Psychiatrist Attitude PD

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Results

This study included 56 psychiatrists with predominance of females 31


(55.4%), and 36-45 years old age group 25 (44.6%) (table 1). Regarding
positions specialists were 33 (59%) and consultants were 23 (41%) with
majority had 5 to 10 years of experience 26 (46.4%) (table 2).

Majority of participants reported that they occasionally see 36 (64.3%),


and diagnose 37 (66.1%) personality disorders (figures 1 and 2); with
commonest diagnosed group being cluster B 52 (93%) (figure 3).

Regarding feeling towards patient with personality disorder almost have


of the participants felt manipulated 27 (48.2%), 14 (25%) felt helpless, 9
(16.1%) felt affectionate, 4 (7.1%) felt exited, and 2 (3,6%) felt angry
(figure 4).

Alomost half of psychiatrists felt either averagely competent 27 (48.2%),


or competent 20 (35.7%) only 3 (5.4%) felt highly competent and 6
(10.7%) poorly competent (figure 5). Majority of participant reported
that it is very difficult to treat a patient with personality disorder 36
(64.3%) (figure 6).

Majority of participants agreed that the primary or core treatment for


most of personality disorders is psychotherapy 31 (55.4%) and 20
(35.7%) (figure 7).

Regarding attitude towards caring of patients with personality disorder


only 17 (30.4%) wouldn’t avoid treating them while 16 (28.6%) would
avoid treating them (figure 8).
Although comparisons showed that males had better attitude than females
(44% Vs 19.4%), participants older than 65 years showed the best
attitude 50%, and consultant showed better attitude than specialist
(34.8% Vs. 27.3%) these differences were statistically insignificant (p-
value >0.05). however experience more than 25 years was associated
with the best attitude 50% (p-value 0.04) (tables 3-6).
Table 1: Demographic characteristics

Frequency (%)

Gender

Male 25 (44.6%)

Female 31 (55.4%)

Age

25-35 11 (19.6%)

36-45 25 (44.6%)

46-55 7 (12.5%)

56-65 7 (12.5%)

> 65 6 (10.7%)
Table 2: professional characteristics

Frequency (%)

Profession

Specialist 33 (59%)

Consultant 23 (41%)

Experience

5-10 26 (46.4%)

10-15 11 (19.6%)

15-20 9 (16.1%)

20-25 4 (7.1%)

>25 6 (10.7%)
40
36 (64.3%)
35

30

25

20

15
12 (21.4%)
10
5 (8.9%)
5 3 (5.3%)

0
Selddom occasional very often always

Series 1

Figure 1: Frequency seeing patients with personality disorders


40
37 (66.1%)
35

30

25

20

15
11 (19.6%)
10
7 (12.5%)
5
1 (1.8%)
0
Selddom occasional very often always

Series 1

Figure 2: Frequency diagnosing personality disorders


Cluster C; 1; 2% Cluster A; 3; 5%

Cluster B; 52; 93%

Cluster A Cluster B Cluster C

Figure 3: The commonest personality disorder group encountered


30
27 (48.2%)

25

20

15 14 (25%)

10 9 (16.1%)

5 4 (7.1%)
2 (3.6%)

0
Affectionate Angry Excited Helpless Manipulated

Series 1

Figure 4: Feeling towards patients with personality disorder


30
27 (48.2%)

25

20 (35.7%)
20

15

10

6 (10.7%)
5
3 (5.4%)

0
poorly compentent averagely competent competent highly competent

Series 1

Figure 5: Competence towards caring of patients with personality


disorder.
40
36 (64.3%)
35

30

25

20

15
12 (21.4%)
10
5 (8.9%)
5 3 (5.4%)

0
Mildly difficult moderately difficult very difficult extremely difficult

Series 1

Figure 6: Difficulty of treating patients with personality disorder.


35
31 (55.4%)
30

25

20 (35.7%)
20

15

10

5 (8.9%)
5

0
Disagree Agree Strongly agree

Figure 7: The primary or core treatment for most of personality disorders


is psychotherapy.
25
23 (41.1%)

20
17 (30.4%)
16 (28.6%)
15

10

0
No Maybe Yes

Series 1

Figure 8: Attitude towards caring of patient with personality disorder


(would you prefer avoid caring for personality disordered patients)
Table 4: Comparison of attitude regarding gender

Avoid caring of patient with PD Total p-value

No maybe Yes

Male 11 (44%) 6 (24%) 8 (32%) 31 0.1

Female 6 (19.4%) 10 (32.3%) 15 (48.4%) 25


Table 3: Comparison of attitude regarding age

Avoid caring of patient with PD Total p-value

No Maybe Yes

25-35 5 (45.5%) 3 (27.3%) 3 (27.3%) 11 0.08

36-45 5 (20%) 4 (16%) 16 (64%) 25

46-55 2 (28.6%) 3 (42.9%) 2 (28.6%) 7

56-65 2 (28.6%) 3 (42.9%) 2 (28.6%) 7

> 65 3 (50%) 3 (50%) 0 6


Table 5: Comparison of attitude regarding position

Avoid caring of patient with PD Total p-value

No Maybe Yes

Specialist 9 (27.3%) 7 (21.2%) 17 (51.5%) 33 0.1

Consultan 8 (34.8%) 9 (39.1%) 6 (26.1%) 23


t
Table 6: Comparison of attitude regarding experience

Avoid caring of patient with PD Total p-value

No Maybe Yes

5-10 9 (34.6%) 3 (11.5%) 14 (53.8%) 26 0.04*

10-15 1 (9.1%) 6 (54.5%) 4 (36.4%) 11

15-20 3 (33.3%) 2 (22.2%) 4 (44.4%) 9

20-25 1 (25%) 3 (75%) 0 4

>25 3 (50%) 2 (33.3%) 1 (16.7%) 6

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