Experiences in and Attitudes Toward Psychotherapy Training of General Psychiatry Residents in Thailand and Factors Associated With Psychotherapy Interest: A Pilot Study
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Abstract
Objective: To explore psychotherapy delivering experiences, attitude toward psychotherapy, and factors associated with the psychotherapy interest of general psychiatry residents in Thailand.
Methods: The present study comprised two phases. In the first phase, one or two psychiatry residents from each training institute in Thailand were randomly selected to answer the online open-ended questionnaire for evaluate experiences and attitude toward psychotherapy. Then, the Likert-type questionnaire was developed by using gathered information. It was validated by three content experts from different institutions. In the second phase, the developed online Likert-type questionnaire was used to assess attitude toward psychotherapy, psychotherapy delivering and supervision experiences, and factors associated with psychotherapy interest of general psychiatry residents in Thailand.
Results: In the second phase, 29 participants responded (21.0% of all general psychiatry residents in Thailand). 89.7% had delivered psychotherapy (Median 12 sessions, IQR [4, 15]). 84.0% of participants attended supervision regularly. 93.1% reported they would further provide psychotherapy. 48.3% said work overload was a barrier for psychotherapy practice. The attitude “Some patients need psychotherapy to make their symptoms better” was positively correlated with psychotherapy interest (r=0.69, p<0.01). On the other hand, the attitudes “Psychotherapy is unnecessary because other treatments are more effective” and “Supervisors cannot help me with my negative psychological impacts from psychotherapy” were negatively correlated with psychotherapy interest (r=-0.59, p=0.02 and r=-0.57, p=0.03, respectively). Self-confidence in knowledge and skills for psychotherapy positively correlated with psychotherapy interest of first-year residents (r=0.60, p=0.02 and r=0.57, p=0.03, respectively).
Conclusions: Attitude toward the effectiveness of psychotherapy, self-confidence in psychotherapy skills and knowledge, and psychological support from supervisors were correlated with psychotherapy interest.
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