{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T16:27:20Z","timestamp":1753892840137,"version":"3.41.2"},"reference-count":56,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2024,6,6]],"date-time":"2024-06-06T00:00:00Z","timestamp":1717632000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Psychiatry"],"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Disaster-related psychiatric disorders (DRPD) present a significant challenge to mental health professionals, yet there is a notable lack of emphasis on the preparedness of psychiatrists in managing these conditions within post-graduate medical education.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This study utilized a questionnaire to collect data from psychiatrists, focusing on their prior involvement in managing DRPD, perceived competence, medication preferences, and factors influencing their experiences in handling such disorders. Analysis included distribution and ranking of variables, alongside cross-analysis examining associations between demographic factors (age, gender, hospital levels, years of practice, board certification) and treatment experiences, as well as readiness for in-hospital or outside-hospital mobilization in DRPD management.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>One hundred and three Taiwanese psychiatrists participated in the study, with the majority reporting involvement in managing DRPD (71.8%), particularly in post-traumatic stress disorder (PTSD) and depression. Antidepressants, specifically serotonin selective reuptake inhibitors, were commonly preferred for DRPD treatment, including PTSD and depression. Psychiatrists aged over 40, with more than 10 years of practice, and hold the board-certified status, showed greater experiences for outside- or inside- the hospital mobilization in DRPD management.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Findings suggest that within post-graduate medical education, Taiwanese psychiatrists demonstrate significant experience, willingness, and capacity to effectively manage DRPD. However, there is a need to integrate comprehensive training on disaster psychiatry into post-graduate psychiatric education programs to further enhance preparedness and optimize outcomes in managing these challenging conditions.<\/jats:p><\/jats:sec>","DOI":"10.3389\/fpsyt.2024.1368242","type":"journal-article","created":{"date-parts":[[2024,6,11]],"date-time":"2024-06-11T19:32:24Z","timestamp":1718134344000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Assessment of psychiatrists\u2019 preparedness in managing disaster-related psychiatric disorders: a survey in Taiwan from post-graduate medical education perspective"],"prefix":"10.3389","volume":"15","author":[{"given":"Po-Chun","family":"Lin","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yu-Ching","family":"Chou","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lien-Cheng","family":"Kao","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fang-Jung","family":"Wan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nian-Sheng","family":"Tzeng","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2024,6,6]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291707001353","article-title":"Post-traumatic stress disorder following disasters: a systematic review","volume":"38","author":"Neria","year":"2008","journal-title":"Psychol Med"},{"key":"B2","doi-asserted-by":"publisher","first-page":"970194","DOI":"10.1155\/2012\/970194","article-title":"Mental health services required after disasters: learning from the lasting effects of disasters","volume":"2012","author":"McFarlane","year":"2012","journal-title":"Depress Res Treat"},{"key":"B3","doi-asserted-by":"publisher","DOI":"10.1146\/annurev-publhealth-032013-182435","article-title":"Mental health consequences of disasters","volume":"35","author":"Goldmann","year":"2014","journal-title":"Annu Rev Public Health"},{"key":"B4","doi-asserted-by":"publisher","DOI":"10.1521\/psyc.65.3.207.20173","article-title":"60,000 disaster victims speak: Part I. An empirical review of the empirical literature, 1981\u20132001","volume":"65","author":"Norris","year":"2002","journal-title":"Psychiatry"},{"key":"B5","unstructured":"A Resident\u2019s Guide To Surviving Psychiatric Training American Psychiatric Association\n            ForemanT\n            DicksteinLJ\n            GarakaniA\n          2007"},{"key":"B6","doi-asserted-by":"publisher","DOI":"10.1001\/jama.282.8.755","article-title":"Psychiatric disorders among survivors of the Oklahoma City bombing","volume":"28","author":"North","year":"1999","journal-title":"JAMA"},{"key":"B7","doi-asserted-by":"publisher","DOI":"10.1136\/ebmental-2012-100644","article-title":"Evidence-based mental health and psychosocial support in humanitarian settings: gaps and opportunities","volume":"15","author":"Tol","year":"2012","journal-title":"Evid Based Ment Health"},{"key":"B8","doi-asserted-by":"publisher","first-page":"e37031","DOI":"10.7759\/cureus.37031","article-title":"Mental health disorders due to disaster exposure: A systematic review and meta-analysis","volume":"15","author":"Keya","year":"2023","journal-title":"Cureus"},{"key":"B9","doi-asserted-by":"publisher","first-page":"e107","DOI":"10.1192\/bjo.2022.69","article-title":"Investigating the impact of terrorist attacks on the mental health of emergency responders: systematic review","volume":"8","author":"Wesemann","year":"2022","journal-title":"BJPsych Open"},{"key":"B10","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ajp.158.8.1184","article-title":"Substance use disorders in patients with posttraumatic stress disorder: a review of the literature","volume":"158","author":"Jacobsen","year":"2001","journal-title":"Am J Psychiatry"},{"journal-title":"Disaster Psychiatry: What Psychiatrists Need to Know","year":"2010","author":"Ng","key":"B11"},{"key":"B12","unstructured":"Disaster Psychiatry Outreach: DPO Clinical Protocal2024"},{"key":"B13","unstructured":"The Essentials of Disaster Psychiatry: A Training Course for Mental Health Professionals\n            Outreach.DP\n          2024"},{"key":"B14","doi-asserted-by":"publisher","first-page":"196","DOI":"10.3109\/10673229509017186","article-title":"Psychiatric dimensions of disaster: patient care, community consultation, and preventive medicine","volume":"3","author":"Ursano","year":"1995","journal-title":"Harv Rev Psychiatry"},{"key":"B15","unstructured":"Ministry of Health and Welfare. Post Graduate Year Training2022"},{"key":"B16","doi-asserted-by":"publisher","DOI":"10.1007\/s10459-005-8555-4","article-title":"Accreditation of undergraduate and graduate medical education: how do the standards contribute to quality","volume":"11","author":"Davis","year":"2006","journal-title":"Adv Health Sci Educ Theory Pract"},{"key":"B17","unstructured":"Criteria for Recognition of Board-certified Psychiatrist Training ProgramTaiwanese Society of Psychiatry2017"},{"key":"B18","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.124.2.109","article-title":"The post-graduate education and training of consultant psychiatrists","volume":"124","author":"Brook","year":"1974","journal-title":"Br J Psychiatry"},{"key":"B19","doi-asserted-by":"publisher","DOI":"10.29024\/aogh.2382","article-title":"Competencies for global mental health: developing training objectives for a post-graduate fellowship for psychiatrists","volume":"84","author":"Buzza","year":"2018","journal-title":"Ann Glob Health"},{"key":"B20","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2015.00185","article-title":"Postgraduate education in disaster health and medicine","volume":"3","author":"Algaali","year":"2015","journal-title":"Front Public Health"},{"key":"B21","doi-asserted-by":"publisher","DOI":"10.1111\/j.1440-1819.2003.01203.x","article-title":"Natural disaster and mental health in Asia","volume":"58","author":"Kokai","year":"2004","journal-title":"Psychiatry Clin Neurosci"},{"key":"B22","doi-asserted-by":"publisher","first-page":"587","DOI":"10.1186\/s12889-023-15491-4","article-title":"Sex differences in risk factors for metabolic syndrome in middle-aged and senior hospital employees: a population-based cohort study","volume":"23","author":"Chang","year":"2023","journal-title":"BMC Public Health"},{"key":"B23","doi-asserted-by":"publisher","first-page":"36","DOI":"10.1016\/j.apnu.2024.01.007","article-title":"Gender difference in emotional distress among nursing and health science college students: An online survey","volume":"48","author":"Tzeng","year":"2024","journal-title":"Arch Psychiatr Nurs"},{"key":"B24","doi-asserted-by":"publisher","DOI":"10.2147\/NDT","article-title":"Psychological morbidity, quality of life, and self-rated health in the military personnel","volume":"10","author":"Chou","year":"2014","journal-title":"Neuropsychiatr Dis Treat"},{"key":"B25","doi-asserted-by":"publisher","DOI":"10.2147\/NDT.S75609","article-title":"Dilemma of prescribing aripiprazole under the Taiwan health insurance program: a descriptive study","volume":"11","author":"Hsu","year":"2015","journal-title":"Neuropsychiatr Dis Treat"},{"key":"B26","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjms.2016.05.013","article-title":"Stress, sleep and depressive symptoms in active duty military personnel","volume":"352","author":"Chou","year":"2016","journal-title":"Am J Med Sci"},{"key":"B27","doi-asserted-by":"publisher","DOI":"10.1111\/j.1440-1819.2007.01688.x","article-title":"Epidemiologic psychiatric studies on post-disaster impact among Chi-Chi earthquake survivors in Yu-Chi, Taiwan","volume":"61","author":"Chou","year":"2007","journal-title":"Psychiatry Clin Neurosci"},{"key":"B28","doi-asserted-by":"publisher","first-page":"383","DOI":"10.2165\/00003495-200464040-00004","article-title":"SSRIs versus non-SSRIs in post-traumatic stress disorder: an update with recommendations","volume":"64","author":"Asnis","year":"2004","journal-title":"Drugs"},{"key":"B29","doi-asserted-by":"publisher","DOI":"10.1176\/ajp.145.3.281","article-title":"Toward rational pharmacotherapy for posttraumatic stress disorder: an interim report","volume":"145","author":"Friedman","year":"1988","journal-title":"Am J Psychiatry"},{"key":"B30","doi-asserted-by":"publisher","DOI":"10.1016\/S0193-953X(18)30122-9","article-title":"Pharmacotherapy for post-traumatic stress disorder","volume":"17","author":"Sutherland","year":"1994","journal-title":"Psychiatr Clin North Am"},{"key":"B31","doi-asserted-by":"publisher","first-page":"196","DOI":"10.1111\/j.1440-0979.2005.00381.x","article-title":"Emergency mental health nursing for self-harming refugees and asylum seekers","volume":"14","author":"Procter","year":"2005","journal-title":"Int J Ment Health Nurs"},{"key":"B32","doi-asserted-by":"publisher","DOI":"10.1016\/S0033-3182(83)73172-5","article-title":"Interdisciplinary team approach to emergency psychiatric care","volume":"24","author":"Slaby","year":"1983","journal-title":"Psychosomatics"},{"key":"B33","doi-asserted-by":"publisher","first-page":"11","DOI":"10.1300\/J261v03n01_03","article-title":"The social worker as primary psychiatric consultant to the general hospital emergency room","volume":"3","author":"Wallace","year":"1985","journal-title":"Emerg Health Serv Rev"},{"key":"B34","doi-asserted-by":"publisher","DOI":"10.1007\/BF03341357","article-title":"From the benches to the trenches: training residents to provide emergency outreach services-a public\/academic project","volume":"14","author":"Zealberg","year":"1990","journal-title":"Acad Psychiatry"},{"key":"B35","doi-asserted-by":"publisher","first-page":"105063","DOI":"10.1016\/j.nedt.2021.105063","article-title":"Mapping a postgraduate curriculum in disaster nursing with the International Council of Nursing\u2019s Core Competencies in Disaster Nursing V2.0: The extent of the program in addressing the core competencies","volume":"106","author":"Loke","year":"2021","journal-title":"Nurse Educ Today"},{"key":"B36","article-title":"Post-graduate pastoral counseling seminars","volume":"20","author":"Daneman","year":"1959","journal-title":"Dis Nerv Syst"},{"key":"B37","doi-asserted-by":"publisher","DOI":"10.1542\/peds.19.3.462","article-title":"Collaboration between pediatrician and child psychiatrist in a rural medical center; case studies illustrating the role of this relationship in the post-graduate education of the family physician","volume":"19","author":"Hunt","year":"1957","journal-title":"Pediatrics"},{"key":"B38","article-title":"Mental health services for victims of disasters","volume":"1","author":"Cohen","year":"2002","journal-title":"World Psychiatry"},{"key":"B39","doi-asserted-by":"publisher","DOI":"10.1007\/s10879-011-9186-0","article-title":"Len Sperry: core competencies in counseling and psychotherapy: becoming a highly competent and effective therapist","volume":"42","author":"Stricker","year":"2012","journal-title":"J Contemp Psychotherapy"},{"key":"B40","doi-asserted-by":"publisher","first-page":"548","DOI":"10.1007\/s11920-015-0548-2","article-title":"Competencies for disaster mental health","volume":"17","author":"King","year":"2015","journal-title":"Curr Psychiatry Rep"},{"key":"B41","first-page":"1","article-title":"Emergency psychiatry: clinical and training approaches","volume":"60","author":"Lofchy","year":"2015","journal-title":"Can J Psychiatry"},{"key":"B42","unstructured":"Rural Psychiatry Roadmap 2021\u2013312021"},{"key":"B43","doi-asserted-by":"publisher","first-page":"77","DOI":"10.1016\/j.jecm.2012.01.005","article-title":"Disaster psychiatry in Taiwan: A comprehensive review","volume":"4","author":"Angela Lo","year":"2012","journal-title":"J Exp Clin Med"},{"key":"B44","article-title":"Pharmacotherapy for post-traumatic stress disorder in combat veterans: focus on antidepressants and atypical antipsychotic agents","volume":"37","author":"Alexander","year":"2012","journal-title":"P T"},{"key":"B45","doi-asserted-by":"publisher","first-page":"248","DOI":"10.1080\/15622970802465807","article-title":"World Federation of Societies of Biological Psychiatry (WFSBP) guidelines for the pharmacological treatment of anxiety, obsessive-compulsive and post-traumatic stress disorders - first revision","volume":"9","author":"Bandelow","year":"2008","journal-title":"World J Biol Psychiatry"},{"key":"B46","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMra012893","article-title":"Sleep disturbances in the wake of traumatic events","volume":"345","author":"Lavie","year":"2001","journal-title":"N Engl J Med"},{"key":"B47","doi-asserted-by":"publisher","DOI":"10.1002\/da.v26:12","article-title":"Prevalence and risk factors for posttraumatic stress disorder: a cross-sectional study among survivors of the Wenchuan 2008 earthquake in China","volume":"26","author":"Kun","year":"2009","journal-title":"Depress Anxiety"},{"key":"B48","doi-asserted-by":"publisher","first-page":"397","DOI":"10.1017\/S1049023X00006130","article-title":"Cognitive-behavioral psychology: implications for disaster and terrorism response","volume":"23","author":"Ruzek","year":"2008","journal-title":"Prehosp Disaster Med"},{"volume-title":"What You Need to Know for the Next Disaster: A Practical Mental Health Guide for Clinicians","year":"2009","author":"Stoddard","key":"B49"},{"key":"B50","doi-asserted-by":"publisher","DOI":"10.1176\/ps.2010.61.1.64","article-title":"Subgroups of New York City children at high risk of PTSD after the September 11 attacks: A signal detection analysis","volume":"61","author":"Rosen","year":"2010","journal-title":"Psychiatr Services"},{"key":"B51","doi-asserted-by":"publisher","DOI":"10.1097\/CHI.0b013e3181b76697","article-title":"Serious emotional disturbance among youths exposed to Hurricane Katrina 2 years postdisaster","volume":"48","author":"McLaughlin","year":"2009","journal-title":"J Am Acad Child Adolesc Psychiatry"},{"key":"B52","doi-asserted-by":"publisher","DOI":"10.1097\/JGP.0b013e3181b4bf20","article-title":"AAGP position statement: disaster preparedness for older Americans: critical issues for the preservation of mental health","volume":"17","author":"Sakauye","year":"2009","journal-title":"Am J Geriatr Psychiatry"},{"key":"B53","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajp.2018.04.026","article-title":"Electronic journal clubs for capacity building: A case study in psychiatry as a model for medical disciplines in developing countries","volume":"34","author":"Thakurdesai","year":"2018","journal-title":"Asian J Psychiatr"},{"key":"B54","doi-asserted-by":"publisher","DOI":"10.1007\/s12098-011-0429-6","article-title":"Priority mental health disorders of children and adolescents in primary-care pediatric settings in India 4: training and capacity building","author":"Russell","year":"2012","journal-title":"Indian J Pediatr"},{"key":"B55","doi-asserted-by":"publisher","DOI":"10.1177\/1039856215608294","article-title":"Capacity building for Pacific Island countries: the challenges and benefits of developing a postgraduate clinical training programme","volume":"23","author":"Chang","year":"2015","journal-title":"Australas Psychiatry"},{"key":"B56","doi-asserted-by":"publisher","DOI":"10.3390\/jcm10184175","article-title":"Treatment guidelines for PTSD: A systematic review","volume":"10","author":"Martin","year":"2021","journal-title":"J Clin Med"}],"container-title":["Frontiers in Psychiatry"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpsyt.2024.1368242\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,6,11]],"date-time":"2024-06-11T19:32:31Z","timestamp":1718134351000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpsyt.2024.1368242\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,6,6]]},"references-count":56,"alternative-id":["10.3389\/fpsyt.2024.1368242"],"URL":"https:\/\/doi.org\/10.3389\/fpsyt.2024.1368242","relation":{},"ISSN":["1664-0640"],"issn-type":[{"type":"electronic","value":"1664-0640"}],"subject":[],"published":{"date-parts":[[2024,6,6]]},"article-number":"1368242"}}