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Profiling mentally ill offenders in Hong Kong: A 10-year retrospective review study 香港精神病罪犯的特征分析:一项为期十年的回顾性研究
IF 3.5 3区 医学 Q2 PSYCHIATRY Pub Date : 2021-12-13 DOI: 10.1111/appy.12505
Bonnie Wei Man Siu FHKCPsych, Eric Shek Kin Lai MSocSc, Jessica Pui Yan Lam FHKCPsych, Clement Chan MSc, Anita Wai Lan Chan MSc, Kin Yan Chu MSc, Sek Lim Leong MPH, Sing Heung Lui FHKCPsych, Amy Ching Yung Liu FHKCPsych, Dorothy Yuen Yee Tang FHKCPsych, Wai Lam So FHKCPsych, Hon Wah Leung MBA, Cycbie Ching Man Mok MSc, Ming Lam FHKCPsych

Introduction

This study aimed to analyze the estimated prevalence of mental disorders among offenders and compare the estimated crime rate between mentally ill patients and the total population in Hong Kong.

Methods

Service data of offenders referred to psychiatrists at the Siu Lam Psychiatric Centre from January 2011 to December 2020 were analyzed. Demographic data of gender, age on admission, educational level, principal psychiatric diagnosis, index offense, and assessment outcome were collected.

Results

Data of 7535 offenders (74.8% males) aged 14 to 97 (mean: 41.3 ± 13.7) years were analyzed. More than 60% (66.2%) had a diagnosable mental disorder. The most prevalent principal psychiatric diagnosis was schizophrenia and related disorder (22.8%), followed by mental and behavioral disorders due to psychoactive substance use (18.6%), and mood disorders (8.8%). The commonest index offenses were theft and related offenses (20.5%), followed by acts intended to cause injury (19.7%), and illicit drug offenses (11.6%). The estimated prevalence of mental illness among prison population was 7.1% (male: 8.2%, female: 5.0%). The estimated crime rate for mentally ill patients was found to be 43.3 to 263.2 per 100 000 population.

Discussion

The estimated prevalence of mental disorders among offenders and the estimated crime rate for mentally ill patients are relatively low in Hong Kong. The result was an important effort to document the changing characteristics of mentally ill offenders and provide an estimation of the prevalence and crime rate for mentally ill patients in Hong Kong.

本研究旨在分析罪犯中精神障碍的估计患病率,并比较精神病人与香港总人口的估计犯罪率。方法分析2011年1月至2020年12月在小榄精神科中心转诊的罪犯的服务数据。收集性别、入院年龄、文化程度、主要精神病学诊断、指标犯罪和评估结果的人口统计资料。结果共收集罪犯7535人,其中男性74.8%,年龄14 ~ 97岁,平均41.3±13.7岁。超过60%(66.2%)的人有可诊断的精神障碍。最普遍的主要精神病学诊断是精神分裂症及相关障碍(22.8%),其次是由于精神活性物质使用导致的精神和行为障碍(18.6%),以及情绪障碍(8.8%)。最常见的指数犯罪是盗窃及相关犯罪(20.5%),其次是故意伤害(19.7%)和非法毒品犯罪(11.6%)。监狱人口中精神疾病的估计患病率为7.1%(男性:8.2%,女性:5.0%)。精神病患者的估计犯罪率为每10万人43.3至263.2人。在香港,罪犯中精神障碍的估计患病率和精神病患者的估计犯罪率相对较低。研究结果是一项重要的工作,记录精神病罪犯的变化特征,并估计香港精神病患者的患病率和犯罪率。
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引用次数: 0
Interpersonal psychotherapy for complex posttraumatic stress disorder related to childhood physical and emotional abuse with great severity of depression: A case report 人际心理疗法治疗儿童期身心虐待伴重度抑郁症的复杂创伤后应激障碍1例
IF 3.5 3区 医学 Q2 PSYCHIATRY Pub Date : 2021-12-08 DOI: 10.1111/appy.12504
Yuko Toshishige, Masaki Kondo, Tatsuo Akechi
Patients may develop posttraumatic stress disorder (PTSD)—a chronic and incapacitating disorder—following exposure to a traumatic events such as natural disaster, threat of death, serious injury, or sexual violence. In particular, PTSD associated with abuse during childhood is harmful owing to its association with multiple forms of trauma during childhood and adulthood; the traumas include emotional abuse, physical assault, sexual assault, and domestic violence (Coid et al., 2001). The International Classification of Diseases 11th Revision (ICD11) recently defined the diagnosis of complex PTSD (cPTSD) by disturbances in self-organization (DSO) through affective dysregulation, negative self-concept, and disturbed relationship in addition to the classical PTSD symptom cluster (Karatzias et al., 2017). Considering this, particularly overwhelming, long-lasting, repeated childhood traumas are considered a risk factor for the development of cPTSD (de Aquino Ferreira et al., 2018). Childhood abuse is also related to depression. Reportedly, recurrent and persistent depressive episodes were twice as likely to occur in patients who had experienced childhood abuse or neglect (Nanni et al., 2012). Furthermore, data from outpatient samples revealed that adults who have experienced childhood abuse and neglect present with depression that has a relatively higher severity, earlier age of onset, and longer illness duration (Miniati et al., 2010). In patients diagnosed with cPTSD, Powers et al. reported that the likelihood of having a secure attachment was reduced and susceptibility of comorbidity with other psychiatric conditions was increased, compared with those diagnosed with PTSD alone (Powers et al., 2017). Moreover, individuals with comorbid PTSD and major depression have higher suicide attempt rates than those with either disorder alone (Oquendo et al., 2005). Numerous expert bodies and pertinent treatment guidelines recommend cognitive behavioral therapy (CBT), in particular exposurebased treatment, as the first-line treatment for PTSD. However, not all PTSD patients benefit from exposure-based treatment, and the effectiveness of treatments for cPTSD has been less widely studied. For example, a meta-analysis found that PTSD remission was not observed in 17%–42% of patients who underwent an exposure-based treatment course, and PTSD continued to persist in 13%–50% of the patients who completed CBT with some variation of exposure-based treatment (Bradley et al., 2005). Despite recommendation and encouragement from experienced and persuasive clinicians, some patients do not wish to undergo exposure therapy (Markowitz et al., 2016). Moreover, the complex picture of PTSD includes strong interpersonal themes. Patients with PTSD have interpersonal difficulties, such as emotional withdrawal from relationships, because they mistrust not only their interpersonal environments but also their own selves (Bleiberg & Markowitz, 2005). Patients with cPTSD, which may be tr
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引用次数: 1
Use of modern technology in psychiatry training in a middle-income country 中等收入国家在精神病学培训中使用现代技术
IF 3.5 3区 医学 Q2 PSYCHIATRY Pub Date : 2021-12-07 DOI: 10.1111/appy.12496
Sami Ouanes MD, MSc, Amine Larnaout MD, Lamia Jouini MD

Recent advances in information technology (IT) provided us with novel teaching solutions, with the potential of a new enhanced learning experience, that is, more adapted to the needs and preferences of the younger generations of psychiatric trainees. These tools include the use of online/virtual whiteboards, live surveys/polls, live quizzes, virtual classrooms, and virtual reality. In the present paper, we describe the implementation of modern technology in psychiatric training in Tunisia, a North-African middle-income country. We discuss the potential benefits arising from this implementation, and we report the challenges and difficulties. Overall, the implementation of these modern technology-based tools in psychiatric training has been successful, with a very few obstacles. It seems that the integration of these novel approaches is possible even in middle and low-income countries without much hassle. These tools can enhance trainees' participation, motivation, and engagement, thereby potentially improving learning outcomes. Most disadvantages are related to potential technical glitches, and are likely to improve as technology progresses. Teaching is the art of tailoring the educational tools to the learning objectives and to the learners' characteristics and preferences. To achieve optimal learning outcomes, it is often needed to use a mixture of different “modern” and “less modern” techniques.

资讯科技的最新发展为我们提供了新颖的教学方案,有可能带来全新的学习体验,即更符合年轻一代精神科学员的需要和喜好。这些工具包括使用在线/虚拟白板、实时调查/投票、实时测验、虚拟教室和虚拟现实。在本文中,我们描述了现代技术的实施精神病学培训在突尼斯,一个北非中等收入国家。我们讨论了这种实现带来的潜在好处,并报告了挑战和困难。总的来说,这些以现代技术为基础的工具在精神病学培训中的实施是成功的,障碍很少。看来,即使在中低收入国家,这些新方法的整合也是可能的,不会有太多麻烦。这些工具可以提高受训者的参与度、积极性和参与度,从而潜在地改善学习成果。大多数缺点都与潜在的技术故障有关,并且可能随着技术的进步而改善。教学是使教育工具适应学习目标和学习者的特点和喜好的艺术。为了达到最佳的学习效果,通常需要混合使用不同的“现代”和“不那么现代”的技术。
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引用次数: 1
Education and training on addiction psychiatry in low and middle income countries: Observations from existing literature and recommendations going ahead 低收入和中等收入国家的成瘾精神病学教育和培训:来自现有文献的观察和今后的建议
IF 3.5 3区 医学 Q2 PSYCHIATRY Pub Date : 2021-12-07 DOI: 10.1111/appy.12492
Yatan Pal Singh Balhara, Pawan Sharma, Nishtha Chawla

Background

Addictive disorders are a significant contributor to the global burden of disease. The burden of addictive disorders in LMIC is expected to grow further over the coming years.

Aims

In this article we present the observations from the existing literature on the current status of education and training on addiction psychiatry in LMIC and provide recommendation on way forward for this specialized field of psychiatry.

Materials and Methods

We searched electronic databases of PubMed to access the literature on the current status of education and training on addiction psychiatry. Additional searches were also conducted in other database of Google Scholar for potential ‘grey’ literature.

Results

We were able to identify a total of 11 relevant articles.

Discussion

Currently there is limited published literature on education and training on addiction psychiatry from the LMICs.

Conclusions

Strengthening of the training on addictive disorders shall not only help bridge the gap of the unmet need for the evidence-based interventions of addictive disorders across these countries it shall also help enhance the research capacity on addictive disorders in these countries.

背景:成瘾性疾病是全球疾病负担的一个重要因素。预计中低收入国家成瘾性疾病的负担在未来几年将进一步增加。目的在本文中,我们从现有文献中对中低收入国家成瘾精神病学教育和培训的现状进行了观察,并对这一专业精神病学领域的发展提出了建议。材料与方法检索PubMed电子数据库,获取有关成瘾精神病学教育与培训现状的文献。还在Google Scholar的其他数据库中进行了额外的搜索,以寻找潜在的“灰色”文献。结果我们共识别出11篇相关文章。目前,关于中低收入国家成瘾精神病学教育和培训的出版文献有限。结论加强对成瘾性疾病的培训,不仅有助于弥补这些国家成瘾性疾病循证干预需求未得到满足的差距,而且有助于提高这些国家成瘾性疾病的研究能力。
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引用次数: 4
How to improve the quality of World Psychiatric Association educational activities? Results from an online survey with World Psychiatric Association zonal representatives 如何提高世界精神病学协会教育活动的质量?来自世界精神病学协会地区代表的在线调查结果
IF 3.5 3区 医学 Q2 PSYCHIATRY Pub Date : 2021-12-07 DOI: 10.1111/appy.12497
Gaia Sampogna, Andrea Fiorillo, Danuta Wasserman

Introduction

The World Psychiatric Association (WPA), a global association representing 145 psychiatric societies in 121 countries, has a specific focus on education and learning, promoting educational programs on a regular basis. Education in mental health is a continuously evolving phenomenon, although it happens quite often that it is still based on a knowledge formed in the last century and with the latest scientific updates mainly available in English. The WPA is constantly committed in improving and updating the type of educational materials available and ready to be disseminated worldwide.

Methods

An online survey has been developed and sent to the 18 WPA zonal representatives in order: to evaluate the educational needs for mental health, to translate materials into native languages or inclusivity, and to prioritize educational activities to be developed by the WPA in the next years.

Results

Fifteen out of the 18 zonal representatives participated in the study. According to the public mental health perspective, collaboration with general practitioners (GPs) (80%), communities/stakeholders (66.7%) and programs for promoting mental health in schools (53.3%) are the most prioritized activities carried out. Programs for suicide prevention (86.7%) and promotion of mental health and well-being in the general population (66.7%) are considered as the most relevant to be implemented. From the healthcare perspective, new knowledge on pharmacological and non-pharmacological interventions (73%) was requested. The educational packages are mostly available in the English language, although respondents prioritize the translation of WPA educational material into, at least, Spanish and French. The most preferred formats for educational activities are webinar live (80%) and key opinion lectures (66.7%).

Conclusions

These findings represent the first step in the continuing promotion of education carried out by the WPA. We aim to run these kinds of initiatives from time to time in order to adapt themes and topics of these materials to the real educational needs of all mental healthcare professionals worldwide.

世界精神病学协会(WPA)是一个代表121个国家145个精神病学学会的全球性协会,特别关注教育和学习,定期推动教育计划。心理健康教育是一个不断发展的现象,尽管它经常以上个世纪形成的知识为基础,并且主要以英语提供最新的科学更新。世界教育协会不断致力于改进和更新现有的和准备在全世界传播的教育材料的种类。方法开展了一项在线调查,并将其发送给18个地区代表,以评估心理健康教育需求,将材料翻译成当地语言或包容性,并优先考虑未来几年由WPA开展的教育活动。结果18个区域代表中有15个参与了研究。从公众心理健康的角度来看,与全科医生(80%)、社区/利益相关者(66.7%)和促进学校心理健康方案(53.3%)的合作是开展的最优先活动。预防自杀方案(86.7%)和促进一般人群的心理健康和福祉方案(66.7%)被认为是最相关的实施方案。从医疗保健的角度来看,药理学和非药理学干预的新知识(73%)被要求。这些教育材料大多以英语提供,尽管答复者优先考虑将世界宣传署的教育材料至少翻译成西班牙语和法语。最受欢迎的教育活动形式是网络研讨会直播(80%)和重点意见讲座(66.7%)。这些发现代表了WPA继续促进教育的第一步。我们的目标是不时地开展这类活动,以便使这些材料的主题和主题适应全世界所有精神保健专业人员的实际教育需求。
{"title":"How to improve the quality of World Psychiatric Association educational activities? Results from an online survey with World Psychiatric Association zonal representatives","authors":"Gaia Sampogna,&nbsp;Andrea Fiorillo,&nbsp;Danuta Wasserman","doi":"10.1111/appy.12497","DOIUrl":"10.1111/appy.12497","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>The World Psychiatric Association (WPA), a global association representing 145 psychiatric societies in 121 countries, has a specific focus on education and learning, promoting educational programs on a regular basis. Education in mental health is a continuously evolving phenomenon, although it happens quite often that it is still based on a knowledge formed in the last century and with the latest scientific updates mainly available in English. The WPA is constantly committed in improving and updating the type of educational materials available and ready to be disseminated worldwide.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>An online survey has been developed and sent to the 18 WPA zonal representatives in order: to evaluate the educational needs for mental health, to translate materials into native languages or inclusivity, and to prioritize educational activities to be developed by the WPA in the next years.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Fifteen out of the 18 zonal representatives participated in the study. According to the public mental health perspective, collaboration with general practitioners (GPs) (80%), communities/stakeholders (66.7%) and programs for promoting mental health in schools (53.3%) are the most prioritized activities carried out. Programs for suicide prevention (86.7%) and promotion of mental health and well-being in the general population (66.7%) are considered as the most relevant to be implemented. From the healthcare perspective, new knowledge on pharmacological and non-pharmacological interventions (73%) was requested. The educational packages are mostly available in the English language, although respondents prioritize the translation of WPA educational material into, at least, Spanish and French. The most preferred formats for educational activities are webinar live (80%) and key opinion lectures (66.7%).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>These findings represent the first step in the continuing promotion of education carried out by the WPA. We aim to run these kinds of initiatives from time to time in order to adapt themes and topics of these materials to the real educational needs of all mental healthcare professionals worldwide.</p>\u0000 </section>\u0000 </div>","PeriodicalId":8618,"journal":{"name":"Asia‐Pacific Psychiatry","volume":"13 4","pages":""},"PeriodicalIF":3.5,"publicationDate":"2021-12-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39788121","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Education and training in psychiatry in South Asian countries 南亚国家的精神病学教育和培训
IF 3.5 3区 医学 Q2 PSYCHIATRY Pub Date : 2021-12-07 DOI: 10.1111/appy.12494
Roy Abraham Kallivayalil, Arun Enara

“Show me a sane man and I will cure him for you.”—Carl Jung. Essentially, Jung was saying that a sane man does not exist. Emotional problems and difficulties are present in a benign form in the vast majority of people. Therefore, psychiatric education should focus on the very common nature of mental and emotional problems. Training of psychiatrists to provide the best quality care and conduct the highest quality research continues to remain a priority across the globe. The treatment and training gaps in many countries continue despite the sustained efforts at improving these, especially in low- and middle-income (LAMI) countries. Although many LAMI countries have improved curricula for undergraduate and postgraduate training, yet the treatment and training gap continues. This article will look to explore education and training in psychiatry in some of the South Asian countries with a special focus on India.

“给我看一个神志清醒的人,我就给你治好他。”卡尔·荣格。本质上,荣格是在说一个理智的人是不存在的。绝大多数人的情绪问题和困难都是良性的。因此,精神病学教育应该关注心理和情绪问题的非常普遍的本质。培训精神科医生以提供最优质的护理和进行最高质量的研究,仍然是全球的一个优先事项。在许多国家,特别是在低收入和中等收入国家,尽管持续努力改善这些差距,但治疗和培训差距仍然存在。虽然许多拉米国家改进了本科和研究生培训课程,但治疗和培训差距仍然存在。本文将探讨一些南亚国家的精神病学教育和培训,并特别关注印度。
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引用次数: 1
Implementing competency-based medical education curriculum in undergraduate psychiatric training in India: Opportunities and challenges 在印度本科精神病学培训中实施以能力为基础的医学教育课程:机遇与挑战
IF 3.5 3区 医学 Q2 PSYCHIATRY Pub Date : 2021-12-07 DOI: 10.1111/appy.12491
Sreeja Sahadevan MD, Neetu Kurian MD, Anu Mary Mani MD, Manohar Rao Kishor MD, Vikas Menon MD

Medical education in India is undergoing a landmark transformation under the National Medical Commission implementing competency-based medical education (CBME). The CBME approach intends to ensure that medical graduates acquire the competencies needed to fulfill the health needs of the patient and society. This outcome-based approach shifts the focus from the traditional knowledge-based training to skill-based training valued on attitude, ethics, and communication (AETCOM) competencies. CBME thus aims to create medical professionals capable of providing holistic care with compassion and excellence embracing the global trends. The opportunity posed by the CBME should be utilized to sensitize and create interest among the learners about the science and scope of psychiatry. However, there are many challenges in the successful implementation of CBME, which have to be identified and addressed on time for serving the purpose. A basic tenet in CBME is to continue training until the desired competencies are achieved; in other words, to de-emphasize time-based learning. Moreover, the current COVID 19 pandemic is posing a significant influence on the execution of CBME implemented in August 2019. Online platforms could have several advantages in assisting the implementation of CBME; they provide an alternative to continue teaching–learning and assessment during these times and allow learners with the flexibility to learn at their own pace. In this article, we discuss the opportunities, including digital platforms and challenges to be overcame as well as the need for training the faculty toward assimilating the curriculum in the undergraduate psychiatric training.

在国家医学委员会实施以能力为基础的医学教育(CBME)下,印度的医学教育正在经历一场具有里程碑意义的变革。CBME方法旨在确保医学毕业生获得满足患者和社会健康需求所需的能力。这种基于结果的方法将重点从传统的以知识为基础的培训转移到以态度、道德和沟通(AETCOM)能力为基础的技能培训。因此,CBME旨在培养能够提供全面护理的医疗专业人员,具有同情心和卓越性,拥抱全球趋势。应该利用CBME提供的机会,使学习者对精神病学的科学和范围敏感并产生兴趣。然而,在成功实施CBME方面存在许多挑战,必须及时识别和解决这些挑战,以达到目的。CBME的一个基本原则是继续培训,直到达到所需的能力;换句话说,不再强调基于时间的学习。此外,当前的COVID - 19大流行对2019年8月实施的CBME的执行产生了重大影响。在线平台在协助实施CBME方面可能有几个优势;在这些时间里,他们提供了一种继续教学和评估的选择,并允许学习者按照自己的节奏灵活地学习。在这篇文章中,我们讨论了机会,包括数字平台和需要克服的挑战,以及培训教师在本科精神病学培训中吸收课程的必要性。
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引用次数: 7
Education and training in psychiatry in low- and middle-income countries during and after the COVID-19 pandemic 在COVID-19大流行期间和之后,低收入和中等收入国家的精神病学教育和培训
IF 3.5 3区 医学 Q2 PSYCHIATRY Pub Date : 2021-12-07 DOI: 10.1111/appy.12500
Andrea Fiorillo MD, PhD, Afzal Javed MD
The World Psychiatric Association (WPA) is the largest scientific association in the mental health field, bringing together more than 250 000 psychiatrists from all over the world. It was first established in 1950, with the main aim to organize world psychiatric conferences (Fuss et al., 2019; Giallonardo, 2019; Kallivayalil, 2019; Perris, 2020; Sartorius & Sartorius, 2020). Along the decades, the association has broadened its scope to encompass educational (www.wpanet.org; Kutcher & Wei, 2020), scientific (Botbol, 2019, 2020), ethical (Herrman, 2019b), and clinical domains (Reynolds, 2020), with the final aim to improve psychiatric care for people with mental disorders (Herrman, 2019, 2020; Kallivayalil, 2020a, 2020b; Wasserman & Future, 2021) and professional development of psychiatrists (Javed, 2020; Pinto da Costa, 2020; Pinto da Costa et al., 2019). The attention devoted to education is witnessed by the presence of a Secretary for Education in the Executive Committee, whose role is to coordinate the educational activities of the WPA and to work with WPA Zonal Representatives, Member Societies, and the Secretaries of Sections and Meetings to ensure the dissemination of educational programs (Ng, 2020; Ng et al., 2019). Moreover, a specific Section on Education in Psychiatry was established in 1970, being one of the oldest WPA Scientific Sections (Fiorillo et al., 2013; Schulze, 2020a; Schulze, 2020b). The WPA has also an educational portal on its website (www. wpanet.org), with several materials for educators and trainees. All 70 WPA Scientific Sections are interested in education, covering basically all mental disorders (Cohen et al., 2019), therapeutic approaches (Linardon et al., 2019; Naeem et al., 2020), at-risk populations (Bertelli et al., 2020; Wasserman et al., 2021), and diagnostic techniques (Giordano & Borgwardt, 2019; Torous et al., 2020). In this special issue of Asia-Pacific Psychiatry, the WPA Section on Education in Psychiatry has collected contributions from researchers and scholars from different parts of the world, specifically focusing on the quality of training in lowand middle-income countries (LMICs) (Kallyvayallil & Enara, 2021). This issue includes also the views of early career psychiatrists on difficulties and advantages of being trained in psychiatry in LMICs (El Halabi et al., 2021; Mihai et al., 2021; Giurgiuca et al., 2021; Sahadevan et al., 2021). A specific paper deals with education on addiction psychiatry, a neglected topic in the scientific literature, but which is particularly relevant for psychiatric practice in LMICs (Balhara et al., 2021). The impact of the COVID-19 pandemic on training and education in psychiatry (Fiorillo & Gorwood, 2020; Gorwood & Fiorillo, 2021; Kuzman et al., 2020; Wasserman et al., 2020), which has been particularly significant in LMICs (Banerjee et al., 2020; De Sousa et al., 2020; Javed et al., 2021), has been further analyzed by Kalayasiri and Wainipitapong (2021). The results
世界精神病学协会(WPA)是心理健康领域最大的科学协会,汇集了来自世界各地的25万多名精神科医生。它最初成立于1950年,主要目的是组织世界精神病学会议(Fuss et al., 2019;Giallonardo, 2019;Kallivayalil, 2019;Perris, 2020;缝匠肌,缝匠肌,2020)。几十年来,该协会已将其范围扩大到教育领域(www.wpanet.org;库彻,Wei, 2020),科学(Botbol, 2019, 2020),伦理(Herrman, 2019b)和临床领域(Reynolds, 2020),最终目的是改善精神障碍患者的精神护理(Herrman, 2019, 2020;植物化学学报,2020a, 2020b;沃瑟曼,未来,2021)和精神科医生的专业发展(Javed, 2020;Pinto da Costa, 2020;Pinto da Costa等人,2019)。在执行委员会中,教育秘书的存在见证了对教育的关注,他的作用是协调WPA的教育活动,并与WPA地区代表、会员协会、部门和会议秘书合作,以确保教育计划的传播(Ng, 2020;Ng et al., 2019)。此外,1970年成立了一个专门的精神病学教育部门,这是WPA最古老的科学部门之一(Fiorillo等人,2013;舒尔茨,2020;舒尔茨,2020 b)。WPA在其网站(www.wpanet.org)上也有一个教育门户网站,其中有一些供教育工作者和受训人员使用的材料。所有70个WPA科学部门都对教育感兴趣,基本上涵盖了所有精神障碍(Cohen等人,2019),治疗方法(Linardon等人,2019;Naeem et al., 2020),高危人群(Bertelli et al., 2020;Wasserman et al., 2021)和诊断技术(Giordano &Borgwardt, 2019;Torous et al., 2020)。在本期《亚太精神病学》特刊中,WPA精神病学教育部分收集了来自世界各地的研究人员和学者的文章,特别关注中低收入国家(LMICs)的培训质量(kallyvayalll &Enara, 2021)。这一问题还包括早期职业精神科医生对中低收入国家接受精神病学培训的困难和优势的看法(El Halabi et al., 2021;Mihai et al., 2021;Giurgiuca等人,2021;Sahadevan et al., 2021)。一篇专门的论文涉及成瘾精神病学的教育,这是科学文献中一个被忽视的话题,但它与中低收入国家的精神病学实践特别相关(Balhara et al., 2021)。COVID-19大流行对精神病学培训和教育的影响(Fiorillo &Gorwood, 2020;Gorwood,Fiorillo称,通常情况下2021;Kuzman et al., 2020;Wasserman et al., 2020),这在中低收入国家尤为重要(Banerjee et al., 2020;De Sousa et al., 2020;Javed et al., 2021), Kalayasiri和Wainipitapong(2021)对此进行了进一步分析。在WPA当选主席Danuta Wasserman教授的监督下,WPA精神病学教育部门进行了一项关于会员协会和WPA区域实际教育需求的在线调查,结果也被呈现出来(Sampogna et al., 2021)。Baessler等人(2021)讨论了由WPA精神病学教育部门开展的第一次在线培训师研讨会的结果,该研讨会汇集了来自世界各地的100多名参与者。最后,还强调了使用数字资源和在线平台促进和改善全球教育计划和活动传播的重要性,特别是在中低收入国家(Nasir等人,2020;Orsolini et al., 2021;Ouanes et al., 2021)。我们希望学员、教育工作者和所有与心理健康有关的人都能和我们一起阅读这期特刊,我们特别感谢编辑Allan Tasman教授,他是WPA精神病学教育部门的前主席和WPA前教育秘书,他使这一努力成为可能。
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引用次数: 2
Training the trainers: Finding new educational opportunities in the virtual world 培训培训师:在虚拟世界中寻找新的教育机会
IF 3.5 3区 医学 Q2 PSYCHIATRY Pub Date : 2021-12-07 DOI: 10.1111/appy.12499
Franziska Baessler MD, MME, Norman Sartorius MD, PhD, FRCPsych, Afzal Javed MD, Allan Tasman MD, DFAPA, FRCPsych, Bulent Coskun MD, MPH, Dorota Frydecka MD, PhD, Olga Kazakova MD, PhD, Gaia Sampogna MD, PhD, Olena Zhabenko MD, PhD, Katja Koelkebeck MD, MME, Cenan Hepdurgun MD, Ali Zafar MA, MSc, Andrea Fiorillo MD, PhD

The COVID-19 pandemic has disrupted scientific gatherings and conferences, opening up opportunities for virtual learning platforms. Realizing the potential of online academic exchanges, the World Psychiatric Association (WPA) also developed virtual avenues and information systems for capacity building of mental health professionals across the world. Among its first such initiatives, the WPA organized a virtual Train the Trainers workshop, where 123 psychiatrists, psychiatric trainees, and educators from 45 countries participated. The innovative and interactive workshop allowed participants to get to know each other, exchange educational and professional experiences, and ask questions or receive advice from experts. Keynote speakers, including WPA President Prof. Afzal Javed and Prof. Norman Sartorius, stressed upon the importance of finding innovative solutions in psychiatry training and the need to improve teaching and training in the field of psychiatry, especially in the provision of leadership and communication skills. Online training methods can provide easy access to academics and students while reducing the organizational and logistical costs. They have the potential to improve educational equality and allow the voice of the underprivileged scientists to be heard across the globe. The devastating impact on access to mental health services during COVID-19 underscores the urgent need for online training, particularly in countries where the ratio of psychiatrists to patients is inadequate and doctors concentrate more on treatment than on research and education. Virtual educational interventions could prove incredibly useful in the future just as they are being successfully utilized in local and regional contexts during the pandemic.

2019冠状病毒病大流行扰乱了科学聚会和会议,为虚拟学习平台提供了机会。认识到网上学术交流的潜力,世界精神病学协会(WPA)也开发了虚拟途径和信息系统,用于世界各地精神卫生专业人员的能力建设。在其第一批此类倡议中,世界精神病学协会组织了一个虚拟培训教员讲习班,来自45个国家的123名精神科医生、精神病学受训人员和教育工作者参加了讲习班。创新和互动的研讨会使参与者能够相互了解,交流教育和专业经验,并提出问题或听取专家的建议。包括WPA主席Afzal Javed教授和Norman Sartorius教授在内的主讲人强调了在精神病学培训中寻找创新解决方案的重要性,以及改善精神病学领域教学和培训的必要性,特别是在提供领导能力和沟通技巧方面。在线培训方法可以为学者和学生提供方便,同时降低组织和后勤成本。它们有可能改善教育平等,让世界各地都能听到贫困科学家的声音。COVID-19对获得精神卫生服务的破坏性影响凸显了在线培训的迫切需要,特别是在精神科医生与患者比例不足、医生更注重治疗而不是研究和教育的国家。虚拟教育干预措施在未来可能证明非常有用,正如它们在大流行期间在地方和区域范围内得到成功利用一样。
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引用次数: 3
Training and education in digital psychiatry: A perspective from Asia-Pacific region 数字精神病学的培训和教育:来自亚太地区的视角
IF 3.5 3区 医学 Q2 PSYCHIATRY Pub Date : 2021-12-07 DOI: 10.1111/appy.12501
Laura Orsolini MD, Chonnakarn Jatchavala MD, Isa Multazam Noor MD, Ramdas Ransing MD, Yuto Satake MD, Sheikh Shoib MD, Bigya Shah MD, Irfan Ullah MD, Umberto Volpe MD, PhD

Background

Digital mental health interventions and digital psychiatry have been rapidly implemented over the past decade, particularly with the intent to offer a cost-effective solution in those circumstances in which the current mental health services and infrastructure are not able to properly accommodate the patients' needs. However, mental health workforce is often poorly theoretical/practical trained in digital psychiatry and in delivering remote consultations safely and effectively, not being common to own curricula-specific training requirements in digital psychiatry and skills.

Methods

A web-based international cross-sectional survey was carried out by a working group constituted by one or two national representative(s) of each WHO South-East Asia and Western Pacific Regions (APAC), with the aim to evaluate the level of training, knowledge, experience, and perception regarding the topic of digital psychiatry in a sample constituted by medical students, psychiatry trainees, and early career psychiatrists from APAC.

Results

An overall lack of theoretical and/or practical training on new digital tools and digital health interventions in psychiatry was observed. The level of training influences knowledge background, which, in turns, influences young professionals' perceptions and opinions regarding digital psychiatry and interventions in mental health.

Conclusion

Implementing psychiatry training programs may significantly improve the level of knowledge and use of digital tools in mental healthcare. Moreover, mental health services and infrastructures should be properly adapted to the digital era, considering the overall weak and heterogeneous technical support and equipment, issues of internet connectivity, and other administrative-related challenges observed in APAC.

在过去十年中,数字精神卫生干预措施和数字精神病学得到了迅速实施,特别是为了在目前的精神卫生服务和基础设施无法适当满足患者需求的情况下提供具有成本效益的解决方案。然而,精神卫生工作人员在数字精神病学和安全有效地提供远程咨询方面往往缺乏理论/实践培训,在数字精神病学和技能方面没有自己的课程特定培训要求。方法由世卫组织东南亚和西太平洋区域(APAC)的一名或两名国家代表组成的工作组进行了一项基于网络的国际横断面调查,目的是评估由医学生、精神病学学员、以及来自亚太地区的早期职业精神病学家。结果观察到精神病学总体上缺乏关于新的数字工具和数字健康干预的理论和/或实践培训。培训水平影响知识背景,知识背景反过来影响青年专业人员对数字精神病学和心理健康干预措施的看法和意见。结论实施精神病学培训可显著提高精神卫生数字化工具的知识水平和使用水平。此外,考虑到亚太地区整体薄弱和异构的技术支持和设备、互联网连接问题以及其他与行政有关的挑战,心理健康服务和基础设施应适当适应数字时代。
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引用次数: 11
期刊
Asia‐Pacific Psychiatry
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