Steele Michael M, Lochrie Amanda S, Roberts Michael C
Department of Psychology, Auburn University, 226 Thach Hall, Auburn, AL 36849-5214, USA.
J Clin Psychol Med Settings. 2010 Jun;17(2):103-15. doi: 10.1007/s10880-010-9188-1.
Often the burden of identifying children with behavioral or developmental problems is left up to the primary care physician (PCP). However, previous literature shows that PCPs consistently underidentify children with developmental/behavioral problems in pediatric primary care. For the current study, questionnaires containing three vignettes followed by questions addressing common psychosocial problems, general questions about their practice and training, and the Physician Belief Scale were distributed to physicians. Results indicated that physicians were better at identifying severe problems, had more difficulty identifying psychosocial problems with mild symptomatology, and tended to refer to a medical specialist or mental health professional more often for severe problems, depression or a developmental problem. Physicians tended to view treating psychosocial problems favorably.
通常，识别有行为或发育问题儿童的重担落在了初级保健医生（PCP）身上。然而，以往文献表明，在儿科初级保健中，初级保健医生一直未能充分识别出发育/行为问题儿童。在当前研究中，向医生发放了包含三个病例 vignettes，随后是针对常见心理社会问题的问题、关于他们的执业和培训的一般问题以及医生信念量表的问卷。结果表明，医生在识别严重问题方面表现更好，在识别症状较轻的心理社会问题时更困难，并且对于严重问题、抑郁症或发育问题，他们更倾向于转诊给医学专家或心理健康专业人员。医生倾向于积极看待心理社会问题的治疗。
