Beck Kelly B, Nuske Heather J, Becker Haimes Emily M, Lawson Gwendolyn M, Mandell David S
Department of Psychiatry, School of Medicine, University of Pittsburgh, Pittsburgh (Beck); Penn Center for Mental Health (Nuske, Becker Haimes, Mandell) and Department of Child and Adolescent Psychiatry and Behavioral Sciences, Children's Hospital of Philadelphia (Lawson), University of Pennsylvania Perelman School of Medicine, Philadelphia.
Psychiatr Serv. 2024 Aug 1;75(8):817-819. doi: 10.1176/appi.ps.20230574. Epub 2024 Feb 27.
Community practitioners inconsistently implement evidence-based interventions. Implementation science emphasizes the importance of some practitioner characteristics, such as motivation, but factors such as practitioners' emotion regulation and cognitive processing receive less attention. Practitioners often operate in stressful environments that differ from those in which they received training. They may underestimate the impact of their emotional state on their ability to deliver evidence-based interventions. This "hot-cold state empathy gap" is not well studied in mental health care. In this Open Forum, the authors describe scenarios where this gap is affecting practitioners' ability to implement evidence-based practices. The authors provide suggestions to help practitioners plan for stressful situations.
社区从业者对循证干预措施的实施并不一致。实施科学强调一些从业者特征的重要性，比如动机，但从业者的情绪调节和认知加工等因素受到的关注较少。从业者常常在与他们接受培训时所处环境不同的压力环境中工作。他们可能低估了自己情绪状态对实施循证干预措施能力的影响。这种“冷热状态共情差距”在精神卫生保健领域尚未得到充分研究。在这个开放论坛中，作者描述了这种差距影响从业者实施循证实践能力的情景。作者提供了一些建议，以帮助从业者应对压力情况。
