临床医生对引导式自助的了解和态度

IF 3.4 2区 心理学 Q2 PSYCHIATRY
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引用次数: 0

摘要

本研究评估了使用循证实践治疗以下一种或多种疾病的临床医生对引导式自助(GSH)的了解和态度:恐慌症、重度抑郁症、神经性贪食症、暴饮暴食症和广泛性焦虑症。在网上和专业会议上招募的 256 人中,共有 153 人符合条件。本研究评估了临床医生使用 GSH 的经验和知识,以及对模拟病人使用 GSH 的假设。只有不到 20% 的临床医生曾经使用过 GSH,而将其作为独立疗法使用过的临床医生则更少。如果模拟患者报告了中度症状,临床医生表示他们使用 GSH 的可能性为 53.62%。探索性分析表明,假设性使用是由之前使用过 GSH 以及循证实践态度量表的开放性分量表预测的。研究结果表明,使用循证实践的临床医生并不都知道或赞同使用 GSH。缺乏 GSH 培训是临床实践中实施 GSH 最常见的障碍之一(n = 99,64%)。这些发现对在美国使用推广循证疗法的治疗形式具有重要意义。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Clinician Knowledge of and Attitudes Toward Guided Self-Help

The current study evaluated knowledge of and attitudes toward guided self-help (GSH) among clinicians who use evidence-based practices to treat one or more of the following: panic disorder, major depressive disorder, bulimia nervosa, binge-eating disorder, and generalized anxiety disorder. A total of 153 of 256 individuals recruited online and at professional conferences were eligible. This study assessed prior experience with and knowledge of GSH, as well as hypothetical use with a mock patient. Less than 20% of clinicians had ever used GSH, and fewer had used it as a stand-alone treatment. Given a mock patient reporting moderate symptoms, clinicians indicated a 53.62% likelihood that they would use GSH. Exploratory analyses indicated that hypothetical use was predicted by prior use of GSH as well as the Openness subscale of the Evidence-Based Practice Attitude Scale. Study findings suggest that clinicians using evidence-based practices do not uniformly know of or endorse the use of GSH. Lack of training in GSH was one of the most frequently endorsed barriers to implementing GSH in clinical practice (n = 99, 64%). These findings have implications for the use of therapy formats that scale evidence-based treatments in the United States.

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来源期刊
Behavior Therapy
Behavior Therapy Multiple-
CiteScore
7.40
自引率
2.70%
发文量
113
审稿时长
121 days
期刊介绍: Behavior Therapy is a quarterly international journal devoted to the application of the behavioral and cognitive sciences to the conceptualization, assessment, and treatment of psychopathology and related clinical problems. It is intended for mental health professionals and students from all related disciplines who wish to remain current in these areas and provides a vehicle for scientist-practitioners and clinical scientists to report the results of their original empirical research. Although the major emphasis is placed upon empirical research, methodological and theoretical papers as well as evaluative reviews of the literature will also be published. Controlled single-case designs and clinical replication series are welcome.
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