Psychotherapy Training Experiences among Four Child and
Adolescent Psychiatry Residency Training Centers in Thailand
Sirichai Hongsanguansri MD1, Natchanan Charatcharungkiat MD1, César A Alfonso MD2, Silvia W Olarte MD3
Affiliation :
1 Department of Psychiatry, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand
2 Department of Psychiatry, Columbia University Medical Center, New York, USA
3 Department of Psychiatry and Behavioral Sciences, New York Medical College, New York, USA
Objective : To determine the differences between psychotherapy training experience, current psychotherapy practice, and con(cid:976)idence
in performing various types of psychotherapy among the child and adolescent psychiatrists who graduated from four training
centers in Thailand.
Materials and Methods : The present study was a cross-sectional descriptive study. A self-reported questionnaire was developed
by the authors and sent via mail to all child and adolescent psychiatrists in Thailand. Chi-square test and ANOVA were used for
categorical data and continuous data, respectively, to compare the variables between graduates from four training centers. Only
data from respondents who graduated within the past 10 years were analyzed.
Results : Of 95 respondents (54.0% response rate), 60 respondents (cid:976)inished child and adolescent psychiatry training within the
past 10 years. Their average age was 33.6±3.6 years. Forty-nine (81.7%) of the respondents were female. Duration of child and
adolescent psychiatry practice was 3.6±2.4 years. Twenty-one (35.0%), 19 (31.7%), 18 (30.0%), and two (3.3%) respondents
graduated from the Faculty of Medicine, Chulalongkorn University, Faculty of Medicine Siriraj Hospital, Faculty of Medicine,
Ramathibodi Hospital, and Yuwaprasart Waithayopathum Hospital, respectively. There were statistically signi(cid:976)icant differences in
the frequency of performing Satir Transformational Systemic Therapy [STST] and positive psychology by respondents who graduated
from different training centers (p<0.001 and 0.02, respectively). Additionally, there were statistically signi(cid:976)icant differences in the
levels of con(cid:976)idence in performing CBT, STST, Buddhist psychology, Mindfulness-based psychotherapy, and family therapy. Most
respondents perceived that psychotherapy training received during residency was inadequate (86.7%), primarily due to inadequate
training continuity (70.7%) and inconsistent supervision (65.5%).
Conclusion : Psychotherapy training during residency had an important role in in(cid:976)luencing the types of psychotherapy practiced
post-graduation. The training experiences also had a signi(cid:976)icant bearing on future con(cid:976)idence in performing psychotherapy.
Keywords : Psychotherapy training, Child and adolescent psychiatry, Residency training
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