Psychiatrists require frequent contact with and treatment of patients with mental illnesses.Due to the influence of associative stigma,psychiatrists may also be targets of stigma.Occupational stigma warrants special c...Psychiatrists require frequent contact with and treatment of patients with mental illnesses.Due to the influence of associative stigma,psychiatrists may also be targets of stigma.Occupational stigma warrants special consideration because it significantly affects psychiatrists'career advancement,well-being,and their patients’health.Given that there is no complete summary of this issue,this study reviewed the existing literature on psychiatrists'occupational stigma to clearly synthesize its concepts,measurement tools,and intervention strategies.Herein,we emphasize that psychiatrists’occupational stigma is a multifaceted concept that simultaneously encompasses physically,socially,and morally tainted aspects.Currently,standardized methods to specifically measure psychiatrists’occupational stigma are lacking.Interventions for psychiatrists’occupational stigma may consider the use of protest,contact,education,comprehensive and systematic methods,as well as the use of psychotherapeutic approaches.This review provides a theoretical basis for the development of relevant measurement tools and intervention practices.Overall,this review seeks to raise public awareness of psychiatrists'occupational stigma,thereby promoting psychiatric professionalism and reducing its stigma.展开更多
Objective： To explore the relationship between social support and self-efficacy in women psychiatrists. Methods： A survey was conducted in four hospitals in Shandong province using the Social Support Scale and the G...Objective： To explore the relationship between social support and self-efficacy in women psychiatrists. Methods： A survey was conducted in four hospitals in Shandong province using the Social Support Scale and the General Self-efficacy Scale （GSE）. A total of 140 women psychiatrists participated in the study. Results： Women psychiatrists of different ages or with different qualifications experience significant differences in objective support, subjective support, the utilization of support, and total scores on the social support and self-efficacy questionnaires （P〈0.05）. There were also significant differences in self-efficacy between different groups （P〈0.05）. Subjective support, objective support and the utilization of support have a positive correlation with the self-efficacy of women psychiatrists. Women psychiatrists in different education level have significant differences in objective support, utilization of support and total score of social support （P〈0.01）. Conclusions： Ages and educational backgrounds affect social support and self-efficacy, and self-efficacy had a significant positive correlation with the various dimensions of social support.展开更多
AIM: To study the degree of stigmatization among trainee psychiatrists, individual characteristics potentially leading to higher associative stigma, and coping mechanisms.METHODS: Two hundred and seven trainee psychia...AIM: To study the degree of stigmatization among trainee psychiatrists, individual characteristics potentially leading to higher associative stigma, and coping mechanisms.METHODS: Two hundred and seven trainee psychiatrists in Flanders(Belgium), all member of the Flemish Association of Trainee Psychiatrists, were approached to participate in the survey. A non-demanding questionnaire that was specifically designed for the purpose of the study was sent by mail. The questionnaire consisted of three parts, each emphasizing a different aspect of associative stigma: devaluing and humiliating interactions, the focus on stigma during medical train-ing, and identification with negative stereotypes in the media. Answers were scored on a Likert scale ranging from 0 to 3. The results were analyzed using SPSS Version 18.0. RESULTS: The response rate of the study was 75.1%. The internal consistency of the questionnaire was good, with a Cronbach's α of 0.71. Seventy-five percent of all trainee psychiatrists confirmed hearing denigrating or humiliating remarks about the psychiatric profession more than once. Additionally, more than half of them had had remarks about the incompetence of psychiatrists directed at them. Only 1.3% remembered having stigma as a topic during their psychiatric training. Trainees who had been in training for a longer period of time had experienced a significantly higher level of stigmatization than trainees with fewer years of experience(mean total stigma scores of 16.93 ± SD 7.8 vs 14.45 ± SD 6.1, t =-2.179 and P < 0.05). In addition, senior trainees effectively kept quiet about their profession significantly more often than their junior colleagues(mean item score 0.44 ± SD 0.82 vs 0.13 ± SD 0.48, t = 2.874, P < 0.01). Comparable results were found in trainees working in adult psychiatry as were found in those working in child or youth psychiatry(mean item score 0.38 ± SD 0.77 vs 0.15 ± SD 0.53, t =-2.153, P < 0.05). Biologically oriented trainees were more inclined to give preventive explanations about their profession, which can be seen as a coping mechanism used to deal with this stigma(mean item score 2.05 ± SD 1.05 vs 1.34 ± SD 1.1, t =-3.403, P < 0.01).CONCLUSION: Associative stigma in trainee psychiatrists is underestimated. More attention should be paid to this potentially harmful phenomenon in training.展开更多
Autism is a complex disability that requires collaboration, consultation and communication for provision of optimum treatment and intervention. Both psychiatrists and educators are key to the well-being of children an...Autism is a complex disability that requires collaboration, consultation and communication for provision of optimum treatment and intervention. Both psychiatrists and educators are key to the well-being of children and their families and can work together successfully in a comprehensive framework. This article provides information and recommendations in order to bridge both disciplinary fields so that this framework can be established.展开更多
Background: Psychiatrists and nurses are anticipated to prevent suicide behaviour, but their limited experience and lack of knowledge of patients with suicidal attempts have influenced their perception. A significant ...Background: Psychiatrists and nurses are anticipated to prevent suicide behaviour, but their limited experience and lack of knowledge of patients with suicidal attempts have influenced their perception. A significant association between health care providers’ attitudes and the course of suicidal behaviour treatment. Purpose: current scientific paper aimed to assess Psychiatrists’ and nurses’ attitudes towards suicide and suicide attempters in Saudi Arabia. Method: Cross-sectional investigation was conducted in a Psychiatric hospital in North Saudi Arabia. A convenience sample of psychiatrists and nurses (N = 132). The response rate was 88%. The Modified Suicide Opinion Questionnaire (SOQ) was employed to evaluate psychiatrists’ and nurses’ attitudes toward suicide. Results: attitudes toward suicide behaviour among psychiatrists and nurses were positive. The findings of these studies demonstrate that psychiatrists and nurses held positive attitudes toward suicide in the categories of professional role, beliefs, communication and seeking attention. Also, the evidence revealed in the current paper demonstrates that psychiatrists expressed more positive attitudes toward suicidal behaviour than nursing staff. Moreover, psychiatrists and nurses who have a higher level of education recorded higher scores on the positive attitudes scale towards suicidal behaviour. Furthermore, a statistically significant difference between respondents’ attitudes toward suicide behaviour and their years of experience. Finally, psychiatrists and nurses who have a personal history of suicide behaviour have more positive attitudes toward suicide ideation. Conclusion/Implication for Future Practice: Psychiatrists and nurses had favourable attitudes towards suicide attempters. Health care organizations need to provide support to professionals by exposing them to suicide prevention programs and it was expected to improve and enhance the attitudes toward suicidal behaviour. In addition, psychiatrists and nurses, when they are aware of their opinions and attitudes toward suicide behaviour, can help their patients through the expression of their own thoughts and fears, which can lead to increased communication and trust.展开更多
When Julian Bird was 60,he was diagnosed(诊断)with cancer of the bladder.He had a series of unpleasant operations,and the doctor predicted that he was likely to die pretty soon.After 34 years as a psychiatrist(精神科...When Julian Bird was 60,he was diagnosed(诊断)with cancer of the bladder.He had a series of unpleasant operations,and the doctor predicted that he was likely to die pretty soon.After 34 years as a psychiatrist(精神科医生),in that intense state of mind,he began to daydream about becoming a professional actor.展开更多
儿童青少年精神障碍患病率高、疾病负担沉重,但可获得诊疗资源极为有限,因此亟需培养更多的儿童青少年精神科医师(child and adolescent psychiatrists,CAPs)以扩展儿童精神卫生服务资源。当前中国的CAPs培养途径相对局限,迫切需要拓展...儿童青少年精神障碍患病率高、疾病负担沉重,但可获得诊疗资源极为有限,因此亟需培养更多的儿童青少年精神科医师(child and adolescent psychiatrists,CAPs)以扩展儿童精神卫生服务资源。当前中国的CAPs培养途径相对局限,迫切需要拓展和丰富,以满足日益增长的诊疗需求。本文总结了国际已有的CAPs培养途径,并分析中国当前CAPs的培养现状,进而提出在中国扩展CAPs培养途径的思考,旨在从教育培训视角出发,探索CAPs全周期培养途径,以期缓解中国儿童精神卫生人才紧缺现状,提高儿童精神心理卫生服务的可及性。展开更多
Introduction: Despite advances in obstetrics and pediatrics over the past 20 years, premature birth remains an unpredictable event that can have a devastating impact on parenthood. This study aimed to a...Introduction: Despite advances in obstetrics and pediatrics over the past 20 years, premature birth remains an unpredictable event that can have a devastating impact on parenthood. This study aimed to analyze the psycho-affective experiences of fathers of premature newborns. Methods: This was a descriptive cross-sectional study, carried out in the department of neonatology and neonatal intensive care unit of the CHU Mohamed VI in OUJDA, over 6 months from March 2022 to August 2022. It focused on 30 fathers of premature newborns hospitalized in our department. Results: The majority of fathers described a state of fear and stress, and attributed their negative experience to the unexpected nature of the premature birth. At the first meeting, half the fathers had a positive image of their newborn’s physical appearance, while 22% of fathers reported feeling uncomfortable about their newborn’s low weight. Most fathers reported that they appreciated the welcome they received, the skill with which they cared for their newborn, and the availability of the pediatrician to provide information on their child’s state of health. Two fathers enjoyed skin-to-skin contact with their newborns. None of the fathers met a psychologist. When they returned home, half the fathers had a positive outlook, marked by happiness at being able to fully invest in their role as fathers, the other half reported being torn between the desire to see their child integrated into the family cocoon and the fear of not being able to manage delicate situations properly without a medical team. Conclusion: Bringing a premature baby into the world can be a difficult experience, leading to the development of even minor psychological distress in some fathers, and hence the need for specific psychological care.展开更多
文摘Psychiatrists require frequent contact with and treatment of patients with mental illnesses.Due to the influence of associative stigma,psychiatrists may also be targets of stigma.Occupational stigma warrants special consideration because it significantly affects psychiatrists'career advancement,well-being,and their patients’health.Given that there is no complete summary of this issue,this study reviewed the existing literature on psychiatrists'occupational stigma to clearly synthesize its concepts,measurement tools,and intervention strategies.Herein,we emphasize that psychiatrists’occupational stigma is a multifaceted concept that simultaneously encompasses physically,socially,and morally tainted aspects.Currently,standardized methods to specifically measure psychiatrists’occupational stigma are lacking.Interventions for psychiatrists’occupational stigma may consider the use of protest,contact,education,comprehensive and systematic methods,as well as the use of psychotherapeutic approaches.This review provides a theoretical basis for the development of relevant measurement tools and intervention practices.Overall,this review seeks to raise public awareness of psychiatrists'occupational stigma,thereby promoting psychiatric professionalism and reducing its stigma.
文摘Objective： To explore the relationship between social support and self-efficacy in women psychiatrists. Methods： A survey was conducted in four hospitals in Shandong province using the Social Support Scale and the General Self-efficacy Scale （GSE）. A total of 140 women psychiatrists participated in the study. Results： Women psychiatrists of different ages or with different qualifications experience significant differences in objective support, subjective support, the utilization of support, and total scores on the social support and self-efficacy questionnaires （P〈0.05）. There were also significant differences in self-efficacy between different groups （P〈0.05）. Subjective support, objective support and the utilization of support have a positive correlation with the self-efficacy of women psychiatrists. Women psychiatrists in different education level have significant differences in objective support, utilization of support and total score of social support （P〈0.01）. Conclusions： Ages and educational backgrounds affect social support and self-efficacy, and self-efficacy had a significant positive correlation with the various dimensions of social support.
文摘AIM: To study the degree of stigmatization among trainee psychiatrists, individual characteristics potentially leading to higher associative stigma, and coping mechanisms.METHODS: Two hundred and seven trainee psychiatrists in Flanders(Belgium), all member of the Flemish Association of Trainee Psychiatrists, were approached to participate in the survey. A non-demanding questionnaire that was specifically designed for the purpose of the study was sent by mail. The questionnaire consisted of three parts, each emphasizing a different aspect of associative stigma: devaluing and humiliating interactions, the focus on stigma during medical train-ing, and identification with negative stereotypes in the media. Answers were scored on a Likert scale ranging from 0 to 3. The results were analyzed using SPSS Version 18.0. RESULTS: The response rate of the study was 75.1%. The internal consistency of the questionnaire was good, with a Cronbach's α of 0.71. Seventy-five percent of all trainee psychiatrists confirmed hearing denigrating or humiliating remarks about the psychiatric profession more than once. Additionally, more than half of them had had remarks about the incompetence of psychiatrists directed at them. Only 1.3% remembered having stigma as a topic during their psychiatric training. Trainees who had been in training for a longer period of time had experienced a significantly higher level of stigmatization than trainees with fewer years of experience(mean total stigma scores of 16.93 ± SD 7.8 vs 14.45 ± SD 6.1, t =-2.179 and P < 0.05). In addition, senior trainees effectively kept quiet about their profession significantly more often than their junior colleagues(mean item score 0.44 ± SD 0.82 vs 0.13 ± SD 0.48, t = 2.874, P < 0.01). Comparable results were found in trainees working in adult psychiatry as were found in those working in child or youth psychiatry(mean item score 0.38 ± SD 0.77 vs 0.15 ± SD 0.53, t =-2.153, P < 0.05). Biologically oriented trainees were more inclined to give preventive explanations about their profession, which can be seen as a coping mechanism used to deal with this stigma(mean item score 2.05 ± SD 1.05 vs 1.34 ± SD 1.1, t =-3.403, P < 0.01).CONCLUSION: Associative stigma in trainee psychiatrists is underestimated. More attention should be paid to this potentially harmful phenomenon in training.
文摘Autism is a complex disability that requires collaboration, consultation and communication for provision of optimum treatment and intervention. Both psychiatrists and educators are key to the well-being of children and their families and can work together successfully in a comprehensive framework. This article provides information and recommendations in order to bridge both disciplinary fields so that this framework can be established.
文摘Background: Psychiatrists and nurses are anticipated to prevent suicide behaviour, but their limited experience and lack of knowledge of patients with suicidal attempts have influenced their perception. A significant association between health care providers’ attitudes and the course of suicidal behaviour treatment. Purpose: current scientific paper aimed to assess Psychiatrists’ and nurses’ attitudes towards suicide and suicide attempters in Saudi Arabia. Method: Cross-sectional investigation was conducted in a Psychiatric hospital in North Saudi Arabia. A convenience sample of psychiatrists and nurses (N = 132). The response rate was 88%. The Modified Suicide Opinion Questionnaire (SOQ) was employed to evaluate psychiatrists’ and nurses’ attitudes toward suicide. Results: attitudes toward suicide behaviour among psychiatrists and nurses were positive. The findings of these studies demonstrate that psychiatrists and nurses held positive attitudes toward suicide in the categories of professional role, beliefs, communication and seeking attention. Also, the evidence revealed in the current paper demonstrates that psychiatrists expressed more positive attitudes toward suicidal behaviour than nursing staff. Moreover, psychiatrists and nurses who have a higher level of education recorded higher scores on the positive attitudes scale towards suicidal behaviour. Furthermore, a statistically significant difference between respondents’ attitudes toward suicide behaviour and their years of experience. Finally, psychiatrists and nurses who have a personal history of suicide behaviour have more positive attitudes toward suicide ideation. Conclusion/Implication for Future Practice: Psychiatrists and nurses had favourable attitudes towards suicide attempters. Health care organizations need to provide support to professionals by exposing them to suicide prevention programs and it was expected to improve and enhance the attitudes toward suicidal behaviour. In addition, psychiatrists and nurses, when they are aware of their opinions and attitudes toward suicide behaviour, can help their patients through the expression of their own thoughts and fears, which can lead to increased communication and trust.
文摘When Julian Bird was 60,he was diagnosed(诊断)with cancer of the bladder.He had a series of unpleasant operations,and the doctor predicted that he was likely to die pretty soon.After 34 years as a psychiatrist(精神科医生),in that intense state of mind,he began to daydream about becoming a professional actor.
文摘儿童青少年精神障碍患病率高、疾病负担沉重,但可获得诊疗资源极为有限,因此亟需培养更多的儿童青少年精神科医师(child and adolescent psychiatrists,CAPs)以扩展儿童精神卫生服务资源。当前中国的CAPs培养途径相对局限,迫切需要拓展和丰富,以满足日益增长的诊疗需求。本文总结了国际已有的CAPs培养途径,并分析中国当前CAPs的培养现状,进而提出在中国扩展CAPs培养途径的思考,旨在从教育培训视角出发,探索CAPs全周期培养途径,以期缓解中国儿童精神卫生人才紧缺现状,提高儿童精神心理卫生服务的可及性。
文摘Introduction: Despite advances in obstetrics and pediatrics over the past 20 years, premature birth remains an unpredictable event that can have a devastating impact on parenthood. This study aimed to analyze the psycho-affective experiences of fathers of premature newborns. Methods: This was a descriptive cross-sectional study, carried out in the department of neonatology and neonatal intensive care unit of the CHU Mohamed VI in OUJDA, over 6 months from March 2022 to August 2022. It focused on 30 fathers of premature newborns hospitalized in our department. Results: The majority of fathers described a state of fear and stress, and attributed their negative experience to the unexpected nature of the premature birth. At the first meeting, half the fathers had a positive image of their newborn’s physical appearance, while 22% of fathers reported feeling uncomfortable about their newborn’s low weight. Most fathers reported that they appreciated the welcome they received, the skill with which they cared for their newborn, and the availability of the pediatrician to provide information on their child’s state of health. Two fathers enjoyed skin-to-skin contact with their newborns. None of the fathers met a psychologist. When they returned home, half the fathers had a positive outlook, marked by happiness at being able to fully invest in their role as fathers, the other half reported being torn between the desire to see their child integrated into the family cocoon and the fear of not being able to manage delicate situations properly without a medical team. Conclusion: Bringing a premature baby into the world can be a difficult experience, leading to the development of even minor psychological distress in some fathers, and hence the need for specific psychological care.
