Attitudes and knowledge for CBT-based psychotherapy among medical students and residents in China: a survey study

Abstract Background/aim Psychotherapy training for medical students and residents in China is still in development. To establish an appropriate training program, understanding medical students’ and residents’ current knowledge and attitudes toward psychotherapy is needed. Methods One hundred and for...

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Main Authors: Yinan Ding, Tao Pei, Pu Peng, Jiashu Yao, Jinsong Tang, Yanhui Liao
Format: Article
Language:English
Published: BMC 2025-01-01
Series:BMC Medical Education
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Online Access:https://doi.org/10.1186/s12909-025-06641-w
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author Yinan Ding
Tao Pei
Pu Peng
Jiashu Yao
Jinsong Tang
Yanhui Liao
author_facet Yinan Ding
Tao Pei
Pu Peng
Jiashu Yao
Jinsong Tang
Yanhui Liao
author_sort Yinan Ding
collection DOAJ
description Abstract Background/aim Psychotherapy training for medical students and residents in China is still in development. To establish an appropriate training program, understanding medical students’ and residents’ current knowledge and attitudes toward psychotherapy is needed. Methods One hundred and forty-nine participants, including medical students, residents, and other health providers (HCPs), self-reported their understanding of 18 types of psychotherapy, negative attitude towards cognitive behavioral therapy (CBT), and their attitude towards psychological interventions and counseling in primary care (APIC-PC) through an online survey. Results Participants’ understanding of psychotherapy was generally low (M = 26.25, SD = 22.99). Medical students’ (M = 34.42, SD = 22.61) and HCPs’ (M = 37.25, SD = 30.834) understanding was significantly higher than residents’ (M = 20.08, SD = 19.54), F(2, 146) = 8.63, p < .001. Participants from psychiatric departments (M = 33.85, SD = 25.89) understood more psychotherapy than those from non-psychiatric departments (M = 20.98, SD = 19.20), t(147) = 3.46, p < .001. Participants with a bachelor’s degree (M = 2.40, SD = 0.976) scored lower on the Negative Attitude Towards CBT Scale than participants with a graduate degree (M = 2.76, SD = 1.00), t(147) = -2.20, p = 0.029. All participants’ APIC-PC scores were relatively the same and indicated a neutral to slightly positive attitude towards psychotherapy and counseling practices. However, they showed a slightly negative attitude in the “willingness to counsel” subscale (M = 2.65, SD = 0.93). Conclusion This study indicated a lack of knowledge of psychotherapy and a lack of psychotherapy courses for medical students and residents, especially those from non-psychiatric departments in China. Our findings suggest an urgent need for psychotherapy and relevant training for Chinese medical students and residents. Trial registration The study has been registered at ClinicalTrials.gov (Identifier: NCT06258460, website: httpsregister.clinicaltrials.gov ).
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spelling doaj-art-f1823756fc0044298de24f7381212dbc2025-01-19T12:27:34ZengBMCBMC Medical Education1472-69202025-01-0125111210.1186/s12909-025-06641-wAttitudes and knowledge for CBT-based psychotherapy among medical students and residents in China: a survey studyYinan Ding0Tao Pei1Pu Peng2Jiashu Yao3Jinsong Tang4Yanhui Liao5Department of Psychiatry, Sir Run Run Shaw Hospital, Zhejiang University School of MedicineMental Health Centre, Nanjing Normal UniversityDepartment of Psychiatry, Sir Run Run Shaw Hospital, Zhejiang University School of MedicineDepartment of Psychiatry, Sir Run Run Shaw Hospital, Zhejiang University School of MedicineDepartment of Psychiatry, Sir Run Run Shaw Hospital, Zhejiang University School of MedicineDepartment of Psychiatry, Sir Run Run Shaw Hospital, Zhejiang University School of MedicineAbstract Background/aim Psychotherapy training for medical students and residents in China is still in development. To establish an appropriate training program, understanding medical students’ and residents’ current knowledge and attitudes toward psychotherapy is needed. Methods One hundred and forty-nine participants, including medical students, residents, and other health providers (HCPs), self-reported their understanding of 18 types of psychotherapy, negative attitude towards cognitive behavioral therapy (CBT), and their attitude towards psychological interventions and counseling in primary care (APIC-PC) through an online survey. Results Participants’ understanding of psychotherapy was generally low (M = 26.25, SD = 22.99). Medical students’ (M = 34.42, SD = 22.61) and HCPs’ (M = 37.25, SD = 30.834) understanding was significantly higher than residents’ (M = 20.08, SD = 19.54), F(2, 146) = 8.63, p < .001. Participants from psychiatric departments (M = 33.85, SD = 25.89) understood more psychotherapy than those from non-psychiatric departments (M = 20.98, SD = 19.20), t(147) = 3.46, p < .001. Participants with a bachelor’s degree (M = 2.40, SD = 0.976) scored lower on the Negative Attitude Towards CBT Scale than participants with a graduate degree (M = 2.76, SD = 1.00), t(147) = -2.20, p = 0.029. All participants’ APIC-PC scores were relatively the same and indicated a neutral to slightly positive attitude towards psychotherapy and counseling practices. However, they showed a slightly negative attitude in the “willingness to counsel” subscale (M = 2.65, SD = 0.93). Conclusion This study indicated a lack of knowledge of psychotherapy and a lack of psychotherapy courses for medical students and residents, especially those from non-psychiatric departments in China. Our findings suggest an urgent need for psychotherapy and relevant training for Chinese medical students and residents. Trial registration The study has been registered at ClinicalTrials.gov (Identifier: NCT06258460, website: httpsregister.clinicaltrials.gov ).https://doi.org/10.1186/s12909-025-06641-wCBT trainingMedical residentsPsychiatristsAttitudesKnowledge
spellingShingle Yinan Ding
Tao Pei
Pu Peng
Jiashu Yao
Jinsong Tang
Yanhui Liao
Attitudes and knowledge for CBT-based psychotherapy among medical students and residents in China: a survey study
BMC Medical Education
CBT training
Medical residents
Psychiatrists
Attitudes
Knowledge
title Attitudes and knowledge for CBT-based psychotherapy among medical students and residents in China: a survey study
title_full Attitudes and knowledge for CBT-based psychotherapy among medical students and residents in China: a survey study
title_fullStr Attitudes and knowledge for CBT-based psychotherapy among medical students and residents in China: a survey study
title_full_unstemmed Attitudes and knowledge for CBT-based psychotherapy among medical students and residents in China: a survey study
title_short Attitudes and knowledge for CBT-based psychotherapy among medical students and residents in China: a survey study
title_sort attitudes and knowledge for cbt based psychotherapy among medical students and residents in china a survey study
topic CBT training
Medical residents
Psychiatrists
Attitudes
Knowledge
url https://doi.org/10.1186/s12909-025-06641-w
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