选择性再摄取抑制剂,通常首选DRPD治疗,包括创伤后应激障碍和抑郁症。40岁以上,执业超过10年的精神科医生,并保持董事会认证状态,在医院外部或内部动员DRPD管理方面显示出更多的经验。
研究结果表明,在研究生医学教育中,台湾精神病学家展示了丰富的经验,意愿,以及有效管理DRPD的能力。然而,有必要将灾难精神病学的全面培训纳入研究生精神病学教育计划,以进一步加强准备并优化管理这些挑战性条件的结果。
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