학술논문

Improving consultation skills using cognitive--behavioural therapy: a new 'cognitive--behavioural model' for general practice.
Document Type
Article
Source
Education for Primary Care. Sep2006, Vol. 17 Issue 5, p443-452. 10p.
Subject
*GENERAL practitioners
*COGNITIVE therapy
*PRIMARY care
*MEDICAL practice
*MEDICAL consultation
*FAMILY medicine
Language
ISSN
1473-9879
Abstract
WHAT IS ALREADY KNOWN IN THIS AREA • Psychological symptoms and distress are prevalent in primary care. • Trained professionals can deliver effective cognitive-behavioural therapy (CBT) to primary care patients. • Limited evidence suggests that CBT is effective when delivered by general practitioners (GPs) who have received extensive training. However, to date, there has been little reported success from brief training interventions in translating concepts of CBT for routine use by GPs. WHAT THIS STUDY ADDS • This small study suggests that brief training in using the cognitive-behavioural model (CBM) may offer an appropriate and useful way to teach general practitioners skills in CBT suitable for routine use in general practice. • The approach appeared to enhance participants' understanding of and empathy for patient difficulties and improve GPs' skills in managing a range of emotional disorders and psychological aspects of physical disease. SUGGESTIONS FOR FUTURE RESEARCH • Further research could include a more diverse range of GPs, measurement of changes in GP behaviour and inclusion of patient outcomes such as enablement scores. • The amount of ongoing reinforcement, in terms of further training or supervision, needed to support longer-term maintenance of skills also requires further study. [ABSTRACT FROM AUTHOR]