Univ. Grenoble Alpes, F-38000, Grenoble, France.
INSERM, U1216, F-38000, Grenoble, France.
Psychiatr Q. 2022 Jun;93(2):435-442. doi: 10.1007/s11126-021-09962-3. Epub 2021 Oct 9.
The COVID-19 pandemic has forced to rapidly encourage the use of face masks during medical consultations, with significant implication for psychiatry. This study examined the opinions and attitudes of psychiatrists toward the impact of wearing a face mask on the psychiatric interview. 513 psychiatrists and trainee psychiatrists completed an electronic survey about the impact of wearing a face mask on the psychiatric interview. Less efficiency in capturing clinical signs/symptoms, emergence of false inferences in patients and altered patient-clinician interactions were commonly reported negative impacts of face mask (66-96%). The quality of the therapeutic alliance was reported as affected by the mask by 47% of the sample. Results were mixed on the use of telepsychiatry as a potential solution to mask-related inconvenience. The use of face masks has significant negative effects on the psychiatric interview. Providing specific training to clinicians could be a potential solution for masks-induced biases.
COVID-19 大流行迫使人们在医疗咨询期间迅速鼓励使用口罩，这对精神病学产生了重大影响。本研究调查了精神科医生对戴口罩对面谈的影响的看法和态度。513 名精神科医生和实习精神科医生完成了一项关于戴口罩对面谈影响的电子调查。研究发现，口罩常见的负面影响包括：在捕捉临床症状/体征方面效率降低（66-96%）、在患者中产生错误推断、改变医患互动。47%的受访者报告称，治疗联盟的质量受到口罩的影响。关于使用远程精神病学作为解决口罩相关不便的潜在方法，结果存在差异。口罩对面谈有显著的负面影响。为临床医生提供特定的培训可能是解决口罩引起的偏见的潜在方法。
