Sahhar Deborah, O'Connor Daniel
Caulfield General Medical Centre, Melbourne, Victoria, Australia.
Australas Psychiatry. 2004 Mar;12(1):26-30. doi: 10.1046/j.1039-8562.2003.02055.x.
The purpose of the present paper was to map the mental health workloads of general practitioners (GPs) , and to determine GPs' views of the adequacy of their undergraduate training in psychiatry.
Twenty-nine GPs who had graduated since 1980 from an Australian medical school provided data on 339 consecutive adult patients with conspicuous psychological disorders. After listing their patients' problems and management plans, doctors rated the value of their undergraduate teaching in preparing them for this task.
Depression, anxiety and substance abuse accounted for 71% of reported cases. Virtually all patients were given some psychologically orientated treatment. Only half were prescribed a psychotropic medication. Nineteen of the 29 doctors wished that they had received more training in counselling.
In an earlier survey it was found that Australian and New Zealand medical school curricula focused largely on the diagnosis and pharmacological management of psychosis and depression. The GPs in the present study most commonly applied psychologically orientated treatments of anxiety, depression and substance abuse. It is proposed that medical schools provide tuition to medical students in counselling.
本文旨在梳理全科医生的心理健康工作量，并确定全科医生对其本科阶段精神病学培训充分性的看法。
29名自1980年起毕业于澳大利亚某医学院的全科医生提供了339例连续成年明显心理障碍患者的数据。在列出患者问题及管理计划后，医生对本科教学在使他们为这项任务做准备方面的价值进行了评分。
报告病例中，抑郁症、焦虑症和药物滥用占71%。几乎所有患者都接受了某种心理导向治疗。只有一半患者开具了精神类药物。29名医生中有19名希望他们接受过更多咨询方面的培训。
在早期一项调查中发现，澳大利亚和新西兰医学院课程主要侧重于精神病和抑郁症的诊断及药物治疗。本研究中的全科医生最常采用心理导向治疗焦虑症、抑郁症和药物滥用。建议医学院为医学生提供咨询方面的课程。
