Attitudes of general hospital consultants towards psychosocial and psychiatric problems in Netherlands

Nauta, Klaas Jan; Boenink, A. D.; Wimalaratne, I; Menkes, David B; Mellsop, Graham; Broekman, Birit F. P.

doi:10.1080/13548506.2018.1546020

Cited by 13 publications

(22 citation statements)

References 16 publications

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“…When practice setting differences were examined, chronic care specialists were significantly more attuned to psychiatric management and consultation/referral compared with acute care specialists in the total sample as well as within all participating countries except Brazil and Israel. In keeping with findings from previous studies, [9][10][11][12][13] physicians endorsed more positive attitudes than others, especially surgeons, a consistent finding in the total sample and all individual countries except for Israel. While age group comparisons indicated that older specialists tended to be more positive toward psychiatric management and younger ones toward consultation, this failed to reach statistical significance in both the total and individual country samples.…”

Section: Discussionsupporting

confidence: 89%

“…Attitudes and practice among non-psychiatric doctors toward mental illness have been reported to vary according to age, specialty and seniority. [9][10][11][12][13] Personal experience and also differing explanatory models of mental illness have been associated with differences in attitudes among medical professionals practising in diverse cultural settings. [14][15][16][17][18][19][20][21] These findings underscore the importance of understanding different cultural influences on doctors' attitudes.…”

Section: Strengths and Limitations Of This Studymentioning

confidence: 99%

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General hospital specialists’ attitudes toward psychiatry: a cross-sectional survey in seven countries

et al. 2021

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ObjectivePsychiatric comorbidities are common in physical illness and significantly affect health outcomes. Attitudes of general hospital doctors toward psychiatry are important as they influence referral patterns and quality of care. Little is known about these attitudes and their cultural correlates. The aim of this study was to identify attitudes toward psychiatry among general hospital specialists in relation to culture of the practice setting and other clinician factors (gender, age, seniority and specialty).MethodsA cross-sectional, descriptive study was carried out in seven countries (New Zealand, China, Sri Lanka, Russia, Israel, Brazil, the Netherlands). Data were collected from senior medical staff of various disciplines using an updated version of Mayou and Smith’s (1986) self-administered questionnaire.ResultsA total of 889 hospital doctors participated. While favourable attitudes toward both psychiatric consultation and management were endorsed by a majority, significant differences were also observed between countries. Subgroup differences were mostly confined to gender, acuity of practice setting and specialty. For example, female doctors in Russia (χ2=7.7, p=0.0056), China (χ2=9.2, p=0.0025) and the Netherlands (χ2=5.7, p=0.0174) endorsed more positive attitudes compared with their male counterparts, but this gender effect was not replicated in the total sample. Chronic care specialists were overall more inclined to manage patients’ emotional problems compared with those working in acute care (χ2=70.8, p (adjusted)<0.0001), a significant finding seen also in individual countries (China, New Zealand, the Netherlands, Russia). Physicians were more favourably disposed toward psychiatry compared with other specialists, especially surgeons, in all countries except Israel.ConclusionsThis study adds to evidence for the association of medical attitudes with individual clinician factors and demonstrates that the influence of these factors varies by country. Understanding these issues may help to overcome barriers and improve quality of care provided to general hospital patients.

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Section: Discussionsupporting

confidence: 89%

Section: Strengths and Limitations Of This Studymentioning

confidence: 99%

General hospital specialists’ attitudes toward psychiatry: a cross-sectional survey in seven countries

et al. 2021

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“…This is similar to the findings of published international studies. 34,35,36,37 In one such study, Wang et al 38 found that over 80% of study respondents (who were Chinese non-psychiatric hospital doctors) felt that they had a responsibility towards their patients in managing their psychological distress. To the best knowledge of the researchers, there are no published studies amongst non-specialist medical doctors working in South Africa.…”

Section: Attitudes Towards Mental Illnessmentioning

confidence: 99%

Mental illness attitudes and knowledge in non-specialist medical doctors working in state and private sectors

Minty

Moosa

2021

South African Journal of Psychiatry

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Background: An increasing number of South Africans utilise primary healthcare services (either in the state or private sector) for mental health concerns; hence, there is a need to objectively assess these doctors’ attitudes and knowledge of mental illness.Aim: To investigate aspects of knowledge and attitudes towards mental illness of a group of private and state-employed non-specialist medical doctors.Method: Doctors in the state sector who were working at a primary healthcare level and who were not working towards, or did not hold, a specialist qualification were considered eligible for the study. Doctors in the private sector who were working as general practitioners and who did not hold a specialist qualification were considered eligible for the study. Data were collected by means of a self-administered questionnaire. A link to the study questionnaire, information about the study, details of the researcher and matters pertaining to informed consent were emailed to potential participants.Results: Of the 140 practitioners who responded to the survey, 51.4% (n = 72) worked in the state sector, 41.4% (n = 58) worked in the private sector and 7.1% (n = 10) worked in both the state and private sectors (χ21 = 45.31, p 0.010). The majority ( 50%) of participants in all three groups had a positive attitude towards mental illness (χ22 = 1.52, p = 0.468). Although there were no significant associations between attitude and socio-demographic characteristics (p 0.05), male SS doctors reported feeling less comfortable when dealing with mentally ill patients (p = 0.015); SS doctors who did not have family contact with mental illness were less likely to feel that mentally ill patients did not pose a risk to others (p = 0.007), and PS doctors under the age of 35 years were more likely to feel adequately trained to treat mental illness (p = 0.026). The majority ( 50%) of participants in all three groups had an adequate level of knowledge of mental illness (modal scores = 10). There were no significant associations between knowledge and socio-demographic characteristics (p 0.05).Conclusion: Despite the findings of a positive attitude and adequate knowledge of mental illness amongst the participants of this study, it is recommended that more targeted interventions are established to further improve mental health awareness and knowledge of doctors at both undergraduate and postgraduate levels of study.

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“…This study adds to evidence for the association of medical attitudes with individual clinician factors and demonstrates that the influence of these factors varies by country (Nauta et al, 2019;Wang et al, 2017;Wimalaratne et al, 2021).…”

Section: Discussionmentioning

confidence: 64%

RANZCP Abstracts

2022

Aust N Z J Psychiatry

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Background: This talk focuses on classic psychedelic drugs, compounds such as psilocybin and LSD that have direct agonist properties at the serotonin 2A receptor.Objectives: It will endeavor to address the pharmacological action of classic psychedelics, broader understanding of serotonin 2A receptor functioning, the acute brain effects of psychedelics -as determined by functional brain imaging, the therapeutic potential and approach of psychedelic therapy, and its potential therapeutic action.Methods: Data is presented from functional neuroimaging experiments with classic psychedelics as well as from clinical trials of psilocybin therapy for depression. Neuroimaging methods include functional magnetic resonance imaging (fMRI).Findings: fMRI findings of decreased network integrity and segregation under psychedelics is presented, as is new data of decreased whole-brain modularity after psilocybin therapy for depression. Conclusions:The talk will provide a multi-level overview of the brain and putative therapeutic action of psychedelic therapy -as pertains to classic psychedelic drugs such as psilocybin. Implications for best practice in psychedelic therapy will be discussed.

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Attitudes of general hospital consultants towards psychosocial and psychiatric problems in Netherlands

Cited by 13 publications

References 16 publications

General hospital specialists’ attitudes toward psychiatry: a cross-sectional survey in seven countries

General hospital specialists’ attitudes toward psychiatry: a cross-sectional survey in seven countries

Mental illness attitudes and knowledge in non-specialist medical doctors working in state and private sectors

RANZCP Abstracts

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