Comissão de Transtornos Alimentares, Associação Brasileira de Psiquiatria, Rio de Janeiro, RJ, Brazil. Departamento de Saúde Mental, Faculdade de Ciências Médicas da Santa Casa de São Paulo, São Paulo, SP, Brazil.
Comissão de Transtornos Alimentares, Associação Brasileira de Psiquiatria, Rio de Janeiro, RJ, Brazil. Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brazil.
Braz J Psychiatry. 2024;46:e20233516. doi: 10.47626/1516-4446-2023-3516. Epub 2024 Apr 8.
To investigate Brazilian psychiatrists' knowledge of and perceived confidence in diagnosis and evidence-based treatment recommendations for eating disorders.
In this cross-sectional study, 259 psychiatrists filled out an online form including sociodemographic data and questions about the diagnosis and treatment of eating disorders based on standard guidelines. The sample's knowledge level and perceived confidence regarding eating disorders were characterized using descriptive statistics.
The sample, which was predominantly women (65.64%), had a mean age of 42.86 years, was from southeastern Brazil (56.37%), worked predominantly in private practice (59.85%), and had less than 10 years of experience in psychiatry (51.74%). We found that 33.21% of the participants correctly identified the diagnostic criteria for anorexia nervosa, 29.73% for bulimia nervosa, and 38.22% for binge eating disorders. Correct answers for therapeutic options were similar for bulimia nervosa and binge eating disorder (20.8%) but were considerably lower for anorexia nervosa (2.7%). The participants' training about eating disorders occurred during medical school (15.1%), medical residency/graduate study (59.8%), or as continuing education (58.7%). Only 8.89% felt satisfied with their training about eating disorders, 50.97% felt confident diagnosing eating disorders, and 37.07% felt confident about treating patients with eating disorders.
These results show an important knowledge gap about eating disorders among Brazilian psychiatrists, which affects their confidence and competence in treating patients with eating disorders.
调查巴西精神科医生对饮食障碍的诊断和循证治疗建议的了解程度和自信心。
在这项横断面研究中，259 名精神科医生填写了一份在线表格，其中包括社会人口统计学数据以及基于标准指南的饮食障碍诊断和治疗问题。使用描述性统计数据来描述样本对饮食障碍的知识水平和感知信心。
该样本主要为女性（65.64%），平均年龄为 42.86 岁，来自巴西东南部（56.37%），主要在私人诊所工作（59.85%），且在精神病学方面的经验不足 10 年（51.74%）。我们发现，33.21%的参与者正确识别了神经性厌食症的诊断标准，29.73%正确识别了神经性贪食症，38.22%正确识别了暴食障碍。对于治疗选择，正确答案在神经性贪食症和暴食障碍方面相似（20.8%），但在神经性厌食症方面则明显较低（2.7%）。参与者接受饮食障碍相关培训的途径包括医学院（15.1%）、住院医师/研究生学习（59.8%）或继续教育（58.7%）。只有 8.89%的人对他们的饮食障碍培训感到满意，50.97%的人对诊断饮食障碍有信心，37.07%的人对治疗饮食障碍患者有信心。
这些结果表明，巴西精神科医生对饮食障碍存在重要的知识差距，这影响了他们治疗饮食障碍患者的信心和能力。
