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Training Needs Analysis for Medical Students in Assessing Cognitive Functioning: An Observational Study 医学生认知功能评估培训需求分析:观察研究
IF 2.8 Q3 PSYCHIATRY Pub Date : 2024-09-10 DOI: 10.1177/02537176241274143
Arwa Bohra, Mili Jyotsna, Sai Dheeraj Gowtham Reddy Pereddy, Ananyan Sampath, Abhijit R Rozatkar, Rober WS Coulter, Snehil Gupta
Backgrounds:Research shows that medical students’ knowledge and skills concerning the assessment of cognition in various neuropsychiatric conditions (e.g., Alzheimer’s disease and schizophrenia) are unsatisfactory. This research aims to conduct a training needs analysis (TNA) for medical students to identify and refer patients with neuropsychiatric conditions.Methods:The study comprised two phases. First, developing a TNA toolkit to assess training needs in clinical tasks related to cognitive function assessment (by adopting the Hennessy–Hicks TNA toolkit); and second, through a self-reported survey, their training needs in cognitive function assessment were assessed. Data analysis involved calculating training gaps, importance scores, performance scores, training scores, and organization scores for various clinical tasks-stratified participants’ study year; for training needs and trends, factor analysis and post-hoc analyses were conducted.Results:A total of 153 medical students from a tertiary care center participated in the survey. The participants rated their performance lower than the perceived importance of tasks, indicating a need for improvement in all competencies ( P < .01). Pre–final-year students had the highest training needs, particularly in accessing literature, planning, and organizing care for patients with cognitive impairment, performing mental status examination, screening patients for cognitive deficits, and counseling them/caregivers about interventions ( P < .01). Factor analysis identified a single dominant factor, suggesting a correlation among these skills.Conclusion:Pre–final-year students require targeted training, whereas students beyond this stage can benefit from special training modules and awareness of available resources for cognitive assessment. The findings also suggest the importance of a hybrid approach involving training and organizational modifications.
背景:研究表明,医科学生在评估各种神经精神疾病(如阿尔茨海默病和精神分裂症)认知能力方面的知识和技能并不令人满意。本研究旨在对医科学生识别和转诊神经精神疾病患者的培训需求进行分析。首先,开发一个 TNA 工具包,以评估与认知功能评估相关的临床任务的培训需求(采用 Hennessy-Hicks TNA 工具包);其次,通过自我报告调查,评估他们在认知功能评估方面的培训需求。数据分析包括计算各种临床任务的培训差距、重要性得分、表现得分、培训得分和组织得分,并对参与者的学习年限进行了分层;对于培训需求和趋势,则进行了因素分析和事后分析。参与者对自己表现的评价低于对任务重要性的感知,这表明所有能力都需要提高(P <.01)。预毕业班学生的培训需求最大,尤其是在获取文献、计划和组织对认知障碍患者的护理、进行精神状态检查、筛查患者的认知障碍以及向患者/护理人员提供干预咨询方面(P < .01)。结论:预科生需要接受有针对性的培训,而超过这一阶段的学生则可以从专门的培训模块和对认知评估可用资源的了解中获益。研究结果还表明,采取培训和组织调整相结合的方法非常重要。
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引用次数: 0
Behavioral Management in the Rehabilitation of a Person with Severe Mental Illness: The Path Less Travelled 严重精神疾病患者康复过程中的行为管理:少有人走的路
IF 2.8 Q3 PSYCHIATRY Pub Date : 2024-09-10 DOI: 10.1177/02537176241273712
Jyoti Mishra, Navneet Kaur, Shikha Tyagi, Nitin Gupta
In severe mental illness (SMI), such as schizophrenia, rehabilitation begins immediately. Aside from the token economy, there is limited literature on behavioral modification (BM), which is a crucial aspect of rehabilitation for person with severe mental illness (SMI). We demonstrate the implementation and effectiveness of BM for one year in managing behavioral difficulties in a person with SMI. The direct observation method and the ABC functional analysis model were used for evaluation. Management, such as reinforcement and punishment, was implemented. Pre- and postassessments revealed a considerable decrease in problematic behaviors. This article also highlights the obstacles faced while managing the case and caregiver burden in rehabilitation. In persons with SMI, the application of BM enhances the patient’s functionality and reduces the caregiver burden.
对于严重精神疾病(SMI),如精神分裂症,康复治疗应立即开始。除了象征性经济之外,有关行为矫正(BM)的文献十分有限,而行为矫正是重性精神病患者康复的一个重要方面。我们展示了为期一年的行为矫正在管理重症精神病患者行为障碍方面的实施情况和效果。评估采用了直接观察法和 ABC 功能分析模型。实施了强化和惩罚等管理措施。前后评估显示,问题行为大幅减少。这篇文章还强调了在康复过程中管理个案和照顾者负担所面临的障碍。对于 SMI 患者,应用 BM 可以增强患者的功能,减轻护理人员的负担。
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引用次数: 0
Clinical Linguistic Proficiency Program: An Innovation to Bridge Language Incompatibility in the Training of Psychiatric Residents 临床语言能力计划:弥合精神科住院医生培训中语言不兼容问题的创新之举
IF 2.8 Q3 PSYCHIATRY Pub Date : 2024-09-08 DOI: 10.1177/02537176241273749
Satish Suhas, Chethan Basavarajappa, Mahalaxmi Korwar, Varsha Shamanna, Apruva Mittal, Naveen Kumar, Kalyani BG, Vijaykumar Harbishettar, Deepak S Ghadigaonkar, Narayana Manjunatha, Suresh Bada Math
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引用次数: 0
Mothers’ Psychological Trauma Experiences Associated With Preterm Pregnancy, Birth, and Care: A Qualitative Study 与早产妊娠、分娩和护理有关的母亲心理创伤经历:定性研究
IF 2.8 Q3 PSYCHIATRY Pub Date : 2024-09-08 DOI: 10.1177/02537176241275560
Jacob Owusu Sarfo, Puleng Segalo
Background:Preterm birth trauma has become a growing concern in achieving the sustainable development goal targets for mental, maternal, and child health. Although obstetric and developmental complications associated with preterm birth have received a great deal of research attention over the years, subjective trauma experiences of mothers are often understudied. This qualitative study aims to fill this gap by adopting a phenomenological design to explore the traumatic experiences of mothers from pregnancy to care after childbirth of preterm babies in a low-resource economy.Results:The results of our Interpretative Phenomenological Analysis (IPA) revealed three superordinate and six subordinate themes: pregnancy-related (Primary pregnancy-related complications and secondary pregnancy-related factors), healthcare-related (Trauma from invasive procedures performed on babies and trauma from the poor physical health status of the babies at NICU), and parenting-related trauma (Initial shock and denial and feelings of inadequateness and helplessness in caring for their babies).Conclusions:The study shows the complex nature of the birth trauma experienced by mothers of preterm babies. The study recommends client-centered, culturally sensitive, and trauma-focused mental health support within the maternal health system.
背景:在实现精神、孕产妇和儿童健康的可持续发展目标的过程中,早产创伤已成为一个日益受到关注的问题。尽管与早产相关的产科和发育并发症多年来受到了大量研究的关注,但母亲的主观创伤经历往往未得到充分研究。本定性研究旨在填补这一空白,采用现象学设计,探讨在低资源经济体中早产儿母亲从怀孕到产后护理的创伤经历。结果:我们的解释性现象学分析(IPA)结果显示了三个上位主题和六个下位主题:与妊娠有关的主题(与妊娠有关的原发性并发症和与妊娠有关的继发性因素)、与医疗保健有关的主题(对婴儿进行侵入性操作造成的创伤和婴儿在新生儿重症监护室的不良身体健康状况造成的创伤),以及与养育有关的创伤(最初的震惊和否认,以及在照顾婴儿时感到的不足和无助)。结论:这项研究显示了早产儿母亲所经历的分娩创伤的复杂性。研究建议在孕产妇保健系统中提供以客户为中心、对文化敏感、以创伤为重点的心理健康支持。
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引用次数: 0
Mediating Role of Social Support and Family Functioning on Quality of Life of Family Caregivers of Individuals With Alcohol Use Disorder 社会支持和家庭功能对酒精使用障碍者家庭照顾者生活质量的中介作用
IF 2.8 Q3 PSYCHIATRY Pub Date : 2024-09-07 DOI: 10.1177/02537176241275566
Hunny Kalra, Suninder Tung
Background:Caring for persons with alcohol use disorder (AUD) significantly affects the quality of life (QoL) of caregivers. According to Lazarus and Folkman’s Stress and Coping Model (1984), the severity of alcohol consumption (SAC) is a major stressor for AUD caregivers. These stressors impact well-being, with QoL linked to caregivers’ coping resources, especially social support (SS) and family functioning (FF). The study aimed to investigate the mediating roles of SS and FF in the relationship between the SAC and caregivers’ QoL.Material and Methods:A cross-sectional study was conducted in two psychiatric hospitals in Amritsar city, Punjab. We used a purposive sampling technique to collect data from 128 family caregivers aged 18 and above who were caring for male patients with AUD aged between 20 and 65. The assessment tools used were the World Health Organization Quality of Life-Brief Version (WHOQOL-BREF), Alcohol Use Disorders Identification Test (AUDIT), Family Assessment Device (FAD), and PGI Social Support Questionnaire (PGI SSQ).Results:There is a significant and partial mediation of the association between SAC and QoL by both SS and FF ( P < .001, 99% CI). Moreover, SAC (r = –0.519), FF (r = –0.603), and SS (r = 0.641) showed significant correlations with caregivers’ QoL ( P < .001). The mean scores for SAC, SS, FF, and QoL were 22.66 (11.38), 50.88 (9.45), 127.18 (43.85), and 84.13 (18.70), respectively, suggesting moderate SAC in patients, moderate to high perceived SS levels, moderate perception of family dysfunction, and moderate to high QoL among the caregivers.Conclusion:SAC detrimentally impacts caregivers’ QoL both directly and indirectly through SS and FF, with the latter serving as mediators, partially mitigating SAC’s negative impact. Clinical implications underscore the importance of tailored interventions, emphasizing the strengthening of support systems and consideration of diverse FF domains for personalized approaches. The findings contribute valuable insights for developing targeted interventions customized to the specific needs of AUD caregivers to enhance their overall QoL.
背景:照顾酒精使用障碍(AUD)患者会严重影响照顾者的生活质量(QoL)。根据拉扎勒斯和福克曼(Lazarus and Folkman)的 "压力与应对模型"(Stress and Coping Model,1984 年),饮酒(SAC)的严重程度是 AUD 照顾者的主要压力源。这些压力会影响幸福感,而幸福感与照顾者的应对资源有关,尤其是社会支持(SS)和家庭功能(FF)。材料与方法:我们在旁遮普省阿姆利则市的两家精神病院进行了一项横断面研究。我们采用目的性抽样技术,收集了 128 名年龄在 18 岁及以上、照顾 20 至 65 岁男性 AUD 患者的家庭照顾者的数据。使用的评估工具包括世界卫生组织生活质量简明版(WHOQOL-BREF)、酒精使用障碍鉴定测试(AUDIT)、家庭评估装置(FAD)和 PGI 社会支持问卷(PGI SSQ)。此外,SAC(r = -0.519)、FF(r = -0.603)和 SS(r = 0.641)与护理人员的 QoL 呈显著相关(P < .001)。SAC、SS、FF 和 QoL 的平均得分分别为 22.66 (11.38)、50.88 (9.45)、127.18 (43.85) 和 84.13 (18.70),表明患者的 SAC 为中度,感知的 SS 水平为中度至高度,感知的家庭功能障碍为中度,护理人员的 QoL 为中度至高度。结论:SAC通过SS和FF直接或间接地对照顾者的QoL产生不利影响,而后者作为中介,部分减轻了SAC的负面影响。临床意义强调了定制干预措施的重要性,强调了加强支持系统和考虑不同的 FF 领域以采取个性化方法的重要性。这些研究结果为针对澳大拉美裔照顾者的具体需求制定有针对性的干预措施以提高其整体 QoL 提供了宝贵的见解。
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引用次数: 0
Artificial Intelligence in Addiction: Challenges and Opportunities 人工智能在成瘾领域的应用:挑战与机遇
IF 2.8 Q3 PSYCHIATRY Pub Date : 2024-09-01 DOI: 10.1177/02537176241274148
Mohit Suva, Gayatri Bhatia
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引用次数: 0
My Journey with Empathy. 我的移情之旅
IF 1.9 Q3 PSYCHIATRY Pub Date : 2024-09-01 Epub Date: 2024-09-21 DOI: 10.1177/02537176241281994
Abhay Matkar
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引用次数: 0
An Evaluation of the First Clinical Posting in Psychiatry of the Competency-Based Medical Education (CBME) Curriculum for Undergraduate Medical Students in India. 印度医学本科生能力本位医学教育(CBME)课程精神病学首次临床实习评估。
IF 1.9 Q3 PSYCHIATRY Pub Date : 2024-09-01 Epub Date: 2024-09-21 DOI: 10.1177/02537176241284358
Shalini Perugu, Priya Sreedaran, Uttara Chari, Bhuvaneshwari Sethuraman, Luke Joshua Salazar

Background: The new competency-based medical education (CBME) curriculum presents an opportunity to address the many deficiencies in undergraduate (UG) psychiatry education in India. There are no published reports of such evaluations of psychiatry teaching programs based on the new CBME curriculum.

Methods: We performed a cross-sectional evaluation of the first clinical posting in psychiatry of the new CBME curriculum using the following metrics: clinical skills, knowledge, attitudes towards psychiatry, self-efficacy in performing the specific learning objectives (SLOs), and satisfaction with specific teaching-learning and assessment methods implemented.

Results: The mean knowledge score after the posting was significantly higher compared to the mean knowledge score at baseline (7.79 vs 5.45, p<0.001). The mean clinical skills score after the posting was 13.77 (0-20 range). Improvement was noted in the mean scores on all three sub-scales of the attitudes toward psychiatry scale. However, the improvement in scores was statistically significant only on the 'Stigma of Psychiatry' sub-scale. The mean scores on the items of the self-efficacy scale were between 63.41 and 77.73 (0-100 range). The mean scores on all items of the satisfaction scale were between 4 (somewhat satisfied) and 5 (very satisfied).

Conclusion: We have described an evaluation of the first clinical posting in psychiatry of the new CBME curriculum. The posting was effective in imparting knowledge and clinical skills and potentially bringing about favorable changes in the attitudes toward psychiatry among UG medical students. The students also perceived confidence in performing the SLOs and were satisfied with the teaching-learning methods and assessment methods implemented.

背景:新的能力本位医学教育(CBME)课程为解决印度精神病学本科(UG)教育的诸多不足提供了机会。目前还没有关于基于新 CBME 课程的精神病学教学项目评估的公开报道:我们使用以下指标对新 CBME 课程的第一个精神病学临床实习进行了横向评估:临床技能、知识、对精神病学的态度、完成特定学习目标(SLOs)的自我效能,以及对所实施的特定教学和评估方法的满意度:结果:张贴海报后的平均知识得分明显高于基线时的平均知识得分(7.79 vs 5.45,pConclusion):我们对新的 CBME 课程中精神病学的首次临床派驻进行了评估。实习在传授知识和临床技能方面效果显著,并有可能使大学医科学生对精神病学的态度发生积极变化。学生们还认为他们有信心完成学习目标,并对所实施的教学方法和评估方法感到满意。
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引用次数: 0
What We Know, We See and Do: Formative Assessments Practices of Psychiatry: Postgraduate Residency from a General Hospital Psychiatry Unit in India. 我们的所知、所见、所为:精神病学的形成性评估实践:印度综合医院精神病科的研究生实习。
IF 1.9 Q3 PSYCHIATRY Pub Date : 2024-09-01 Epub Date: 2024-09-21 DOI: 10.1177/02537176241273711
Ajay Kumar, Lokesh Kumar Singh, Aditya Somani, Laxmi Nirisha P
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引用次数: 0
Fine-tuning Postgraduate Psychiatry Training in South Asia. 微调南亚精神病学研究生培训。
IF 1.9 Q3 PSYCHIATRY Pub Date : 2024-09-01 Epub Date: 2024-09-21 DOI: 10.1177/02537176241280284
Shehan S Williams
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引用次数: 0
期刊
Indian Journal of Psychological Medicine
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