M. C. Almeida, Adriano Segal, Christina Almeida, João C Hiluy, Maria Amália Pedrosa, Maria Angélica Nunes, Patrícia Lemos, Táki Cordás, Antônio Geraldo da Silva, J. C. Appolinario
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引用次数: 0
Abstract
OBJECTIVE
To investigate Brazilian psychiatrists ́ knowledge and perceived confidence, both in diagnosis and in evidence-based treatments for eating disorders (ED).
METHODS
In this cross-sectional study, 259 psychiatrists filled out an online form including: sociodemographic data, questions about ED diagnosis and management based on standard guidelines. Descriptive statistics described sample characteristics and levels of ED knowledge and perceived confidence.
RESULTS
Sample was composed mainly by women (65,64%), with mean age of 42.86, from the Southeast of Brazil (56,37%), working predominantly in private practice (59,85%), with less than ten years of experience in Psychiatry (51,74%). We found that 33.21% of participants correctly chose diagnostic criteria for anorexia nervosa (AN); 29.73% for bulimia nervosa (BN), and 38.22% for binge eating disorder (BED). Correct answers for therapeutic options were similar in BN and BED (20.8%), being considerably lower for AN (2.7%). Additionally, reported ED training were: 15.1% during medical school; 59.8% during medical residency/postgraduate studies; 58.7% as complementary training. Only 8.89% felt satisfied with their ED training; 50.97% felt confident diagnosing ED and 37.07% in managing ED patients.
CONCLUSION
These results demonstrated an important gap in ED knowledge of Brazilian psychiatrists, and its consequences on their confidence and competence in managing ED patients.
方法在这项横断面研究中,259 名精神科医生填写了一份在线表格,其中包括社会人口学数据、有关饮食失调症(ED)诊断的问题以及基于标准指南的管理。结果样本主要由女性组成(65.64%),平均年龄为 42.86 岁,来自巴西东南部(56.37%),主要在私人诊所工作(59.85%),从事精神病学工作不到十年(51.74%)。我们发现,33.21% 的参与者正确选择了神经性厌食症(AN)的诊断标准;29.73% 的参与者正确选择了神经性贪食症(BN)的诊断标准,38.22% 的参与者正确选择了暴饮暴食症(BED)的诊断标准。BN 和 BED 治疗方案的正确答案相似(20.8%),但 AN 的正确答案要低得多(2.7%)。此外,报告的 ED 培训情况如下15.1%在医学院学习期间接受过培训;59.8%在实习医生/研究生学习期间接受过培训;58.7%接受过补充培训。只有 8.89% 的人对他们接受的 ED 培训感到满意;50.97% 的人对诊断 ED 有信心,37.07% 的人对管理 ED 患者有信心。
期刊介绍:
The Revista Brasileira de Psiquiatria (RBP) is the official organ of the Associação Brasileira de Psiquiatria (ABP - Brazilian Association of Psychiatry).
The Brazilian Journal of Psychiatry is a bimonthly publication that aims to publish original manuscripts in all areas of psychiatry, including public health, clinical epidemiology, basic science, and mental health problems. The journal is fully open access, and there are no article processing or publication fees. Articles must be written in English.