Psychotherapy training in psychiatry residencies: A review of trainees’ perspectives

IF 2.5 4区 医学 Q2 PSYCHIATRY European Journal of Psychiatry Pub Date : 2024-07-06 DOI:10.1016/j.ejpsy.2024.100263
Rui M. Salgado , Orlando von Doellinger
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Abstract

Background and Objectives

Incorporating psychotherapy into the curricula of psychiatry residency programs has been proven difficult, even in countries where it is a requirement for residents to become psychiatrists. The primary purpose of the article was to assess psychiatry trainees’ perspectives on psychotherapy training in residency programs worldwide.

Methods

The authors performed a narrative review, resulting in 19 original research studies, published between 2001 and 2021, evaluating psychiatry residents’ perspectives by the application of questionnaires.

Results

Psychiatry residents are interested in and value psychotherapy training, and some consider it should be an obligatory competency for psychiatrists, as it already occurs in some countries worldwide. Even though, most psychiatry trainees feel dissatisfaction with the existing training in residency curricula, pointing out concerns related to the quality of resources, time within the residency period, and financial constraints. In terms of personal psychotherapy, we found contrasting views of its importance in psychotherapy training for psychiatry residents. A crucial finding was that psychiatry residents tend to lose interest in psychotherapy during the years of the residency, and dissatisfaction with the quality of the psychotherapy curricula, lack of support, and low self-perceived competence in psychotherapy by trainees were factors associated with reduced interest in psychotherapy training.

Conclusions

The authors postulate that maintaining residents’ interest in psychotherapy requires improvements in the residency curricula and departmental leadership must support trainees’ goals of becoming comprehensively trained psychiatrists.

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精神病学住院医生的心理治疗培训:学员观点综述
背景与目的将心理疗法纳入精神病学住院医师培训课程已被证明是一件困难的事情,即使在要求住院医师必须接受心理疗法培训的国家也是如此。本文的主要目的是评估全球精神病学受训者对住院医师培训项目中心理治疗培训的看法。方法作者对2001年至2021年间发表的19篇原创研究进行了叙述性综述,并通过问卷调查的形式对精神病学住院医师的看法进行了评估。结果精神病学住院医师对心理治疗培训很感兴趣,也很重视,有些人认为心理治疗应该成为精神病学医师的必修能力,因为在全球一些国家已经开展了这种培训。尽管如此,大多数精神科住院医师对现有的住院医师培训课程感到不满,他们对资源的质量、住院医师培训期间的时间和经济限制表示担忧。在个人心理治疗方面,我们发现对其在精神科住院医师心理治疗培训中重要性的看法截然不同。一个重要的发现是,精神科住院医师往往会在住院医师培训期间对心理治疗失去兴趣,而对心理治疗课程质量的不满、缺乏支持以及受训者自我感觉心理治疗能力较低等因素与受训者对心理治疗培训的兴趣降低有关。
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来源期刊
CiteScore
2.90
自引率
0.00%
发文量
40
审稿时长
43 days
期刊介绍: The European journal of psychiatry is a quarterly publication founded in 1986 and directed by Professor Seva until his death in 2004. It was originally intended to report “the scientific activity of European psychiatrists” and “to bring about a greater degree of communication” among them. However, “since scientific knowledge has no geographical or cultural boundaries, is open to contributions from all over the world”. These principles are maintained in the new stage of the journal, now expanded with the help of an American editor.
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