Dept. of Psychiatry, UCLA, Los Angeles, CA.
Acad Psychiatry. 2011 Jul-Aug;35(4):238-240. doi: 10.1176/appi.ap.35.4.238.
BACKGROUND/OBJECTIVE: Alcohol is a teratogen. Fetal alcohol spectrum disorders (FASDs) affect about 1% of live births, causing severe impairment. Individuals affected by FASDs are overrepresented in psychiatric settings. This study reports on the education and experience of psychiatry trainees in approaching FASDs.
Data were collected from psychiatry trainees throughout the country by use of a web-based questionnaire.
A representative sample (N=308) of psychiatry trainees responded; 19% rate their education on FASDs as "good" or "excellent," and 89% report that they would like more education on FASDs: 6%, 15%, and 30%, endorsed the statement "It is safe to drink some alcohol" during the 1st, 2nd, and 3rd trimesters, respectively. Only 31% correctly report that individuals with an FASD are at equal risk for adverse outcomes as individuals with full-blown fetal alcohol syndrome.
results reveal that training on FASDs is inadequate. Psychiatry trainees poorly understand the importance of abstinence throughout pregnancy. Trainees who report receiving supervision specifically addressing FASDs also report making the diagnosis much more frequently, suggesting that supervision in clinical settings is effective teaching. Results reveal that FASDs are underrecognized, resulting in missed opportunities for prevention and intervention.
背景/目的：酒精是一种致畸物。胎儿酒精谱系障碍（FASD）影响约 1%的活产儿，导致严重损伤。受 FASD 影响的个体在精神科环境中人数过多。本研究报告了精神病学受训者在处理 FASD 方面的教育和经验。
通过网络问卷调查，在全国范围内收集精神病学受训者的数据。
有代表性的样本（N=308）的精神病学受训者作出了回应；19%的人认为他们的 FASD 教育“良好”或“优秀”，89%的人表示希望更多地接受 FASD 教育：分别有 6%、15%和 30%的人认可“在怀孕第一、第二和第三个三个月内可以安全饮酒”的说法。只有 31%的人正确地报告称，患有 FASD 的个体与患有完全型胎儿酒精综合征的个体有同等的不良结局风险。
结果表明，FASD 的培训不足。精神病学受训者对整个孕期戒酒的重要性认识不足。报告接受过专门针对 FASD 的监督的受训者也更频繁地做出诊断，这表明临床环境中的监督是有效的教学方法。结果表明，FASD 被严重低估，导致预防和干预机会的丧失。
