ABSTRACT

Child and adolescent psychiatrists are well situated to have meaningful conversations with a population at high risk of substance use: youth receiving psychiatric care. However, there has been a dearth of research about behavioral determinants that may influence psychiatrists’ willingness to engage in these discussions. This study proposes a model of determinants to help identify influences on psychiatrists’ levels of self-efficacy, which theoretically should predict their discussions about substance use. A national survey of child and adolescent psychiatrists was conducted to gather data to test this model, which predicted that training, past experiences with substance use discussions, and communication apprehension would influence self-efficacy. Results showed that the model was an excellent fit to the data, accounting for 49% of the variance in self-efficacy. We discuss how these findings could inform future training initiatives for child and adolescent psychiatrists.

摘要

儿童和青少年精神科医生很适合与物质使用高风险人群进行有意义的对话：接受精神病治疗的青少年。然而，关于可能影响精神科医生参与这些讨论的意愿的行为决定因素的研究还很缺乏。本研究提出了一个决定因素模型，以帮助确定对精神科医生自我效能水平的影响，从理论上讲，这应该可以预测他们对物质使用的讨论。对儿童和青少年精神科医生进行了一项全国调查，以收集数据来测试该模型，该模型预测培训、过去的物质使用讨论经验和沟通忧虑会影响自我效能。结果表明该模型非常适合数据，占自我效能差异的 49%。我们讨论了这些发现如何为儿童和青少年精神科医生的未来培训计划提供信息。