ADDIPSY, Addictology and Psychiatry Outpatient Center, Santé Basque Development group, Lyon, France.
Université Claude Bernard Lyon 1, CNRS, INSERM, Centre de Recherche en Neurosciences de Lyon CRNL U1028 UMR5292, PSYR2, 69500 Bron, France.
Encephale. 2024 Jun;50(3):257-264. doi: 10.1016/j.encep.2023.06.014. Epub 2023 Aug 19.
Borderline personality disorder is a common and treatable personality disorder that is often underdiagnosed and untreated, mainly due to a lack of training of psychiatrists and to a lack of accessibility to specialized therapies. However, no study has been conducted in France regarding this issue. Thus, we aimed to evaluate on a national scale the level of training, knowledge, and general attitude toward BPD diagnosis of French psychiatrists.
We conducted an online survey in an unselected population of residents and senior French psychiatrists between January and March 2022, the results of which are presented descriptively.
228 psychiatrists fully answered the questionnaire, and 21 more psychiatrists answered it partially. We found that most of the responders were unsatisfied with the residency training or the continuing medical education offered regarding BPD, a lack of training resulting in a low level of self-confidence regarding BPD management, in a low number of evidence-based therapies trained psychiatrists in issues regarding diagnostic disclosure, and in misconceptions regarding some aspects of the disorder.
These results underlie a clear lack of training of French psychiatrists, as well as a request from the latter for more opportunities to learn. This calls for a rethinking of the teaching system to incorporate more knowledge and tools related to BPD.
边缘型人格障碍是一种常见且可治疗的人格障碍，但往往被漏诊和未治疗，主要原因是精神科医生缺乏培训，以及缺乏专门治疗方法。然而，法国尚未对此问题进行研究。因此，我们旨在评估法国精神科医生对 BPD 诊断的培训水平、知识和一般态度。
我们于 2022 年 1 月至 3 月期间在法国居民和资深精神科医生的未选择人群中进行了一项在线调查，其结果以描述性方式呈现。
228 名精神科医生完整回答了问卷，另有 21 名精神科医生部分回答了问卷。我们发现，大多数应答者对 BPD 相关的住院医师培训或继续医学教育不满意，培训不足导致他们对 BPD 管理的信心不足，对诊断披露方面的证据基础治疗方法的培训数量较少，以及对该疾病的某些方面存在误解。
这些结果表明法国精神科医生的培训明显不足，他们希望有更多的学习机会。这需要重新思考教学体系，纳入更多与 BPD 相关的知识和工具。
