一项关于精神科住院医师心理治疗能力的试点研究：住院医师态度和人口统计学特征的影响。
A pilot study of psychiatry resident psychotherapy competency: the impact of resident attitude and demographics.
作者信息
Coon Kim A, Yates William R, Touchet Bryan K, Lund Brian
机构信息
Department of Psychiatry, University of Oklahoma College of Medicine, 4502 East 41st Street, Tulsa, OK 74135, USA.
出版信息
Am J Psychother. 2006;60(2):175-85. doi: 10.1176/appi.psychotherapy.2006.60.2.175.
OBJECTIVE
In psychiatry education, psychotherapy knowledge, skills, and attitudes are new competency objectives.
METHODS
Two faculty members independently ranked psychiatry residents for psychotherapy competency. A rank of 1 indicated the most competency and a rank of 15 indicated the least competency for the resident psychotherapist. Several demographic and attitudinal variables of the residents were examined for relationships with psychotherapy competence.
RESULTS
When the competency rankings of the two faculty members were compared, they demonstrated a high level of agreement (spearman r = 0.74, p = 0.0016). Of the variables studied, resident age (r = .61, p = .015) and personal attitude toward psychotherapy (S=29, p = .026) were significantly associated with psychotherapy competency. Both variables remained independently significant after statistical adjustment.
CONCLUSIONS
Our study indicates that psychiatry resident attitude and age may influence psychotherapy competency. These markers for psychotherapy competency may assist training programs with resident selection parameters and may enhance psychotherapy educational strategies for residents predicted to require assistance in achieving competency.
目的
在精神病学教育中，心理治疗知识、技能和态度是新的能力目标。
方法
两名教员独立对精神病学住院医师的心理治疗能力进行排名。排名第1表示能力最强，排名第15表示住院医师心理治疗师能力最弱。研究了住院医师的几个人口统计学和态度变量与心理治疗能力的关系。
结果
比较两名教员的能力排名时，他们表现出高度一致性（斯皮尔曼r = 0.74，p = 0.0016）。在所研究的变量中，住院医师年龄（r = 0.61，p = 0.015）和对心理治疗的个人态度（S = 29，p = 0.026）与心理治疗能力显著相关。经过统计调整后，这两个变量仍具有独立的显著性。
结论
我们的研究表明，精神病学住院医师的态度和年龄可能会影响心理治疗能力。这些心理治疗能力的指标可能有助于培训项目确定住院医师选拔参数，并可能加强针对预计在获得能力方面需要帮助的住院医师的心理治疗教育策略。
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