Dominique Tham, Alua Yeskendir, Hugh Grant-Peterkin, Yasir Hameed, Mishka Pillay, James B Kirkbride
{"title":"精神科医生对治疗英国寻求庇护者和难民受试者的态度和知识。","authors":"Dominique Tham, Alua Yeskendir, Hugh Grant-Peterkin, Yasir Hameed, Mishka Pillay, James B Kirkbride","doi":"10.1192/bjo.2025.10812","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Over 1% of the world's population have been forcibly displaced. Asylum seekers and refugees (ASR) are at higher risk of serious mental illnesses. Despite a high need for care, little is known about the attitudes, knowledge and competencies of psychiatrists who may treat ASR subjects.</p><p><strong>Aims: </strong>The study aimed to identify perceived gaps in psychiatric training that could help guide medical education and policymaking related to treating ASR mental health.</p><p><strong>Method: </strong>We conducted the first national survey of UK-based psychiatrists to assess attitudes, knowledge and competencies around treating ASR subjects. The online survey was sent to all psychiatrists (<i>N</i> = 18 182) and registered trainees (<i>N</i> = 4700) on the Royal College of Psychiatrists databases in 2022. We used exploratory and confirmatory factor analyses to identify the optimal factor structure underlying the questionnaire. Variations in scores on extracted latent constructs by sociodemographic and clinical variables were explored using linear regression.</p><p><strong>Results: </strong>Data from 609 psychiatrists (77%) and trainees (22%) were included in the final analysis. We identified four latent constructs concerning perceived knowledge, positive attitudes, negative attitudes and perceived distress. Only 42% of respondents felt they had sufficient knowledge to work competently with ASR subjects, and 34.7% found the work emotionally distressing. Greater knowledge predicted both more positive (<i>β</i> = 0.26, 95% CI: 0.20-0.33) and more negative (<i>β</i> = 0.17, 95% CI: 0.09-0.26) attitudes, and was associated with less self-reported distress among psychiatrists (<i>β</i> = -0.34, 95% CI: -0.43 to -0.21). Female psychiatrists reported more distress related to treating ASR subjects (<i>β</i> = 0.29, 95% CI: 0.14-0.44).</p><p><strong>Conclusions: </strong>Less than half of psychiatrists in this survey believed they possessed adequate knowledge to treat ASR subjects, and some found working with such individuals distressing. Our results suggest that these issues could be mitigated by improving knowledge related to treating ASR subjects.</p>","PeriodicalId":9038,"journal":{"name":"BJPsych Open","volume":"11 5","pages":"e189"},"PeriodicalIF":3.5000,"publicationDate":"2025-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12451729/pdf/","citationCount":"0","resultStr":"{\"title\":\"Psychiatrists' attitudes and knowledge towards treating asylum seeker and refugee subjects in the UK.\",\"authors\":\"Dominique Tham, Alua Yeskendir, Hugh Grant-Peterkin, Yasir Hameed, Mishka Pillay, James B Kirkbride\",\"doi\":\"10.1192/bjo.2025.10812\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Over 1% of the world's population have been forcibly displaced. Asylum seekers and refugees (ASR) are at higher risk of serious mental illnesses. Despite a high need for care, little is known about the attitudes, knowledge and competencies of psychiatrists who may treat ASR subjects.</p><p><strong>Aims: </strong>The study aimed to identify perceived gaps in psychiatric training that could help guide medical education and policymaking related to treating ASR mental health.</p><p><strong>Method: </strong>We conducted the first national survey of UK-based psychiatrists to assess attitudes, knowledge and competencies around treating ASR subjects. The online survey was sent to all psychiatrists (<i>N</i> = 18 182) and registered trainees (<i>N</i> = 4700) on the Royal College of Psychiatrists databases in 2022. We used exploratory and confirmatory factor analyses to identify the optimal factor structure underlying the questionnaire. Variations in scores on extracted latent constructs by sociodemographic and clinical variables were explored using linear regression.</p><p><strong>Results: </strong>Data from 609 psychiatrists (77%) and trainees (22%) were included in the final analysis. We identified four latent constructs concerning perceived knowledge, positive attitudes, negative attitudes and perceived distress. Only 42% of respondents felt they had sufficient knowledge to work competently with ASR subjects, and 34.7% found the work emotionally distressing. Greater knowledge predicted both more positive (<i>β</i> = 0.26, 95% CI: 0.20-0.33) and more negative (<i>β</i> = 0.17, 95% CI: 0.09-0.26) attitudes, and was associated with less self-reported distress among psychiatrists (<i>β</i> = -0.34, 95% CI: -0.43 to -0.21). Female psychiatrists reported more distress related to treating ASR subjects (<i>β</i> = 0.29, 95% CI: 0.14-0.44).</p><p><strong>Conclusions: </strong>Less than half of psychiatrists in this survey believed they possessed adequate knowledge to treat ASR subjects, and some found working with such individuals distressing. 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Psychiatrists' attitudes and knowledge towards treating asylum seeker and refugee subjects in the UK.
Background: Over 1% of the world's population have been forcibly displaced. Asylum seekers and refugees (ASR) are at higher risk of serious mental illnesses. Despite a high need for care, little is known about the attitudes, knowledge and competencies of psychiatrists who may treat ASR subjects.
Aims: The study aimed to identify perceived gaps in psychiatric training that could help guide medical education and policymaking related to treating ASR mental health.
Method: We conducted the first national survey of UK-based psychiatrists to assess attitudes, knowledge and competencies around treating ASR subjects. The online survey was sent to all psychiatrists (N = 18 182) and registered trainees (N = 4700) on the Royal College of Psychiatrists databases in 2022. We used exploratory and confirmatory factor analyses to identify the optimal factor structure underlying the questionnaire. Variations in scores on extracted latent constructs by sociodemographic and clinical variables were explored using linear regression.
Results: Data from 609 psychiatrists (77%) and trainees (22%) were included in the final analysis. We identified four latent constructs concerning perceived knowledge, positive attitudes, negative attitudes and perceived distress. Only 42% of respondents felt they had sufficient knowledge to work competently with ASR subjects, and 34.7% found the work emotionally distressing. Greater knowledge predicted both more positive (β = 0.26, 95% CI: 0.20-0.33) and more negative (β = 0.17, 95% CI: 0.09-0.26) attitudes, and was associated with less self-reported distress among psychiatrists (β = -0.34, 95% CI: -0.43 to -0.21). Female psychiatrists reported more distress related to treating ASR subjects (β = 0.29, 95% CI: 0.14-0.44).
Conclusions: Less than half of psychiatrists in this survey believed they possessed adequate knowledge to treat ASR subjects, and some found working with such individuals distressing. Our results suggest that these issues could be mitigated by improving knowledge related to treating ASR subjects.
期刊介绍：
Announcing the launch of BJPsych Open, an exciting new open access online journal for the publication of all methodologically sound research in all fields of psychiatry and disciplines related to mental health. BJPsych Open will maintain the highest scientific, peer review, and ethical standards of the BJPsych, ensure rapid publication for authors whilst sharing research with no cost to the reader in the spirit of maximising dissemination and public engagement. Cascade submission from BJPsych to BJPsych Open is a new option for authors whose first priority is rapid online publication with the prestigious BJPsych brand. Authors will also retain copyright to their works under a creative commons license.
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