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中国医生对自闭症谱系障碍的认知和信念:一项横断面调查。

Knowledge and beliefs about autism spectrum disorders among physicians: a cross-sectional survey from China.

机构信息

Department of Pediatrics, Hangzhou First People's Hospital, Zhejiang University School of Medicine, Hangzhou, China.

Department of Child Psychology, Children's Hospital, Zhejiang University School of Medicine, Hangzhou, China.

出版信息

BMJ Paediatr Open. 2022 Dec;6(1). doi: 10.1136/bmjpo-2022-001696.

Abstract

BACKGROUND

The incidence of autism spectrum disorders (ASDs) is increasing greatly, with high demands for earlier diagnosis and intervention. However, little is known about ASD knowledge and beliefs among physicians in China.

METHODS

A questionnaire survey was used to assess the knowledge and beliefs about the diagnosis and management of ASD and 24 beliefs regarding the treatment and prognostic aspects of ASD among physicians of any medical specialty in China.

RESULTS

A total of 1160 physicians were recruited and surveyed, with an average score of 8.48±2.66 (total of 18 points) for the questionnaire on the main symptoms of ASD and 14.35±3.69 (total of 24 points) for beliefs about ASD. Physicians' age, sex, specialty and practice years were related to their knowledge of identifying patients with ASD. Physicians specialising in paediatrics/psychology/psychiatry scored higher than those specialising in other specialties both in response to diagnostic questions (8.98±2.63 vs 8.30±2.65, p<0.001) and beliefs about ASD (15.57±3.44 vs 13.97±3.97, p<0.001).

CONCLUSIONS

Knowledge and beliefs about ASD symptoms, diagnosis and treatment are insufficient among physicians in China. Education and training programmes on this topic should be enhanced in physicians of all specialties, especially for male physicians who have short years in practice.

摘要

背景

自闭症谱系障碍(ASD)的发病率正在大幅增加,对早期诊断和干预的需求很高。然而,中国医生对 ASD 的了解和看法知之甚少。

方法

采用问卷调查的方式,评估中国任何医学专业医生对 ASD 的诊断和管理的知识和信念,以及对 ASD 的治疗和预后方面的 24 种信念。

结果

共招募并调查了 1160 名医生,他们对 ASD 主要症状问卷的平均得分为 8.48±2.66(共 18 分),对 ASD 信念的平均得分为 14.35±3.69(共 24 分)。医生的年龄、性别、专业和从业年限与他们识别 ASD 患者的知识有关。儿科/心理学/精神病学专业的医生在回答诊断问题(8.98±2.63 对 8.30±2.65,p<0.001)和 ASD 信念(15.57±3.44 对 13.97±3.97,p<0.001)方面的得分均高于其他专业的医生。

结论

中国医生对 ASD 症状、诊断和治疗的了解和看法不足。应加强所有专业医生,特别是从业年限较短的男性医生在这一主题上的教育和培训计划。

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