Impact of biopsychosocial factors on psychiatric training in Japan and overseas

Are psychiatrists oriented to mind, brain, or sociocultural issues?

Takahiro A. Kato, Masaru Tateno, Wakako Umene-Nakano, Yatan P.S. Balhara, Alan Teo, Daisuke Fujisawa, Ryuji Sasaki, Tetsuya Ishida, Shigenobu Kanba

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

Aim: To clarify the impact of biopsychosocial factors on psychiatric training under the new and traditional postgraduate medical education system in Japan and to compare them with young psychiatrists from other countries. Methods: Psychiatric residents and early-career psychiatrists were recruited in Japan and other countries. Using mail-based and web-based self-administered questionnaires, we evaluated participants' demographic information, motivation to become psychiatrists, interest and commitment to various aspects of psychiatry, and reactions to a case vignette, focusing on biopsychosocial factors. Results: A total of 137 responses, 81 from Japan and 56 from other countries, were collected. Before starting psychiatric training, Japanese participants showed a strong interest in 'mind' and less interest in 'brain' and 'environmental factors', while the interest in 'brain' and 'environmental factors' is presently as high as that in 'mind.' Japanese participants reported less commitment to their training toward ICD/DSM-based diagnosis, interview, pharmacotherapy, psychosocial treatment and epidemiology, compared with participants from other countries. In particular, Japanese participants showed less commitment to their training in suicide prevention, despite their perception of its high importance due to a high suicide rate in Japan. Suicide risk of a case vignette proved to be differently assessed according to participants' commitment levels to each aspect of psychiatry. Conclusion: Our results suggest that young psychiatrists' attitudes concerning the biopsychosocial model generally become well-balanced with psychiatric training, however sociocultural factors do not seem to be well represented in the Japanese psychiatric training system. Additional training on sociocultural issues, such as suicide in Japan, should be considered.

Original languageEnglish (US)
Pages (from-to)520-530
Number of pages11
JournalPsychiatry and Clinical Neurosciences
Volume64
Issue number5
DOIs
StatePublished - Oct 1 2010
Externally publishedYes

Fingerprint

Psychiatry
Japan
Brain
Suicide
Postal Service
Medical Education
Motivation
Epidemiology
Demography
Interviews
Drug Therapy

Keywords

  • biopsychosocial model
  • postgraduate medical education
  • psychiatric training
  • psychotherapy
  • suicide prevention

ASJC Scopus subject areas

  • Neuroscience(all)
  • Neurology
  • Clinical Neurology
  • Psychiatry and Mental health

Cite this

Impact of biopsychosocial factors on psychiatric training in Japan and overseas : Are psychiatrists oriented to mind, brain, or sociocultural issues? / Kato, Takahiro A.; Tateno, Masaru; Umene-Nakano, Wakako; Balhara, Yatan P.S.; Teo, Alan; Fujisawa, Daisuke; Sasaki, Ryuji; Ishida, Tetsuya; Kanba, Shigenobu.

In: Psychiatry and Clinical Neurosciences, Vol. 64, No. 5, 01.10.2010, p. 520-530.

Research output: Contribution to journalArticle

Kato, Takahiro A. ; Tateno, Masaru ; Umene-Nakano, Wakako ; Balhara, Yatan P.S. ; Teo, Alan ; Fujisawa, Daisuke ; Sasaki, Ryuji ; Ishida, Tetsuya ; Kanba, Shigenobu. / Impact of biopsychosocial factors on psychiatric training in Japan and overseas : Are psychiatrists oriented to mind, brain, or sociocultural issues?. In: Psychiatry and Clinical Neurosciences. 2010 ; Vol. 64, No. 5. pp. 520-530.
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