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The Delivery of Diagnosis by Child Psychiatrists: Process Characteristics and Correlates of Distress

We describe the attitudes of child psychiatrists toward diagnosis delivery (DD) and explore potential stressful factors associated with the process. Eighty Israeli child psychiatrists completed a questionnaire on their perceptions of DD of schizophrenia, autism spectrum disorder (ASD), and attention...

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Autores principales: Brand-Gothelf, Ayelet, Hasson-Ohayon, Ilanit, Hertz-Palmor, Nimrod, Basel, Dana, Gothelf, Doron, Karnieli-Miller, Orit
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8019702/
https://www.ncbi.nlm.nih.gov/pubmed/33828493
http://dx.doi.org/10.3389/fpsyt.2021.632207
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author Brand-Gothelf, Ayelet
Hasson-Ohayon, Ilanit
Hertz-Palmor, Nimrod
Basel, Dana
Gothelf, Doron
Karnieli-Miller, Orit
author_facet Brand-Gothelf, Ayelet
Hasson-Ohayon, Ilanit
Hertz-Palmor, Nimrod
Basel, Dana
Gothelf, Doron
Karnieli-Miller, Orit
author_sort Brand-Gothelf, Ayelet
collection PubMed
description We describe the attitudes of child psychiatrists toward diagnosis delivery (DD) and explore potential stressful factors associated with the process. Eighty Israeli child psychiatrists completed a questionnaire on their perceptions of DD of schizophrenia, autism spectrum disorder (ASD), and attention deficit/hyperactivity disorder (ADHD). We also conducted semi-structured in-depth interviews with 12 child psychiatrists who were asked to share their personal experience with DD. The questionnaire responses revealed that child psychiatrists perceived schizophrenia and ADHD as the most and least severe disorders, respectively, and its treatment as being ineffective and effective, respectively. They expressed negative perceptions toward DD of schizophrenia and positive perceptions toward DD of ADHD. The results of linear regressions revealed that some factors predicted distress accompanying DD in all three diagnoses, such as lack of professional experience, negative perceptions of DD, and the effect of parents' attitudes of opposition to the diagnosis. The interviews revealed that DD was often described by psychiatrists as an emotional experience and that the psychiatrists' age, and whether the psychiatrists identified more with the child or the parent, affected their attitude toward DD. Lastly, the psychiatrists expressed feelings of loneliness in the procedure of DD and their wish to share and reflect on their experiences with others. These findings may contribute to a better understanding of the clinically important topic of DD in child psychiatry that has not been adequately addressed and help deal with psychiatrists' challenges in this task.
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spelling pubmed-80197022021-04-06 The Delivery of Diagnosis by Child Psychiatrists: Process Characteristics and Correlates of Distress Brand-Gothelf, Ayelet Hasson-Ohayon, Ilanit Hertz-Palmor, Nimrod Basel, Dana Gothelf, Doron Karnieli-Miller, Orit Front Psychiatry Psychiatry We describe the attitudes of child psychiatrists toward diagnosis delivery (DD) and explore potential stressful factors associated with the process. Eighty Israeli child psychiatrists completed a questionnaire on their perceptions of DD of schizophrenia, autism spectrum disorder (ASD), and attention deficit/hyperactivity disorder (ADHD). We also conducted semi-structured in-depth interviews with 12 child psychiatrists who were asked to share their personal experience with DD. The questionnaire responses revealed that child psychiatrists perceived schizophrenia and ADHD as the most and least severe disorders, respectively, and its treatment as being ineffective and effective, respectively. They expressed negative perceptions toward DD of schizophrenia and positive perceptions toward DD of ADHD. The results of linear regressions revealed that some factors predicted distress accompanying DD in all three diagnoses, such as lack of professional experience, negative perceptions of DD, and the effect of parents' attitudes of opposition to the diagnosis. The interviews revealed that DD was often described by psychiatrists as an emotional experience and that the psychiatrists' age, and whether the psychiatrists identified more with the child or the parent, affected their attitude toward DD. Lastly, the psychiatrists expressed feelings of loneliness in the procedure of DD and their wish to share and reflect on their experiences with others. These findings may contribute to a better understanding of the clinically important topic of DD in child psychiatry that has not been adequately addressed and help deal with psychiatrists' challenges in this task. Frontiers Media S.A. 2021-03-22 /pmc/articles/PMC8019702/ /pubmed/33828493 http://dx.doi.org/10.3389/fpsyt.2021.632207 Text en Copyright © 2021 Brand-Gothelf, Hasson-Ohayon, Hertz-Palmor, Basel, Gothelf and Karnieli-Miller. http://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Psychiatry
Brand-Gothelf, Ayelet
Hasson-Ohayon, Ilanit
Hertz-Palmor, Nimrod
Basel, Dana
Gothelf, Doron
Karnieli-Miller, Orit
The Delivery of Diagnosis by Child Psychiatrists: Process Characteristics and Correlates of Distress
title The Delivery of Diagnosis by Child Psychiatrists: Process Characteristics and Correlates of Distress
title_full The Delivery of Diagnosis by Child Psychiatrists: Process Characteristics and Correlates of Distress
title_fullStr The Delivery of Diagnosis by Child Psychiatrists: Process Characteristics and Correlates of Distress
title_full_unstemmed The Delivery of Diagnosis by Child Psychiatrists: Process Characteristics and Correlates of Distress
title_short The Delivery of Diagnosis by Child Psychiatrists: Process Characteristics and Correlates of Distress
title_sort delivery of diagnosis by child psychiatrists: process characteristics and correlates of distress
topic Psychiatry
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8019702/
https://www.ncbi.nlm.nih.gov/pubmed/33828493
http://dx.doi.org/10.3389/fpsyt.2021.632207
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