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巴西心理学家临床实践中基于证据的心理学实践的知识与应用:一项横断面研究。

Knowledge and Use of Evidence-Based Practice in Psychology in the Clinical Practice of Brazilian Psychologists: A Cross-Sectional Study.

作者信息

Melnik Tamara, Sinval Jorge, Pinho Vanessa Dordron de, Junior José Antônio Spencer Hartmann, Oliveira Margareth da Silva, Lopes Fernanda Machado

机构信息

Department of Evidence-Based Health, Paulista School of Medicine, Federal University of São Paulo, São Paulo 04023-062, SP, Brazil.

Business Research Unit (BRU-IUL), Instituto Universitário de Lisboa (ISCTE-IUL), 1649-026 Lisbon, Portugal.

出版信息

Healthcare (Basel). 2025 Feb 17;13(4):431. doi: 10.3390/healthcare13040431.

Abstract

: The use of scientific evidence for the diagnosis and treatment of mental disorders is crucial for achieving optimal clinical outcomes and providing high-quality care. This study investigates the knowledge, sources of evidence, and attitudes of Brazilian clinical psychologists regarding evidence-based practice in psychology (EBPP) and discusses barriers to its implementation. : A total of 696 Brazilian clinical psychologists participated in an online questionnaire designed to assess their understanding of EBPP, their familiarity with scientific platforms/databases, and their professional development investments. Latent class analysis (LCA) was conducted, which can be used to identify subgroups of psychologists with similar patterns of professional and training characteristics. : The results indicate that while psychologists recognized the importance of EBPP for effective patient care, there was a significant gap in understanding its fundamental principles and concepts. Many participants reported the limited use of scientific databases, missing opportunities to access the latest research advancements. A lower percentage of psychologists consistently implemented EBPP in their clinical practice, highlighting a gap between knowledge and application. Four latent classes emerged from the LCA: I-experienced/established professional psychologist; II-academic psychologist; III-supervised traditional psychologist; and IV-young professional psychologist. : This study emphasizes the need for better integration of EBPP into psychology curricula and continuing education programs. Enhancing clinical psychologists' understanding and proficiency in EBPP can promote evidence-based decision-making and improve the quality of mental health care in Brazil. Efforts should be made to familiarize psychologists with reliable scientific databases, equip them with skills to critically appraise research, and foster a culture of lifelong learning and professional development. Additionally, it is essential to develop strategies tailored to the distinct profiles of professionals identified in this study, considering their training sources, reference usage, and knowledge of EBPP.

摘要

运用科学证据进行精神障碍的诊断和治疗对于实现最佳临床效果及提供高质量护理至关重要。本研究调查了巴西临床心理学家关于心理学循证实践(EBPP)的知识、证据来源及态度,并讨论了其实施过程中的障碍。

共有696名巴西临床心理学家参与了一项在线问卷调查,该问卷旨在评估他们对EBPP的理解、对科学平台/数据库的熟悉程度以及他们的专业发展投入。进行了潜在类别分析(LCA),该分析可用于识别具有相似专业和培训特征模式的心理学家亚组。

结果表明,虽然心理学家认识到EBPP对有效患者护理的重要性,但在理解其基本原则和概念方面存在显著差距。许多参与者报告称科学数据库的使用有限,错失了获取最新研究进展的机会。较低比例的心理学家在临床实践中持续实施EBPP,凸显了知识与应用之间的差距。LCA产生了四个潜在类别:I - 经验丰富/成熟的专业心理学家;II - 学术心理学家;III - 受监督的传统心理学家;IV - 年轻专业心理学家。

本研究强调需要将EBPP更好地整合到心理学课程和继续教育项目中。提高临床心理学家对EBPP的理解和熟练程度可以促进循证决策,并改善巴西心理健康护理的质量。应努力使心理学家熟悉可靠的科学数据库,使他们具备批判性评估研究的技能,并培养终身学习和专业发展的文化。此外,考虑到本研究中确定的专业人员的不同特征,包括他们的培训来源、参考文献使用情况和对EBPP的了解,制定针对性策略至关重要。

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