Yager J, Linn L S, Leake B, Goldston S, Heinicke C, Pynoos R
Department of Psychiatry, UCLA Center for the Health Sciences.
Am J Dis Child. 1989 Sep;143(9):1087-90. doi: 10.1001/archpedi.1989.02150210123031.
Attitudes toward preventive mental health activities with high-risk children in clinical practice were surveyed in 316 pediatricians. Although generally positive attitudes were expressed regarding appropriateness and efficacy of such activities, uncertainty was expressed regarding the ethical issues and knowledge on which such activities rest. Pediatricians perceived serious barriers to preventive activities related to financial, educational, and time factors. Pediatricians whose personal health beliefs favored an internal locus of control were more positively inclined toward preventive activities. Studies relating reported attitudes and beliefs to actual practice patterns are necessary. Pediatricians also require additional training in mental health-related preventive activities.
对316名儿科医生在临床实践中对高危儿童预防性心理健康活动的态度进行了调查。尽管总体上对这类活动的适当性和有效性表达了积极态度，但对这类活动所依据的伦理问题和知识存在不确定性。儿科医生认为与财务、教育和时间因素相关的预防性活动存在严重障碍。个人健康信念倾向于内控点的儿科医生对预防性活动的态度更积极。有必要开展将报告的态度和信念与实际实践模式相关联的研究。儿科医生还需要接受与心理健康相关的预防性活动的额外培训。
