美国和加拿大精神病认知行为疗法(CBTp)培训的初步流行程度

IF 1.2 4区 医学 Q4 PSYCHIATRY
S. Kopelovich, E. Nutting, Jennifer Blank, H. Buckland, C. Spigner
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引用次数: 5

摘要

背景:美国和加拿大的精神病治疗指南推荐使用精神病认知行为疗法(CBTp),但其可及性尚未系统建立,对这些国家的培训师或培训特点知之甚少。本文首次尝试估算CBTp从业人员的数量,描述培训师资格和培训实践,并计算CBTp可及性估计。方法从已知的目标人群中进行过采样,并辅以连锁转诊抽样。受访者完成了一项自2005年以来开展的有关劳动力培训的在线调查。使用已公布的患病率数据和国家劳动力普查数据计算了可及性估计。结果25名CBTp培训师完成问卷调查。受访者主要是医院或学术机构的白人女性心理学家。他们估计,在过去15年里接受过培训的从业人员中,有0.57%的人接受过cbtp培训,相当于每10000名精神病患者中有11.5-22.8名接受过cbtp培训的从业人员。调查结果显示,在培训方法、环境和资助者方面存在一些差异。这项初步研究表明,在这两个国家,CBTp仍然无法获得。未来的研究应改进抽样方法,以便在每个国家内提供更可靠的患病率估计。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Preliminary point prevalence of Cognitive Behavioral Therapy for psychosis (CBTp) training in the U.S. and Canada
ABSTRACT Background Cognitive Behavioral Therapy for psychosis (CBTp) is recommended by psychosis treatment guidelines in the U.S. and Canada, however accessibilty has not been systematically established and little is known about trainer or training characteristics in these countries. This paper represents the first effort to estimate the population of CBTp practitioners, characterize trainer qualifications and training practices, and calculate a CBTp accessibility estimate. Methods We oversampled from a known cluster of the target population and supplemented with chain-referral sampling. Respondents completed an online survey pertaining to workforce training conducted since 2005. An accessibility estimate was calculated using published disease prevalence data and national workforce census data. Results Twenty-five CBTp trainers completed the questionnaire. Respondents were predominantly white female psychologists in hospital or academic settings. Their estimates of practitioners trained in the past 15 years yielded a point prevalence of 0.57% of the combined mental health workforce, corresponding to 11.5–22.8 CBTp-trained providers for every 10,000 people diagnosed with a psychotic disorder. Survey results showed several differences in training approaches, settings, and funders. Discussion This preliminary study suggests that CBTp remains inaccessible across these two countries. Future studies should refine the sampling methods to provide a more robust prevalence estimate within each country.
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来源期刊
CiteScore
2.20
自引率
8.30%
发文量
36
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