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Eilinghoff L, Nguyên VT, Hahn E, Nguyên VP, Lê CT, Lê TTH, Böge K, Mavituna S, Zierhut MM, Schomerus G, Kuehl LK, Ta TMT. Changes in attitudes toward persons with mental disorders after attendance of a psychiatric curriculum among medical students in Vietnam: A cross-sectional study. Asian J Psychiatr 2024; 93:103949. [PMID: 38335892 DOI: 10.1016/j.ajp.2024.103949] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/06/2023] [Revised: 01/26/2024] [Accepted: 01/31/2024] [Indexed: 02/12/2024]
Abstract
This study aimed to determine the influence of psychiatric training and hands-on learning with individuals with mental illness on increasing medical students' benevolent attitudes towards psychiatry and psychiatric patients. The cross-sectional study compares medical students' attitudes before and after a compulsory psychiatry curriculum and psychiatric bedside training at Hanoi Medical University with those of non-medical students who have yet to undergo similar training. Two validated scales regarding the attitudes toward psychiatry and psychiatric patients were evaluated. Analysis of the Medical Conditions Regard Scale[1] revealed a significant difference, indicating that medical students displayed more accepting and benevolent attitudes towards psychiatry and psychiatric patients after completing the curriculum and bedside training than medical students before participation. Most stigmatising and rejecting attitudes were found among non-medical students. This study is the first to examine medical students' attitudes toward psychiatry and psychiatric patients compared to non-medical students in Vietnam. It can guide the development of the medical curriculum to increase benevolence towards psychiatric patients and interest in the psychiatric field of work in Vietnam and Southeast Asia, aiming to improve the mental health care sector.
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Affiliation(s)
- Luisa Eilinghoff
- Department of Psychiatry and Neurosciences, Charité - Universitätsmedizin Berlin, Campus Benjamin Franklin, Berlin, Germany.
| | - Văn Tuân Nguyên
- Department of Psychiatry, Hanoi Medical University, Hanoi, Viet Nam; National Institute of Mental Health, Bach Mai Hospital, Hanoi, Viet Nam
| | - Eric Hahn
- Department of Psychiatry and Neurosciences, Charité - Universitätsmedizin Berlin, Campus Benjamin Franklin, Berlin, Germany; Department of Psychiatry, Hanoi Medical University, Hanoi, Viet Nam
| | - Văn Phi Nguyên
- Department of Psychiatry and Neurosciences, Charité - Universitätsmedizin Berlin, Campus Benjamin Franklin, Berlin, Germany; Department of Psychiatry, Hanoi Medical University, Hanoi, Viet Nam; National Institute of Mental Health, Bach Mai Hospital, Hanoi, Viet Nam
| | - Công Thiên Lê
- Department of Psychiatry, Hanoi Medical University, Hanoi, Viet Nam; National Institute of Mental Health, Bach Mai Hospital, Hanoi, Viet Nam
| | - Thi Thu Há Lê
- Department of Psychiatry, Hanoi Medical University, Hanoi, Viet Nam; National Institute of Mental Health, Bach Mai Hospital, Hanoi, Viet Nam
| | - Kerem Böge
- Department of Psychiatry and Neurosciences, Charité - Universitätsmedizin Berlin, Campus Benjamin Franklin, Berlin, Germany
| | - Selin Mavituna
- Department of Psychiatry and Neurosciences, Charité - Universitätsmedizin Berlin, Campus Benjamin Franklin, Berlin, Germany
| | - Marco Matthaeus Zierhut
- Department of Psychiatry and Neurosciences, Charité - Universitätsmedizin Berlin, Campus Benjamin Franklin, Berlin, Germany
| | - Georg Schomerus
- Department of Psychiatry and Psychotherapy, University of Leipzig Medical Center, Leipzig, Germany
| | | | - Thi Minh Tam Ta
- Department of Psychiatry and Neurosciences, Charité - Universitätsmedizin Berlin, Campus Benjamin Franklin, Berlin, Germany; Department of Psychiatry, Hanoi Medical University, Hanoi, Viet Nam
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Amaechi IA, Nwani PO, Akadieze AO. Stigmatizing attitude towards mental illness, disabilities, emotional and behavioural disorders, among healthcare students in a Tropical University College of Health Sciences. JOURNAL OF EDUCATION AND HEALTH PROMOTION 2023; 12:82. [PMID: 37288408 PMCID: PMC10243419 DOI: 10.4103/jehp.jehp_730_22] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 05/27/2022] [Accepted: 01/09/2023] [Indexed: 06/09/2023]
Abstract
BACKGROUND Stigma toward mental illness (MI), physical disability (DA), and emotional/behavioral disorders (EBD) has been identified as a form of violence and a cause of nontake-up of help by people in need. Stigmatization can aggravate an individual's feeling of rejection and incompetence and can be detrimental to treatment-seeking and adherence behaviors. This study evaluated the attitude of healthcare students toward MI, DA, and EBDs. MATERIALS AND METHODS This study employed a cross-sectional survey method. A disproportionate stratified sampling technique was used to recruit participants. Sixty five consenting students who met the inclusion criteria were consecutively recruited from each clinical department of the college. The students were selected from the five clinical departments of the College (Nursing sciences, Medical Rehabilitation, Radiography, Medical laboratory science, and Medicine). The questionnaires on stigmatizing attitudes toward MI, EBD, and DA were self-administered. Descriptive statistics of frequency count, percentage, range, mean, and standard deviation were used to summarize participants' sociodemographic data and their questionnaire scores. Inferential statistics of Spearman rank order correlation was used to test for correlation; Mann-Whitney U test was used to test the influence of gender, religion, and family history; and Kruskal-Wallis test was used to test the influence of department of study and level of study. Alpha level was set at 0.05. RESULTS Three hundred twenty seven students comprising 164 (50.2%) males and 163 (49.8%) females participated. Mean age of participants was 22.89 ± 2.05 years. 45.3% of the participants reported positive family history of one or a combination of MI, DA, and EBDs. The study observed poor attitude toward MI and fair attitude toward DA and EBD. There were significant correlations between attitudes toward MI and disability (r = 0.36, P =.000033), MI and EBD (r = 0.23, P =.000023), disability and EBD (r = 0.46, P =.000001), and age and attitude toward disability (r = 0.15, P =.009). Females had significantly more positive attitude toward disability (P =.03) and EBDs (P =.03). Nursing students also demonstrated the most positive attitudes toward MI (P =.03) and EBD (P =.000416), while final year students demonstrated the most positive attitudes toward MI (P =.00145) and EBDs (P =.03). CONCLUSIONS There was a poor attitude toward MI and a fair attitude toward DA and EBD. Attitude toward MI, DA, and EBD correlated significantly with one another. Older students, females, and higher levels of training in the healthcare profession were associated with more positive attitudes toward MI, DA, and EBDs.
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Affiliation(s)
| | - Paul Osemeke Nwani
- Department of Internal Medicine, Nnamdi Azikiwe University, Awka, Nigeria
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Bouyssi A, Prebois S, Rougé-Bugat ME, Dupouy J, Driot D. [Stigmatisation of patients with mental disorders by medical interns specialising in general practice: A national survey]. L'ENCEPHALE 2023; 49:65-71. [PMID: 36253178 DOI: 10.1016/j.encep.2022.06.007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/07/2021] [Revised: 06/21/2022] [Accepted: 06/24/2022] [Indexed: 01/19/2023]
Abstract
OBJECTIVES The objective was to assess the level of stigmatisation of psychiatric patients by medical interns specialising in general practice (GP), and to assess the influencing factors of stigmatisation. METHODS A national survey was carried out among interns in general practice (GP) contacted through their local associations from December 10, 2019 to March 9, 2020. An online questionnaire was diffused. The validated French version of the Mental Illness Clinicians' Attitudes (MICA) was used to measure stigmatising attitudes towards psychiatry and persons with psychiatric disorder by the interns. This 16-item scale is designed to measure attitudes of health care professionals towards people with mental illness with scores ranging from 16 to 96 (the most stigmatizing). Several covariates were collected: socio-demographics, personal experiences with mental health, and mental health trainings during medical studies. All questionnaires were strictly anonymized. Comparative analyses of the MICA score by group were performed using Student's tests. RESULTS A total of 389 interns responded. The majority of respondents were female (n=277; 71%) and the mean age was 27years [standard deviation (SD)±2.39]. The mean MICA rate was 40.64 (SD±8.09) for a neutral score of 56, reflecting low overall stigmatizing attitudes. MICA scores were significantly lower among female interns (40.11 vs. 41.95; P=0.042), those who had benefited from personal psychological or psychiatric support (38.70 vs. 41.61; P=0.001), and those who had completed a psychiatric externship (39.47 vs. 42.16; P=0.001). CONCLUSIONS GP interns had an attitude that is generally not very stigmatizing even if its improvement should still be sought. This is particularly verified among those who have completed a psychiatric internship during their externship. This suggested association should be supported by other studies. The stakes are high for the future management of patients since stigmatisation by a physician is strongly implied in the worse healthcare management of patients with psychiatric disorders, leading them to a shorter lifespan.
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Affiliation(s)
- A Bouyssi
- Département universitaire de médecine générale, université Paul-Sabatier Toulouse III, 133, route de Narbonne, 31062 Toulouse, France
| | - S Prebois
- Centre hospitalier universitaire Toulouse Purpan, service de psychiatrie, place du Dr-Baylac, TSA 40031, 31059 Toulouse cedex 9, France
| | - M-E Rougé-Bugat
- Département universitaire de médecine générale, université Paul-Sabatier Toulouse III, 133, route de Narbonne, 31062 Toulouse, France; UMR 1295 CERPOP Inserm, université Paul-Sabatier, 37, allées Jules-Guesde, 31000 Toulouse, France
| | - J Dupouy
- Département universitaire de médecine générale, université Paul-Sabatier Toulouse III, 133, route de Narbonne, 31062 Toulouse, France; UMR 1295 CERPOP Inserm, université Paul-Sabatier, 37, allées Jules-Guesde, 31000 Toulouse, France
| | - D Driot
- Département universitaire de médecine générale, université Paul-Sabatier Toulouse III, 133, route de Narbonne, 31062 Toulouse, France; UMR 1295 CERPOP Inserm, université Paul-Sabatier, 37, allées Jules-Guesde, 31000 Toulouse, France.
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Ünal E, Uyaroğlu AK. The relationship between beliefs toward mental illnesses, empathic tendency and social distancing in university students. Arch Psychiatr Nurs 2022; 41:348-353. [PMID: 36428070 DOI: 10.1016/j.apnu.2022.09.009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/08/2022] [Revised: 09/02/2022] [Accepted: 09/18/2022] [Indexed: 11/02/2022]
Abstract
This study was conducted to determine the level of beliefs toward mental illnesses in university students and to examine its relationship with empathic tendency and social distance level. This descriptive and relational study was conducted at the Faculty of Health Sciences and Faculty of Nursing of a state university in Turkey. The sample of the study consisted of 678 students studying in the 4th grade of these faculties. Personal Information Form, the Beliefs Toward Mental Illness Scale (BMI), the Empathic Tendency Scale (ETS), and the Social Distance Scale (SDI) were used to collect data. It was determined that there was a high level of negative relationship between the students' mean BMI score and the age variable and the empathic tendency and social distance mean scores. It was seen that the mean Empathic Tendecy Scale and Social Distance Scale scores accounted for 86.6 % of the change in the mean BMI score (Adjusted R2 = 0.826). The mean BMI score of the students was found to be below the medium level. On the other hand, it was found that empathic tendency and social distance mean scores were above the medium level and had an effect on the mean BMI score. Psychosocial factors that are effective in the emergence of negative beliefs about mental illnesses in students should be investigated and studies should be carried out to increase awareness about negative beliefs.
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Affiliation(s)
- Esra Ünal
- KTO Karatay University, School of Health Sciences, Department of Nursing, Konya, Turkey.
| | - Arzu Koçak Uyaroğlu
- Selcuk University, Faculty of Nursing, Department of Psychiatric Nursing, Konya, Turkey
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Stigmatizing attitudes and social perception towards mental illness among Moroccan medical students. Encephale 2022; 49:275-283. [DOI: 10.1016/j.encep.2022.01.007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/23/2021] [Revised: 12/29/2021] [Accepted: 01/05/2022] [Indexed: 11/20/2022]
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Lee HJ, Jang HJ, Jang S, Bong SH, Won GH, Yoon S, Choi TY. Psychiatry curriculum: How does it affect medical students' attitude toward psychiatry? Asian J Psychiatr 2022; 67:102919. [PMID: 34800754 DOI: 10.1016/j.ajp.2021.102919] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/09/2021] [Accepted: 10/30/2021] [Indexed: 11/02/2022]
Abstract
The purpose of this study was to identify the attitude of South Korean medical school students towards psychiatry and to analyze how lectures and clinical clerkship in psychiatry effect changes in students' attitudes. A total of 100 medical school students were recruited as subjects in the study, 86 of whom completed psychiatry lectures and underwent psychiatry clerkship from March 2015 to August 2018. The participating students completed a survey, which included demographic data, specialty choice, and attitude towards psychiatry. Subjects who completed lectures and clinical clerkship in psychiatry showed positive changes in attitude towards psychiatry in the following items: "Among mental health professionals, psychiatrists have the most authority and influence" (p = 0.002), "Psychiatrists frequently abuse their legal power to hospitalize patients against their will" (p < 0.001), and "Many people who could not obtain a residency position in other specialties eventually enter psychiatry" (p = 0.028). However, negative changes in attitude towards psychiatry were shown in the following item: "On average, psychiatrists make as much money as most other doctors" (p = 0.008). Also, specific medical school factors scored positively overall. Although it was not statistically significant, the questionnaire item "During my psychiatry rotation, psychiatry residents were good role models" was more positively observed by students after completion of psychiatry lectures and clerkship. After each curriculum, certain attitudes toward psychiatry were positively changed, but others either remained unchanged or were negatively changed. By using these study results to revise the current curriculum, medical school students' attitude towards psychiatry can be improved.
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Affiliation(s)
- Hye Jeong Lee
- Department of Psychiatry, Daegu Catholic University School of Medicine, Daegu, Republic of Korea
| | - Hyeok Jun Jang
- Seoul Regional Military Manpower Administration, Seoul, Republic of Korea
| | - Seoyoung Jang
- Kyungpook National University, School of Medicine, Daegu, Republic of Korea
| | - Su Hyun Bong
- Department of Psychiatry, Daegu Catholic University School of Medicine, Daegu, Republic of Korea
| | - Geun Hui Won
- Department of Neuropsychiatry Seoul National University Hospital, Seoul, Republic of Korea
| | - Seoyoung Yoon
- Department of Psychiatry, Daegu Catholic University School of Medicine, Daegu, Republic of Korea
| | - Tae Young Choi
- Department of Psychiatry, Daegu Catholic University School of Medicine, Daegu, Republic of Korea.
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Pepa PA, Hsia SL, Lee KC. Impact of a psychiatry elective on mental health stigma among pharmacy students. CURRENTS IN PHARMACY TEACHING & LEARNING 2021; 13:711-716. [PMID: 33867069 DOI: 10.1016/j.cptl.2021.01.029] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/28/2020] [Revised: 12/06/2020] [Accepted: 01/20/2021] [Indexed: 06/12/2023]
Abstract
BACKGROUND AND PURPOSE Mental health stigma among healthcare providers remains a significant barrier to patients receiving optimal care for psychiatric conditions. This study's purpose is to evaluate the impact of a psychiatry elective on pharmacy students' attitudes toward patients with mental health disorders. EDUCATIONAL ACTIVITY AND SETTING This study cohort included pharmacy students enrolled in a Special Topics in Psychiatry elective. Attitudes toward mental health disorders were measured at baseline (first day of class) and post-exposure (last day of class) using the 21-item Beliefs toward Mental Illness (BMI) Scale. Wilcoxon signed-rank tests were used to compare each component of the BMI scale as well as each subscale (dangerousness, poor social and interpersonal skills, and incurability) at baseline and post-exposure. FINDINGS Fifty-eight pharmacy students (68% response rate) participated in this study. Most respondents were in their first year of the pharmacy program (44%), female (72%), and Asian (59%). There was a statistically significant decline in each BMI subscale at the end of the course: dangerousness, poor interpersonal and social skills, and incurability. There was no significant difference in mean change for the BMI sub-scores by gender, race, or personal experience with mental health disorders. SUMMARY Incorporating a psychiatry elective into the pharmacy school curriculum can improve attitudes toward patients with mental health disorders. Future areas of research are warranted on the influence of specific components of a psychiatry elective that impact BMI scores and whether this translates to improved quality of care during clinical practice.
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Affiliation(s)
- Patricia A Pepa
- Kaiser Permanente Fremont, Department of Inpatient Pharmacy, 39400 Paseo Padre Pkwy, Fremont, CA 94538, United States; University of California San Diego, Skaggs School of Pharmacy & Pharmaceutical Sciences, 9500 Gilman Dr, La Jolla, CA 92093, United States.
| | - Stephanie L Hsia
- University of California San Francisco, School of Pharmacy, 533 Parnassus Avenue, San Francisco, CA 94143-0622, United States; University of California San Diego, Skaggs School of Pharmacy & Pharmaceutical Sciences, 9500 Gilman Dr, La Jolla, CA 92093, United States
| | - Kelly C Lee
- University of California San Diego, Skaggs School of Pharmacy & Pharmaceutical Sciences, 9500 Gilman Dr, La Jolla, CA 92093, United States
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Babicki M, Kowalski K, Bogudzińska B, Piotrowski P. The Assessment of Attitudes of Students at Medical Schools towards Psychiatry and Psychiatric Patients-A Cross-Sectional Online Survey. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18094425. [PMID: 33919458 PMCID: PMC8122415 DOI: 10.3390/ijerph18094425] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 03/24/2021] [Revised: 04/19/2021] [Accepted: 04/19/2021] [Indexed: 01/30/2023]
Abstract
The aim of the study was the assessment of the level of stigmatisation of psychiatric patients and psychiatry as a field of study by students at medical schools in Poland and the comparison of students’ attitudes over the years. The study was conducted based on a proprietary questionnaire assessing the stage of tertiary education, sociodemographic status, and MICA-2 psychometric tool that is used for assessing both the attitudes of students at medical schools towards psychiatry as a field of study and patients with mental health disorders. According to the MICA score, those who have higher scores have more negative attitudes towards psychiatry. The survey consisted of two rounds at an interval of 3 years. Results. The first-round survey, conducted in 2017, involved 480 students. The second-round survey, conducted in 2020, involved 573 students. In both cases, women constituted the vast majority of respondents. Women, as well as medical major students, achieved significantly lower scores than men p < 0.001. The said relationship was also observed for individual experience with mental illness. There was no correlation between the MICA-2 total score and the psychiatry course completion—p = 0.105. However, the levels of stigmatisation are still high. The implementation of educational methods to improve the perception of psychiatric patients by students at medical schools should be taken into consideration. An increase in direct student–patient contact, for example, by means of intensive elective classes, could be beneficial.
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Affiliation(s)
- Mateusz Babicki
- Department of Family Medicine, Wroclaw Medical University, 51-141 Wroclaw, Poland
- Correspondence: ; Tel.: +48-71-325-5126
| | - Krzysztof Kowalski
- Students’ Scientific Group at the Faculty of Psychiatry, Wroclaw Medical University, 50-367 Wroclaw, Poland; (K.K.); (B.B.)
| | - Bogna Bogudzińska
- Students’ Scientific Group at the Faculty of Psychiatry, Wroclaw Medical University, 50-367 Wroclaw, Poland; (K.K.); (B.B.)
| | - Patryk Piotrowski
- Section of Epidemiology and Social Psychiatry, Department and Clinic of Psychiatry, Wroclaw Medical University, 50-367 Wroclaw, Poland;
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De Witt C, Smit I, Jordaan E, Koen L, Niehaus DJH, Botha U. The impact of a psychiatry clinical rotation on the attitude of South African final year medical students towards mental illness. BMC MEDICAL EDUCATION 2019; 19:114. [PMID: 31023368 PMCID: PMC6482575 DOI: 10.1186/s12909-019-1543-9] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/06/2018] [Accepted: 04/03/2019] [Indexed: 05/28/2023]
Abstract
BACKGROUND Stigmatising attitudes of health care professionals towards mental illness can impede treatment provided for psychiatric patients. Many studies have reported undergraduate training to be a critical period for changing the attitudes of medical students, and one particularly valuable intervention strategy involves time spent in a clinical psychiatric rotation. In South Africa, medical students are exposed to a clinical rotation in psychiatry but there is no evidence to show whether this has an effect on attitudes toward mental illness. METHODS This prospective cohort study involved a convenience sample of 112 South African medical students in their 5th or 6th year of undergraduate training. This sample attended a 7-week psychiatry rotation. The Attitudes to Mental Illness Questionnaire (AMIQ) was used to assess students' attitudes toward mental illness before and after the clinical rotation which includes exposure to a number of psychiatric sub-divisions and limited didactic inputs. RESULTS There was a significant improvement (p < 0.01, t-test) in the students' attitude toward mental illness following the psychiatric rotation. Females displayed a more positive attitude towards mental illness at the end of the rotation compared to males. The participants' attitude significantly deteriorated for the non-psychiatric vignette describing diabetes (< 0.01, t-test). CONCLUSIONS Our findings suggest that clinical training and exposure to a psychiatric setting impacts positively on medical students' attitude towards mental illness, even when this training does not include any focused, didactic anti-stigma input.
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Affiliation(s)
- Caro De Witt
- Department of Psychiatry, Faculty of Medicine and Health Sciences, Stellenbosch University, PO Box 19063, Cape Town, Tygerberg 7505 South Africa
| | - Inge Smit
- Department of Psychiatry, Faculty of Medicine and Health Sciences, Stellenbosch University, PO Box 19063, Cape Town, Tygerberg 7505 South Africa
| | - Esmè Jordaan
- Biostatistics Unit, Medical Research Council, Parow, South Africa and Statistics and Population Studies Department, University of the Western Cape, Cape Town, South Africa
| | - Liezl Koen
- Department of Psychiatry, Faculty of Medicine and Health Sciences, Stellenbosch University, PO Box 19063, Cape Town, Tygerberg 7505 South Africa
| | - Dana J. H. Niehaus
- Department of Psychiatry, Faculty of Medicine and Health Sciences, Stellenbosch University, PO Box 19063, Cape Town, Tygerberg 7505 South Africa
| | - Ulla Botha
- Department of Psychiatry, Faculty of Medicine and Health Sciences, Stellenbosch University, PO Box 19063, Cape Town, Tygerberg 7505 South Africa
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Hemanthkumar BG, Keertish N, Sathyanarayana MT. Is there any difference between attitude of interns toward psychiatric illness and other chronic medical conditions? A comparative study. Indian J Psychiatry 2018; 60:195-198. [PMID: 30166675 PMCID: PMC6102956 DOI: 10.4103/psychiatry.indianjpsychiatry_107_17] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
BACKGROUND Attitude of doctors towards specific medical conditions plays a crucial role in patient care. Internship, being the final stage in undergraduate medical students' training, can have a bearing on the attitude they develop towards various specialties. However, there is dearth of Indian studies comparing the attitude of interns towards psychiatric illness and other chronic medical conditions. In this background, the study was conceived with the objective of comparing the attitude of interns towards psychiatric illness and other chronic medical conditions. AIMS (1) To compare the attitude of interns towards Psychiatric illness and Diabetes Mellitus. (2) To compare the attitude of interns towards Psychiatric illness and HIV/AIDS. SETTING AND DESIGN Conducted at Sri Siddhartha medical college, Tumakuru as a cross sectional study. METHODOLOGY The sample for this cross sectional study comprised of 130 interns in a tertiary care teaching hospital who had completed their postings in Psychiatry. Medical Condition Regard Scale (MCRS) was used to assess the attitude of interns towards Psychiatry, Diabetes Mellitus and HIV/AIDS. STATISTICAL ANALYSIS SPSS 20 was used with Descriptive statistics and non-parametric tests to analyze the data obtained. RESULTS There was no significant difference between the overall MCRS scores for Diabetes Mellitus and psychiatric illnesses. However, many individual items and the overall scores of MCRS were significantly higher for psychiatric illnesses when compared to those for HIV/AIDS. CONCLUSIONS The attitude of interns towards Psychiatric illness was comparable to that towards Diabetes Mellitus. However, their attitude towards Psychiatric illness was more favorable than that towards HIV/AIDS. Further studies need to focus on the various aspects of stigma/ attitude and the effect of undergraduate medical training on those aspects.
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Affiliation(s)
| | - Narayana Keertish
- Department of Psychiatry, BGS Global Institute of Medical Sciences, Bengaluru, Karnataka, India
| | - M T Sathyanarayana
- Department of Psychiatry, Sri Siddhartha Medical College, Tumakuru, Karnataka, India
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Taghva A, Farsi Z, Javanmard Y, Atashi A, Hajebi A, Khademi M. Stigma Barriers of Mental Health in Iran: A Qualitative Study by Stakeholders of Mental Health. IRANIAN JOURNAL OF PSYCHIATRY 2017; 12:163-171. [PMID: 29062367 PMCID: PMC5640577] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
Objective: Many people who access mental health services usually do not seek treatment to avoid the consequences of stigma and label of mental illness. Thus, determining each aspect related to stigma reduction barriers seems necessary. This qualitative study was conducted to investigate stigma reduction barriers towards mental disorders in Iran. Method: In this study that was conducted from 2013 to 2015, content analysis was used and all stakeholders were selected by purposive sampling technique. All data were obtained through 16 individual interviews, 2 focus groups, and 6 written narratives. The data were collected, coded, and analyzed accordingly. Results: The major themes were as follow: The universality of stigma, beliefs, attitudes and lack of awareness, mental health providers and other specialists, cultural barriers, structures and policymakers, and insufficient financial resources. Conclusion: It is necessarily to identify the barriers of stigma reduction programs in Iran to increase the quality of life of patients with mental disorders. In the present study, due to the presence of mental health stakeholders, the main barriers were obtained.
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Affiliation(s)
- Arsia Taghva
- AJA University of Medical Sciences, Tehran, Iran.
| | - Zahra Farsi
- Community Health Department, Faculty of Nursing, AJA University of Medical Sciences, Tehran, Iran
| | | | - Afsaneh Atashi
- Faculty of Psychology, Bangalore University, Bangalore, India. ,Corresponding Author: Adress: 24, Chizar ST, Tavazoee ST, Gheytariyeh ST, Tehran, Iran. Tel: +98 21 22237140, Mobile: +98 912 2192460,
| | - Ahmad Hajebi
- Addiction and High Risk Behavior, Tehran Institute of Psychiatry, Faculty of Behavioral Sciences and Mental Health, Iran University of Medical Sciences (IUMS), Tehran, Iran.
| | - Mojgan Khademi
- Department of Child Psychiatry, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
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Sreeraj VS, Parija S, Uvais NA, Mohanty S, Kumar S. Indian nursing students' attitudes toward mental illness and persons with mental illness. Ind Psychiatry J 2017; 26:223-227. [PMID: 30089973 PMCID: PMC6058439 DOI: 10.4103/ipj.ipj_25_16] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/06/2022] Open
Abstract
BACKGROUND Nursing fraternity play a pivotal role in psychiatric services. Negative attitudes toward mental illness have been consistently reported in nursing students. Psychiatric conditions and persons suffering from them may elicit different kinds of attitudinal responses. OBJECTIVE The current study aimed at assessing the attitude toward mental illness and also at comparative evaluation of the attitude toward persons with different psychiatric, physical, and social conditions. MATERIALS AND METHODS The present study was carried out among conveniently selected nursing students (n = 100) using Attitude Scale for Mental Illness (ASMI) and Attitude to Mental Illness Questionnaire (AMIQ) on their 1st day of psychiatric posting. RESULTS Higher stereotype (3.1 ± 0.8), benevolence (3.7 ± 0.6), and pessimistic prediction (3.4 ± 0.9) were reported toward mental illness. Negative attitude was noted toward persons with criminal background (4.8 ± 3.7), heroin abuse (3.2 ± 3.6), suicidal depression (1.36 ± 3.6), alcohol use (0.59 ± 4.38), and schizophrenia (0.03 ± 3.2) in the same order, with positive attitude toward diabetic (-4.4 ± 3.9) and religious persons (-5.13 ± 3.6). Significant correlation of ASMI scores was noted mainly with schizophrenia of AMIQ but not with other psychiatric conditions. CONCLUSION High negative attitudes in nursing students underline the need for stronger antistigma measures. Differences in attitude toward mental illness in general and specific psychiatric conditions need further systematic evaluation.
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Affiliation(s)
- Vanteemar S Sreeraj
- Department of Psychiatry, National Institute of Mental Health and Neurosciences, Bengaluru, Karnataka, India
| | - Seema Parija
- Department of Psychiatry, Kalinga Institute of Medical Sciences, Bhubaneswar, Odisha, India
| | - N A Uvais
- Department of Psychiatry, Iqra Hospital, Calicut, Kerala, India
| | - Sandhyarani Mohanty
- Department of Psychiatry, Institute of Mental Health And Hospital, Agra, Uttar Pradesh, India
| | - Sudhir Kumar
- Department of Psychiatry, Institute of Mental Health And Hospital, Agra, Uttar Pradesh, India
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Simon N, Verdoux H. [Impact of education program and clinical posting in psychiatry on medical students' stigmatizing attitudes towards psychiatry and psychiatric disorders]. Encephale 2017; 44:329-336. [PMID: 28606624 DOI: 10.1016/j.encep.2017.05.003] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/14/2016] [Revised: 05/04/2017] [Accepted: 05/05/2017] [Indexed: 11/25/2022]
Abstract
OBJECTIVE The aim of the study was to explore whether a medical student education program and clinical posting in psychiatry had an impact on medical students' stigmatizing attitudes towards psychiatry and psychiatric disorders. METHODS Medical students from the University of Bordeaux were recruited during their 4-year course at the beginning of the academic education program in psychiatry. Medical students who were concomitantly in a clinical posting in wards of psychiatry or neurology were invited to participate in the study. The medical student version of the scale Mental Illness: Clinicians' Attitudes (MICA) was used to measure their attitudes towards psychiatry and persons with psychiatric disorder. This 16-item scale is designed to measure attitudes of health care professionals towards people with mental illness, a higher score indicating more stigmatizing attitudes. Items exploring history of psychiatric disorders in close persons were added at the end of the MICA scale. The questionnaire was completed twice by each student, at the beginning and the end of the 11-week clinical posting. All questionnaires were strictly anonymized. Multivariate linear regression analyses were used to identify the variables independently associated with MICA total score. RESULTS At the beginning of the education program and clinical posting, 174 students completed the MICA scale: the mean MICA total score was equal to 46.4 (SD 6.9) in students in clinical posting in psychiatry (n=72) and 45.1 (SD 7.01) in those in neurology (n=102). At the end of the academic and clinical training, 138 students again completed the questionnaire, with mean MICA total scores equal to 41.4 (SD 8.1) in students in clinical posting in psychiatry (n=51) and 43.5 (SD 7.3) in those in neurology (n=87). Multivariate analyses showed that lower total MICA scores were independently associated with the time of assessment (lower scores at the end of education program and clinical posting) (b=-2.8; P=0.001), female gender (b=-1.8; P=0.03) and history of a psychiatric disorder in a close person (b=-1.92; P=0.02). Type of clinical posting (psychiatry vs. neurology) was not independently associated with MICA total scores (b=-0.02; P=0.98). A significant interaction was found between the variables "time of assessment" and "type of clinical posting" (P=0.05): stratified analyses showed that MICA total scores decreased significantly only when the clinical posting was in psychiatry (b=-4.66; P=0.001), with no significant change in medical students in neurology wards (b=-1.45; P=0.16). CONCLUSION Stigmatizing attitudes of medical students towards psychiatry and psychiatric disorders are reduced by an education program in psychiatry, with a positive impact more marked when the education program is concomitant to a clinical posting in psychiatry. As future health professionals in charge of persons with psychiatric disorders, medical students are key targets of actions aimed at reducing stigma towards mental health disorders. It is hence of great importance to promote clinical training in psychiatric wards during medical studies for all future practitioners, irrespective of their future specialty.
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Affiliation(s)
- N Simon
- Centre hospitalier Charles-Perrens, 121, rue de la Béchade, 33076 Bordeaux cedex, France
| | - H Verdoux
- Centre hospitalier Charles-Perrens, 121, rue de la Béchade, 33076 Bordeaux cedex, France; Université de Bordeaux, U657, 121, rue de la Béchade, 33000 Bordeaux, France; Inserm, U657, 33000 Bordeaux, France.
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Taghva A, Farsi Z, Javanmard Y, Atashi A, Hajebi A, Noorbala AA. Strategies to reduce the stigma toward people with mental disorders in Iran: stakeholders' perspectives. BMC Psychiatry 2017; 17:17. [PMID: 28088199 PMCID: PMC5237535 DOI: 10.1186/s12888-016-1169-y] [Citation(s) in RCA: 26] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/20/2016] [Accepted: 12/09/2016] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Stigma affects all aspects of mental disorders, and is the most important risk factor for promoting mental health. The aim of this study was to explore strategies effective in reducing the stigma toward people with mental disorders in Iran. METHODS This qualitative study was conducted from 2013 to 2016. All participants were recruited by purposive sampling method. The majority of them were stakeholders of mental health in Iran. Data were collected through eight individual interviews, two focus groups, and six written narratives. The data were collected, coded and analyzed simultaneously. Content analysis was employed to analyze the qualitative interview data. RESULTS The major themes that emerged were: "Emphasis on education and changing attitudes", "Changing the culture", "Promoting supportive services", "Role of various organizations and institutions", "Integrated reform of structures and policies to improve the performance of custodians", and "Evidence-based actions". CONCLUSIONS This study did not investigate the extent of stigma or its origins, rather it examines strategies appropriate for implementation in Iran. Additional studies are needed to evaluate the effectiveness of strategies for reducing the stigma attached to patients with mental disorders.
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Affiliation(s)
- Arsia Taghva
- Psychiatry Department, Faculty of Medicine, AJA University of Medical Sciences, Tehran, Iran
| | - Zahra Farsi
- Community Health Department, Faculty of Nursing, AJA University of Medical Sciences, Kaj St., Shariati St, Tehran, Iran.
| | | | - Afsaneh Atashi
- Clinical Psychology Bangalore University, Bangalore, India
| | - Ahmad Hajebi
- Research Center for Addiction & Risky Behavior (ReCARB), Psychiatric Department, Iran University of Medical Sciences, Tehran, Iran
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Pascucci M, Ventriglio A, Stella E, Di Sabatino D, La Montagna M, Nicastro R, Parente P, De Angelis A, Pozzi G, Janiri L, Bellomo A. Empathy and attitudes towards mental illness among Italian medical students. ACTA ACUST UNITED AC 2017. [DOI: 10.1080/17542863.2016.1276947] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/22/2023]
Affiliation(s)
- Marco Pascucci
- Department of Clinical and Experimental Medicine, University of Foggia, Foggia, Italy
| | - Antonio Ventriglio
- Department of Clinical and Experimental Medicine, University of Foggia, Foggia, Italy
| | - Eleonora Stella
- Department of Clinical and Experimental Medicine, University of Foggia, Foggia, Italy
| | - Dario Di Sabatino
- Department of Clinical and Experimental Medicine, University of Foggia, Foggia, Italy
| | - Maddalena La Montagna
- Department of Clinical and Experimental Medicine, University of Foggia, Foggia, Italy
| | - Rossana Nicastro
- Department of Clinical and Experimental Medicine, University of Foggia, Foggia, Italy
| | - Paolo Parente
- Department of Public Health, Section of Hygiene, Catholic University of Sacred Heart, Rome, Italy
| | - Andrea De Angelis
- Institute of Psychiatry and Psychology, Department of Neuroscience, Catholic University of Sacred Heart, Rome, Italy
| | - Gino Pozzi
- Institute of Psychiatry and Psychology, Department of Neuroscience, Catholic University of Sacred Heart, Rome, Italy
| | - Luigi Janiri
- Institute of Psychiatry and Psychology, Department of Neuroscience, Catholic University of Sacred Heart, Rome, Italy
| | - Antonello Bellomo
- Department of Clinical and Experimental Medicine, University of Foggia, Foggia, Italy
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Shruti A, Singh S, Kataria D. Knowledge, attitude and social distance practices of young undergraduates towards mental illness in India: A comparative analysis. Asian J Psychiatr 2016; 23:64-69. [PMID: 27969081 DOI: 10.1016/j.ajp.2016.07.012] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/07/2015] [Revised: 05/12/2016] [Accepted: 07/13/2016] [Indexed: 10/21/2022]
Abstract
The success of the current model of psychiatric care depends on de-stigmatization of mental illnesses, highlighting the need for research on perception of mental illnesses. This study compared the knowledge, attitude and social distancing practices of the young undergraduate sub-population towards mental illness. A cross-sectional survey was done using a pretested questionnaire, which in addition to demographic details assessed exposure, knowledge, attitude and social distancing practices for mental illnesses. The study included (N=289; 55% Females; Average age 20.5 years) responses from nearly equal number of students from medical, psychology and other courses. Medical students chiefly attributed mental illness to biological factors while students from other courses perceived mental illness as God's punishment. More medical students believed that mental illnesses can be successfully treated and appeared to have less social distancing from the mentally ill. Males mostly reported stress and brain damage as the causative factors while females attributed mental illnesses to other biological factors. Males were found to be less afraid of a communication with mentally ill and more open to the possibility of marriage with someone suffering from a mental illness. Exposure to information about mental illness led to no significant variation in the studied variables. Thus, demographic variables and the academic course contribute to variations in knowledge and attitude of young adults. Education received by medical students has a positive impact on their attitudes, highlighting the need of introduction of informative awareness measures among other courses as well.
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Affiliation(s)
- Aggarwal Shruti
- Department of Psychiatry and De-addiction, Lady Hardinge Medical College and Smt. SK Hospital, New Delhi, India.
| | - Shalini Singh
- Department of Psychiatry and De-addiction, Lady Hardinge Medical College and Smt. SK Hospital, New Delhi, India.
| | - Dinesh Kataria
- Department of Psychiatry and De-addiction, Lady Hardinge Medical College and Smt. SK Hospital, New Delhi, India.
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Kodakandla K, Nasirabadi M, Pasha MS. Attitude of interns towards mental illness and psychiatry: A study from two medical colleges in South India. Asian J Psychiatr 2016; 22:167-73. [PMID: 27520923 DOI: 10.1016/j.ajp.2016.06.008] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/24/2016] [Revised: 05/20/2016] [Accepted: 06/19/2016] [Indexed: 12/27/2022]
Abstract
OBJECTIVE This study aims to assess the intern's beliefs about mental illness, their attitude towards psychiatry and psychiatry as a career choice. METHODS In a cross-sectional design, one hundred and seventy six interns from the two medical colleges completed the Belief about Mental illness scale and Attitudes Towards Psychiatry (ATP-29) scale. RESULTS Majority of the interns considered mentally ill patients as dangerous, unpredictable, cannot take up major responsibilities, cannot be a good parent, have poor interpersonal or social skills. The attitude towards psychiatry overall, functioning of a psychiatrist, efficacy of psychiatry treatment was found to be good in over 90% of the interns. The attitude towards career and reward aspect of psychiatry was not favorable in about 40%. About 13% considered psychiatry as a career choice. CONCLUSIONS Beliefs about mental illness continue to be negative. Though the attitude towards psychiatry, psychiatrist and treatment efficacy is good, the social and reward aspects of psychiatry are not encouraging. Steps for changes in undergraduate medical education policies are required.
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Affiliation(s)
- Krishna Kodakandla
- Dept. of Psychiatry, Shadan Institute of Medical Sciences, Peeramcheru, Near Kalimandir, Chevella Road, Hyderabad, Telangana 500 086, India.
| | - Minhajzafar Nasirabadi
- Dept. of Psychiatry, Dr. V.R.K Women's Medical College, Aziznagar, Ranga Reddy District, Hyderabad, Telangana 500 075, India
| | - Mohammed Shahid Pasha
- Dept. of Psychiatry, Shadan Institute of Medical Sciences, Peeramcheru, Near Kalimandir, Chevella Road, Hyderabad, Telangana 500 086, India
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Hirai M, Vernon LL, Clum GA. Factor Structure and Administration Measurement Invariance of the Beliefs Toward Mental Illness Scale in Latino College Samples: Paper–Pencil Versus Internet Administrations. Assessment 2016; 25:759-768. [DOI: 10.1177/1073191116661630] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Affiliation(s)
- Michiyo Hirai
- University of Texas Rio Grande Valley, Edinburg, TX, USA
| | | | - George A. Clum
- Virginia Polytechnic Institute and State University, Blacksburg, VA, USA
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Poreddi V, Thimmaiah R, Math SB. Attitudes toward people with mental illness among medical students. J Neurosci Rural Pract 2015; 6:349-54. [PMID: 26167018 PMCID: PMC4481789 DOI: 10.4103/0976-3147.154564] [Citation(s) in RCA: 23] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022] Open
Abstract
Background: Globally, people with mental illness frequently encounter stigma, prejudice, and discrimination by public and health care professionals. Research related to medical students’ attitudes toward people with mental illness is limited from India. Aim: The aim was to assess and compare the attitudes toward people with mental illness among medical students’. Materials and Methods: A cross-sectional descriptive study design was carried out among medical students, who were exposed (n = 115) and not exposed (n = 61) to psychiatry training using self-reporting questionnaire. Results: Our findings showed improvement in students’ attitudes after exposure to psychiatry in benevolent (t = 2.510, P < 0.013) and stigmatization (t = 2.656, P < 0.009) domains. Further, gender, residence, and contact with mental illness were the factors that found to be influencing students’ attitudes toward mental illness. Conclusion: The findings of the present study suggest that psychiatric education proved to be effective in changing the attitudes of medical students toward mental illness to a certain extent. However, there is an urgent need to review the current curriculum to prepare undergraduate medical students to provide holistic care to the people with mental health problems.
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Affiliation(s)
| | - Rohini Thimmaiah
- Department of Psychiatry, Vydehi Institute of Medical Sciences and Research Center, Bengaluru, Karnataka, India
| | - Suresh Bada Math
- Department of Psychiatry, National Institute of Mental Health and Neuro Sciences, Bengaluru, Karnataka, India
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Crapanzano K, Vath RJ, Fisher D. Reducing stigma towards substance users through an educational intervention: harder than it looks. ACADEMIC PSYCHIATRY : THE JOURNAL OF THE AMERICAN ASSOCIATION OF DIRECTORS OF PSYCHIATRIC RESIDENCY TRAINING AND THE ASSOCIATION FOR ACADEMIC PSYCHIATRY 2014; 38:420-425. [PMID: 24619913 DOI: 10.1007/s40596-014-0067-1] [Citation(s) in RCA: 52] [Impact Index Per Article: 5.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/28/2013] [Accepted: 02/23/2014] [Indexed: 06/03/2023]
Abstract
OBJECTIVE Stigma towards people with substance use disorders is pervasive and imbedded in our US culture. Prejudicial attitudes that are part of a health care practitioner's value system are a barrier to people accessing health care and substance use treatment. This study aimed to reduce stigmatizing attitudes of graduate health care professional students by implementing an innovative curriculum combining multiple teaching methods. METHODS Physician assistant students received a 3-h educational intervention that consisted of lecture and discussion sessions, direct interaction with a recovering substance user, viewing a film portrayal of addiction and addiction treatment, and written self-reflection. Changes in student attitudes were measured using a subscale of the Attitudes to Mental Illness Questionnaire (AMIQ) instrument and analysis of coded written reflections. A follow-up focus group resulted in additional qualitative insight into attitudes. RESULTS Post-intervention scores for the "heroin" AMIQ vignette significantly improved compared to pre-test scores (p<0.007), but the effect was small and the mean post-test scores still reflected very negative attitudes. Students' neutral attitude towards alcohol use did not change as a result of the intervention. Written reflections demonstrated that this sample of students continued to harbor stigma towards people with substance use following the intervention. Focus group data suggested students believed that stigma beliefs about substance use were common among health care professionals, though they believed that their own level and quality of care would not be influenced by these beliefs. CONCLUSIONS The persistence of negative attitudes following this and others' educational interventions suggests the need for a new approach to changing health care professionals' stigma towards substance users.
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Affiliation(s)
- Kathleen Crapanzano
- Department of Psychiatry, Louisiana State University Health Sciences Center, Baton Rouge, LA, USA,
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Parikh NC, Sharma PS, Chaudhary PJ, Gandhi HA, Banwari GH. Study of attitude of interns toward psychiatry: A survey of a tertiary level hospital in Ahmedabad. Ind Psychiatry J 2014; 23:143-8. [PMID: 25788804 PMCID: PMC4361977 DOI: 10.4103/0972-6748.151690] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/13/2023] Open
Abstract
BACKGROUND Worldwide, multiple studies demonstrate a negative attitude of interns toward psychiatry. Scenario in Gujarat state has never been looked upon. The objective of this study is to identify the situation in this region by studying the attitude of interns toward various areas of psychiatry and to study the gender differences if any. MATERIALS AND METHODS For study, all 122 interns who attended psychiatry posting for the 1st time in their internship, over a period of 8 months were approached amongst which 100 (56 males and 44 females) consented to be a part. Attitude was measured with 30 items attitude toward psychiatry (ATP 30) questionnaire on the 1st day of their posting. The data thus collected were analyzed by SPSS version 20. RESULT The results showed a neutral to the negative attitude in major areas of psychiatry. Most neutral responses were seen regarding contribution of psychiatric hospitals in the treatment, regarding psychiatric patients considered to be interesting and psychiatry enabling people to have rewarding relationships. Negative attitude toward areas on scientific information in psychiatry and psychotherapy's validity were obtained. While attitude was positive in areas of psychiatric knowledge and teaching, but female interns were lagging behind their male counterparts. Psychiatric treatment lessens worries and psychiatric illness should be considered at par with other medical illnesses, were most common positively viewed attitude. CONCLUSION Interns overall shared a neutral to negative ATP. Adequate rectification is required in existing medical curriculum, and more exposure to the subject is essential to improve the attitude of interns toward mental health.
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Affiliation(s)
- Nimesh C Parikh
- Department of Psychiatry, V.S. Hospital, Ahmedabad, Gujarat, India
| | - Prateek S Sharma
- Department of Psychiatry, V.S. Hospital, Ahmedabad, Gujarat, India
| | | | | | - Girish H Banwari
- Department of Psychiatry, V.S. Hospital, Ahmedabad, Gujarat, India
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