Psychosocial Treatment of Bipolar Disorder: Clinician Knowledge, Common Approaches, and Barriers to Effective Treatment.
Psychosocial Treatment of Bipolar Disorder: Clinician Knowledge, Common Approaches, and Barriers to Effective Treatment.
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双相情感障碍的心理社会治疗：临床医生知识、常见方法和有效治疗的障碍。
DOI：
10.1176/appi.ps.201400004
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发表时间：
2015
期刊：
影响因子：
--
通讯作者：
Frank,Ellen
中科院分区：
文献类型：
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作者：
Stein,BradleyD;Celedonia,KarenL;Swartz,HollyA;Burns,RachelM;Sorbero,MarkJ;Brindley,RayniA;Frank,Ellen
目的对非医生心理健康临床医生进行调查，了解他们对双相情感障碍的了解、治疗方法以及感知的最佳治疗障碍。方法来自五个社区心理健康诊所的非医生心理健康临床医生（N=55）报告他们与双相情感障碍治疗相关的治疗方法、知识和技能。卡方和 t 检验用于检测临床医生特征的反应差异。结果大多数临床医生希望改进双相情感障碍的治疗。他们觉得最有准备提供咨询，但最没有准备好识别药物副作用。在心理治疗中，CBT是临床医生最熟悉的。尽管临床医生总体上对双相情感障碍有了解，但对药物治疗知之甚少。最常报告的治疗障碍是共病物质使用障碍。结论临床医生将受益于双相情感障碍有效治疗方法的额外培训以及有关药物治疗和支持患有共病物质使用问题的个人的信息。
ObjectiveNonphysician mental health clinicians were surveyed to understand their knowledge about bipolar disorder, treatment approaches, and perceived barriers to optimal treatment.MethodsNonphysician mental health clinicians (N=55) from five community mental health clinics reported on their therapeutic approach, knowledge, and skill related to treatment of bipolar disorder. Chi square and t tests were used to detect differences in responses by clinician characteristics.ResultsMost clinicians wished to improve their treatment for bipolar disorder. They felt best prepared to provide counseling and least prepared to identify medication side effects. Among psychotherapies, CBT was the most familiar to clinicians. Although knowledgeable overall about bipolar disorder, the clinicians were less knowledgeable about pharmacotherapy. The most commonly reported treatment barrier was comorbid substance use disorders.ConclusionsClinicians would benefit from additional training in effective therapeutic approaches for bipolar disorder as well as information about pharmacotherapy and supporting individuals with comorbid substance use problems.