Chinese non-psychiatric hospital doctors’ attitudes toward management of psychological/psychiatric problems

Wang, Jun; Wang, Qun; Wimalaratne, I; Menkes, David B; Wang, Xiaoping

doi:10.1186/s12913-017-2521-8

Cited by 16 publications

(13 citation statements)

References 34 publications

(43 reference statements)

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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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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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“…In this study, the correct recognition rate of psychosomatic disorders in inpatients by Chinese digestive specialists was 15.2%, which was lower than that of nonpsychiatric doctors in the United States [ 53 , 54 ]. In mainland China, a large number of patients with digestive diseases have a high comorbidity rate of anxiety and depression.…”

Section: Discussionmentioning

confidence: 91%

Psychosomatic Disorders in Patients with Gastrointestinal Diseases: Single-Center Cross-Sectional Study of 1186 Inpatients

Feng

et al. 2021

Gastroenterology Research and Practice

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Objective. To investigate the prevalence of anxiety and depression in hospitalized patients in the Department of Gastroenterology and to explore the risk factors affecting psychosomatic conditions in patients with digestive disorders. Methods. Patients hospitalized with gastrointestinal diseases were enrolled by the Department of Gastroenterology of Xiangya Hospital of Central South University from November 2017 to June 2018 and completed a cross-sectional questionnaire survey. According to anxiety/nonanxiety, depression/nondepression, the subjects were divided into two groups, respectively, and the risk factors of anxiety/depression were analyzed. Results. A total of 1186 patients were included in this study. The overall detection rate was 20.74% for anxiety symptoms alone, 31.78% for depressive symptoms alone, 13.99% for both anxiety and depressive symptoms, and 38.53% for either depression or anxiety symptoms. The prevalence of anxiety symptoms was higher in female than in male patients and inversely correlated with levels of education. There was no significant difference in the detection rate of anxiety and depression between patients with functional and organic digestive diseases. Sleep quality and quality of life were inversely correlated with the severity of anxiety and depression. Notably, among the patients with abnormal psychological conditions, only 7.6% of them were willing to receive psychological treatment. Gender, sleep quality, and life quality are independent risk factors for anxiety and depression symptoms for inpatients with gastrointestinal diseases. Conclusion. Paying more attention to the education level, sleep quality, and quality of life in patients with gastrointestinal diseases will help doctors to identify the risk of psychological abnormalities and improve medical care.

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“…Based upon the sum of somatization symptom items, participants were categorized into 3 groups:154 (32.6%) with mild (5-9), 251 (53.07%) with moderate (10)(11)(12)(13)(14), and 68 (14.4%) with severe (≥15).…”

Section: Comparison Of General Demographic Data In Patients With Diffmentioning

confidence: 99%

“…However, the practitioners in general hospitals have limited ability to recognize and deal with psychological disorders [11]. As a result, persistent somatic symptoms are associated with high medical and societal costs and unmet clinical need [12]. Therefore, it is very important for clinicians to strengthen the identification and intervention of psychological problems in general hospitals.…”

Section: Introductionmentioning

confidence: 99%

Clinical characteristics and relating factors of somatization symptoms of outpatients with psychological disorders: A cross-sectional observational study

Gong

Zhang

Jin

et al. 2019

Preprint

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Background:Cardiovascular disease patients associated with psychological disorders are very common clinically.It has been demonstrated in previous study that a higher prevalence of psychiatric disorders in the patients with CVD than the general population.Anxiety and depression are found to be the most common types of psychiatric disorders in the patients with CVD.Objective:Exploring the clinical characteristics and relating factors of somatization symptoms of the outpatients with psychological disorders. Methods:From August 2017 to July 2018,we used the General Anxiety Disorder-7, Patient Health Questionnaire, Patient Health Questionnaire-15 and self-made general demographic data questionnaire to investigate the outpatients suspected with psychiatric disorders in cardiology department in a general hospital,who were screened with the"three questions"method.Results:Among the 508 effective patients, the total detection rate of anxiety/depression was 81.1%(412/508),and the detection rate of somatization symptoms was 93.1%(473/508).The positive number of PHQ-15 symptom items was 8.54±2.67,and the detection rate of anxiety/depression was 78.7% in 473 patients with somatization symptoms.Among the patients with mild,moderate and severe somatization symptoms,there were significant differences in the proportion of women, the average number of the patient visits and hospitalizations in the past year(P=0.0341, 0.023),and also in GAD-7 and PHQ-9 scale scores(P=0.0282, 0.0011).Linear correlation analysis showed PHQ-15 score was significantly correlated with GAD-7(r=0.4787, P<0.001) and PHQ-9 score(r=0.5141, P<0.001).Stepwise logistic regression analysis showed that the PHQ-9,GAD-7 scores and female were positive factors on somatizations.Conclusion:The incidence of somatization symptoms is high in patients with psychological disorders in the outpatients of cardiology department.

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Chinese non-psychiatric hospital doctors’ attitudes toward management of psychological/psychiatric problems

Cited by 16 publications

References 34 publications

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

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

Psychosomatic Disorders in Patients with Gastrointestinal Diseases: Single-Center Cross-Sectional Study of 1186 Inpatients

Clinical characteristics and relating factors of somatization symptoms of outpatients with psychological disorders: A cross-sectional observational study

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