Psychiatrists’ attitudes and knowledge towards treating asylum seeker and refugee subjects in the UK
Over 1% of the world's population have been forcibly displaced. Asylum seekers and refugees (ASR) are at higher risk of serious mental illnesses. Despite a high need for care, little is known about the attitudes, knowledge and competencies of psychiatrists who may treat ASR subjects. The study...
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| Vydáno v: | BJPsych open Ročník 11; číslo 5; s. e189 |
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| Hlavní autoři: | , , , , , |
| Médium: | Journal Article |
| Jazyk: | angličtina |
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Cambridge, UK
Cambridge University Press
22.08.2025
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| ISSN: | 2056-4724, 2056-4724 |
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| Abstract | Over 1% of the world's population have been forcibly displaced. Asylum seekers and refugees (ASR) are at higher risk of serious mental illnesses. Despite a high need for care, little is known about the attitudes, knowledge and competencies of psychiatrists who may treat ASR subjects.
The study aimed to identify perceived gaps in psychiatric training that could help guide medical education and policymaking related to treating ASR mental health.
We conducted the first national survey of UK-based psychiatrists to assess attitudes, knowledge and competencies around treating ASR subjects. The online survey was sent to all psychiatrists (
= 18 182) and registered trainees (
= 4700) on the Royal College of Psychiatrists databases in 2022. We used exploratory and confirmatory factor analyses to identify the optimal factor structure underlying the questionnaire. Variations in scores on extracted latent constructs by sociodemographic and clinical variables were explored using linear regression.
Data from 609 psychiatrists (77%) and trainees (22%) were included in the final analysis. We identified four latent constructs concerning perceived knowledge, positive attitudes, negative attitudes and perceived distress. Only 42% of respondents felt they had sufficient knowledge to work competently with ASR subjects, and 34.7% found the work emotionally distressing. Greater knowledge predicted both more positive (
= 0.26, 95% CI: 0.20-0.33) and more negative (
= 0.17, 95% CI: 0.09-0.26) attitudes, and was associated with less self-reported distress among psychiatrists (
= -0.34, 95% CI: -0.43 to -0.21). Female psychiatrists reported more distress related to treating ASR subjects (
= 0.29, 95% CI: 0.14-0.44).
Less than half of psychiatrists in this survey believed they possessed adequate knowledge to treat ASR subjects, and some found working with such individuals distressing. Our results suggest that these issues could be mitigated by improving knowledge related to treating ASR subjects. |
|---|---|
| AbstractList | Background Over 1% of the world’s population have been forcibly displaced. Asylum seekers and refugees (ASR) are at higher risk of serious mental illnesses. Despite a high need for care, little is known about the attitudes, knowledge and competencies of psychiatrists who may treat ASR subjects. Aims The study aimed to identify perceived gaps in psychiatric training that could help guide medical education and policymaking related to treating ASR mental health. Method We conducted the first national survey of UK-based psychiatrists to assess attitudes, knowledge and competencies around treating ASR subjects. The online survey was sent to all psychiatrists (N = 18 182) and registered trainees (N = 4700) on the Royal College of Psychiatrists databases in 2022. We used exploratory and confirmatory factor analyses to identify the optimal factor structure underlying the questionnaire. Variations in scores on extracted latent constructs by sociodemographic and clinical variables were explored using linear regression. Results Data from 609 psychiatrists (77%) and trainees (22%) were included in the final analysis. We identified four latent constructs concerning perceived knowledge, positive attitudes, negative attitudes and perceived distress. Only 42% of respondents felt they had sufficient knowledge to work competently with ASR subjects, and 34.7% found the work emotionally distressing. Greater knowledge predicted both more positive (β = 0.26, 95% CI: 0.20–0.33) and more negative (β = 0.17, 95% CI: 0.09–0.26) attitudes, and was associated with less self-reported distress among psychiatrists (β = –0.34, 95% CI: –0.43 to –0.21). Female psychiatrists reported more distress related to treating ASR subjects (β = 0.29, 95% CI: 0.14–0.44). Conclusions Less than half of psychiatrists in this survey believed they possessed adequate knowledge to treat ASR subjects, and some found working with such individuals distressing. Our results suggest that these issues could be mitigated by improving knowledge related to treating ASR subjects. BackgroundOver 1% of the world’s population have been forcibly displaced. Asylum seekers and refugees (ASR) are at higher risk of serious mental illnesses. Despite a high need for care, little is known about the attitudes, knowledge and competencies of psychiatrists who may treat ASR subjects.AimsThe study aimed to identify perceived gaps in psychiatric training that could help guide medical education and policymaking related to treating ASR mental health.MethodWe conducted the first national survey of UK-based psychiatrists to assess attitudes, knowledge and competencies around treating ASR subjects. The online survey was sent to all psychiatrists (N = 18 182) and registered trainees (N = 4700) on the Royal College of Psychiatrists databases in 2022. We used exploratory and confirmatory factor analyses to identify the optimal factor structure underlying the questionnaire. Variations in scores on extracted latent constructs by sociodemographic and clinical variables were explored using linear regression.ResultsData from 609 psychiatrists (77%) and trainees (22%) were included in the final analysis. We identified four latent constructs concerning perceived knowledge, positive attitudes, negative attitudes and perceived distress. Only 42% of respondents felt they had sufficient knowledge to work competently with ASR subjects, and 34.7% found the work emotionally distressing. Greater knowledge predicted both more positive (β = 0.26, 95% CI: 0.20–0.33) and more negative (β = 0.17, 95% CI: 0.09–0.26) attitudes, and was associated with less self-reported distress among psychiatrists (β = –0.34, 95% CI: –0.43 to –0.21). Female psychiatrists reported more distress related to treating ASR subjects (β = 0.29, 95% CI: 0.14–0.44).ConclusionsLess than half of psychiatrists in this survey believed they possessed adequate knowledge to treat ASR subjects, and some found working with such individuals distressing. Our results suggest that these issues could be mitigated by improving knowledge related to treating ASR subjects. Over 1% of the world's population have been forcibly displaced. Asylum seekers and refugees (ASR) are at higher risk of serious mental illnesses. Despite a high need for care, little is known about the attitudes, knowledge and competencies of psychiatrists who may treat ASR subjects.BACKGROUNDOver 1% of the world's population have been forcibly displaced. Asylum seekers and refugees (ASR) are at higher risk of serious mental illnesses. Despite a high need for care, little is known about the attitudes, knowledge and competencies of psychiatrists who may treat ASR subjects.The study aimed to identify perceived gaps in psychiatric training that could help guide medical education and policymaking related to treating ASR mental health.AIMSThe study aimed to identify perceived gaps in psychiatric training that could help guide medical education and policymaking related to treating ASR mental health.We conducted the first national survey of UK-based psychiatrists to assess attitudes, knowledge and competencies around treating ASR subjects. The online survey was sent to all psychiatrists (N = 18 182) and registered trainees (N = 4700) on the Royal College of Psychiatrists databases in 2022. We used exploratory and confirmatory factor analyses to identify the optimal factor structure underlying the questionnaire. Variations in scores on extracted latent constructs by sociodemographic and clinical variables were explored using linear regression.METHODWe conducted the first national survey of UK-based psychiatrists to assess attitudes, knowledge and competencies around treating ASR subjects. The online survey was sent to all psychiatrists (N = 18 182) and registered trainees (N = 4700) on the Royal College of Psychiatrists databases in 2022. We used exploratory and confirmatory factor analyses to identify the optimal factor structure underlying the questionnaire. Variations in scores on extracted latent constructs by sociodemographic and clinical variables were explored using linear regression.Data from 609 psychiatrists (77%) and trainees (22%) were included in the final analysis. We identified four latent constructs concerning perceived knowledge, positive attitudes, negative attitudes and perceived distress. Only 42% of respondents felt they had sufficient knowledge to work competently with ASR subjects, and 34.7% found the work emotionally distressing. Greater knowledge predicted both more positive (β = 0.26, 95% CI: 0.20-0.33) and more negative (β = 0.17, 95% CI: 0.09-0.26) attitudes, and was associated with less self-reported distress among psychiatrists (β = -0.34, 95% CI: -0.43 to -0.21). Female psychiatrists reported more distress related to treating ASR subjects (β = 0.29, 95% CI: 0.14-0.44).RESULTSData from 609 psychiatrists (77%) and trainees (22%) were included in the final analysis. We identified four latent constructs concerning perceived knowledge, positive attitudes, negative attitudes and perceived distress. Only 42% of respondents felt they had sufficient knowledge to work competently with ASR subjects, and 34.7% found the work emotionally distressing. Greater knowledge predicted both more positive (β = 0.26, 95% CI: 0.20-0.33) and more negative (β = 0.17, 95% CI: 0.09-0.26) attitudes, and was associated with less self-reported distress among psychiatrists (β = -0.34, 95% CI: -0.43 to -0.21). Female psychiatrists reported more distress related to treating ASR subjects (β = 0.29, 95% CI: 0.14-0.44).Less than half of psychiatrists in this survey believed they possessed adequate knowledge to treat ASR subjects, and some found working with such individuals distressing. Our results suggest that these issues could be mitigated by improving knowledge related to treating ASR subjects.CONCLUSIONSLess than half of psychiatrists in this survey believed they possessed adequate knowledge to treat ASR subjects, and some found working with such individuals distressing. Our results suggest that these issues could be mitigated by improving knowledge related to treating ASR subjects. Over 1% of the world's population have been forcibly displaced. Asylum seekers and refugees (ASR) are at higher risk of serious mental illnesses. Despite a high need for care, little is known about the attitudes, knowledge and competencies of psychiatrists who may treat ASR subjects. The study aimed to identify perceived gaps in psychiatric training that could help guide medical education and policymaking related to treating ASR mental health. We conducted the first national survey of UK-based psychiatrists to assess attitudes, knowledge and competencies around treating ASR subjects. The online survey was sent to all psychiatrists ( = 18 182) and registered trainees ( = 4700) on the Royal College of Psychiatrists databases in 2022. We used exploratory and confirmatory factor analyses to identify the optimal factor structure underlying the questionnaire. Variations in scores on extracted latent constructs by sociodemographic and clinical variables were explored using linear regression. Data from 609 psychiatrists (77%) and trainees (22%) were included in the final analysis. We identified four latent constructs concerning perceived knowledge, positive attitudes, negative attitudes and perceived distress. Only 42% of respondents felt they had sufficient knowledge to work competently with ASR subjects, and 34.7% found the work emotionally distressing. Greater knowledge predicted both more positive ( = 0.26, 95% CI: 0.20-0.33) and more negative ( = 0.17, 95% CI: 0.09-0.26) attitudes, and was associated with less self-reported distress among psychiatrists ( = -0.34, 95% CI: -0.43 to -0.21). Female psychiatrists reported more distress related to treating ASR subjects ( = 0.29, 95% CI: 0.14-0.44). Less than half of psychiatrists in this survey believed they possessed adequate knowledge to treat ASR subjects, and some found working with such individuals distressing. Our results suggest that these issues could be mitigated by improving knowledge related to treating ASR subjects. |
| ArticleNumber | e189 |
| Author | Tham, Dominique Yeskendir, Alua Hameed, Yasir Grant-Peterkin, Hugh Kirkbride, James B. Pillay, Mishka |
| Author_xml | – sequence: 1 givenname: Dominique orcidid: 0000-0001-7694-6175 surname: Tham fullname: Tham, Dominique organization: University Hospitals Sussex NHS Foundation Trust, Brighton, UK – sequence: 2 givenname: Alua orcidid: 0000-0002-5020-2298 surname: Yeskendir fullname: Yeskendir, Alua organization: PsyLife Group, Division of Psychiatry, University College London, UK – sequence: 3 givenname: Hugh orcidid: 0000-0002-1756-2865 surname: Grant-Peterkin fullname: Grant-Peterkin, Hugh organization: East London NHS Foundation Trust, London, UK – sequence: 4 givenname: Yasir orcidid: 0000-0001-9449-9460 surname: Hameed fullname: Hameed, Yasir organization: Norfolk and Suffolk NHS Foundation Trust, Norwich, UK – sequence: 5 givenname: Mishka surname: Pillay fullname: Pillay, Mishka organization: Royal College of Psychiatry, Working Group for Mental Health and Forced Migration, London, UK – sequence: 6 givenname: James B. orcidid: 0000-0003-3401-0824 surname: Kirkbride fullname: Kirkbride, James B. email: j.kirkbride@ucl.ac.uk organization: PsyLife Group, Division of Psychiatry, University College London, UK |
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| Keywords | Medical education psychiatry refugees attitude of health personnel health knowledge, attitudes, practices |
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| Snippet | Over 1% of the world's population have been forcibly displaced. Asylum seekers and refugees (ASR) are at higher risk of serious mental illnesses. Despite a... BackgroundOver 1% of the world’s population have been forcibly displaced. Asylum seekers and refugees (ASR) are at higher risk of serious mental illnesses.... Background Over 1% of the world’s population have been forcibly displaced. Asylum seekers and refugees (ASR) are at higher risk of serious mental illnesses.... |
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| SubjectTerms | attitude of health personnel Attitudes Discriminant analysis Displaced persons Health care access health knowledge, attitudes, practices Health services Immigration policy Knowledge Likert scale Medical education Mental health care Mental Health Services Migration Missing data Political asylum Post traumatic stress disorder Professionals Psychiatrists psychiatry Psychosis Questionnaires Refugees Schizophrenia Sociodemographics |
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| Title | Psychiatrists’ attitudes and knowledge towards treating asylum seeker and refugee subjects in the UK |
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