向实习精神科医生传授基于心理化的人格障碍治疗方法：对态度的影响。
Teaching trainee psychiatrists a Mentalization-Based Treatment approach to personality disorder: effect on attitudes.
作者信息
Lee Tennyson, Grove Patrick, Garrett Chris, Whitehurst Thomas, Kanter-Bax Orestis, Bhui Kamaldeep
机构信息
DeanCross Personality Disorder Service, London, UK.
Centre for the Understanding of Personality Disorder (CUSP), London, UK.
出版信息
BJPsych Bull. 2022 Oct;46(5):298-302. doi: 10.1192/bjb.2021.50.
Abstract
AIMS AND METHOD
To evaluate whether a brief training using a Mentalization-Based Treatment (MBT) model improves attitudes of trainee psychiatrists working with patients with personality disorder. Trainee psychiatrists ( = 49) completed the Attitudes to Personality Disorder Questionnaire before and after a training consisting of two 3 h lectures on (a) theory of personality disorder and (b) practical skills using an MBT role-play.
RESULTS
There was a significant improvement on composite scores of attitude, with small to moderate effect size (Wilcoxon signed-rank test = 3.961, < 0.001, = 0.40).
CLINICAL IMPLICATIONS
Brief MBT-informed teaching oriented to the clinical situation appears to have a positive effect on attitudes towards people with personality disorder.
摘要
目的与方法
评估基于心理化治疗（MBT）模型的简短培训是否能改善实习精神科医生对人格障碍患者的治疗态度。49名实习精神科医生在参加了由两场3小时讲座组成的培训前后，完成了人格障碍态度问卷。这两场讲座分别是（a）人格障碍理论，以及（b）使用MBT角色扮演的实践技能。
结果
态度综合得分有显著提高，效应量小到中等（威尔科克森符号秩检验Z = 3.961，p < 0.001，r = 0.40）。
临床意义
针对临床情况的简短的基于MBT的教学似乎对人格障碍患者的态度有积极影响。
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2
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