Developing an Educational Package to Improve Attitude of Medical Students Toward People With Mental Illness: A Delphi Expert Panel, Based on a Scoping Review

Rezvanifar, Farahnaz; Shariat, Seyed Vahid; Shalbafan, Mohammadreza; Salehian, Razieh; Rasoulian, Maryam

doi:10.3389/fpsyt.2022.860117

Cited by 16 publications

(13 citation statements)

References 32 publications

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“…These strategies can target different observations in this study. Different anti-stigma strategies, such as educational workshops, showing a movie about a patient with a mental disorder, close contact with patients with mental disorders, and group free discussion, were suggested by previous studies ( 4 ).…”

Section: Discussionmentioning

confidence: 99%

“…Stigma persists today in attitudes toward patients with some medical and mental disorders. This is more obvious than in the medical profession ( 1 – 4 ). Mental illness stigma is a serious problem that affects patients and those around them, as well as health care institutions and staff working with people with mental illness.…”

Section: Introductionmentioning

confidence: 99%

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SV and Shalbafan M (2022) Attitude of Iranian medical specialty trainees toward providing health care services to patients with mental disorders.

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confidence: 99%

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Attitude of Iranian medical specialty trainees toward providing health care services to patients with mental disorders

Movahedi

Shariat²,

Shalbafan³

2022

Front. Psychiatry

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IntroductionThe stigma of mental illness has a negative impact on the diagnosis and treatment of these disorders. Considering the high prevalence of mental illness, the attitude of medical specialists toward mental disorders, who are front liners in diagnosing and treating these patients, is critical. Therefore, we examined the attitude of Iranian medical specialty trainees toward providing health care services for patients with mental illness.MethodsWe included 143 residents in the fields that have the most interactions with patients with mental disorders, including internal medicine, surgery, neurology, cardiovascular diseases, and psychiatry. A demographic checklist, as well as the opening minds scale for health care providers stigma assessment questionnaire, was provided, which measures five dimensions of improvement, social responsibility, social distance, exposure, and other (such as risk) in health care providers toward delivering the healthcare services to patients with mental disorders.ResultsThe mean score of stigma for mental illness in medical specialty trainees was 61.36 ± 4.83 out of 100. Psychiatric residents have the least stigmatizing attitude (58.38 ± 3.54), and internal medicine and cardiology residents have the highest score, respectively, (62.96 ± 6.05, 62.45 ± 3.80). As for comparing subscales between specialties, only the social responsibility subscale showed a significant difference, with psychiatry having less stigma toward social responsibility (12.93 ± 2.01) than cardiology (15.09 ± 1.50) trainees.ConclusionThe attitude of medical specialty trainees toward providing health care services for patients with mental illness is not uniform; internal medicine and cardiology residents have more stigmatizing attitude, while psychiatric residents have less stigmatizing attitude. It seems that not every contact could be useful in making a better attitude toward mental illness, but it needs preconditions, like a structured contact that leads to positive outcomes. Anti-stigma interventions are needed to improve the attitude of medical specialty trainees toward providing health care services to patients with mental illness.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Attitude of Iranian medical specialty trainees toward providing health care services to patients with mental disorders

Movahedi

Shariat²,

Shalbafan³

2022

Front. Psychiatry

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“…Furthermore, stigma may encourage substance abuse and reluctance toward treatment. Consequently, people with mental health issues do not just have to carry the burden of their symptoms but also deal with reduced quality of life (1)(2)(3).…”

Section: Introductionmentioning

confidence: 99%

“…Stigmatizing mental health issues exists on three levels: individual, interpersonal, and institutional. It stems from misconception and prompts falsely applied stereotypes, prejudice, and discrimination ( 1 , 2 ).…”

Section: Introductionmentioning

confidence: 99%

Investigation of a group of Iranian theater artists' mental health and attitude toward patients with mental disorders

Eissazade

Aeini

Ababaf

et al. 2022

Front. Public Health

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IntroductionStigmatizing attitude toward patients with severe mental disorders is one of the main obstacles of improving the mental health of societies. Media plays an important role in how the public views mental health issues. Thus, we have performed this study to investigate the Iranian theater artists' mental health status, and their view toward patients with severe mental disorders.MethodsThis cross-sectional study was performed via an online anonymous survey including the Social Distance Scale and the Dangerousness Scale measuring the attitude of participants toward patients with severe mental disorders, and the 28-item General Health Questionnaire (GHQ-28). It was disseminated to artists who had the experience of working in theater in the past year in Iran.ResultsOur survey was responded by 104 artists. Social Distance Scale scores' mean was 10.67 (scores can range from 0 to 21) and the Dangerousness Scale scores' mean was 28.87 (scores can range from 8 to 56); higher scores indicate worse discrimination. Our participants' strongest fears were to let someone with a severe mental disorder to take care of their children, and for these groups of patients to obtain a hunting license. Twenty-six (25%) participants were at risk of moderate to severe anxiety, and 18 (17.3%) participants were at risk of moderate to severe depression.ConclusionBy and large, our participants did not have a positive attitude toward patients with severe mental disorders. Providing the knowledge of mental health issues can help the general public to be more tolerant of the mentally ill and specifically, theater can be employed to fight stigmatizing mental health issues by educating its audience.

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Mental health stigma in Iran: A systematic review.

Taghva,

Hajebi,

Noorbala

et al. 2024

Stigma and Health

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There is a need to understand stigma and strategies which can effectively decrease the rate of stigma in the Iranian population. The objective of this review was to summarize the available literature on stigma-related research toward people with mental health conditions (MHCs) in Iran. A systematic search across various databases identified relevant studies published in English and Persian. Inclusion criteria focused on original observational and interventional studies examining mental health stigma in Iran. Data extraction and quality assessment were conducted following Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Consensus among authors ensured accuracy and consistency in the review process. Thirty-eight articles met criteria for data extraction. The studies covered various Iranian cities and involved individuals with MHCs, the public, families, health care professionals, and students. Sample sizes ranged from 12 to 800 subjects, with most articles published between 2015 and 2022. Quantitative and qualitative methodologies were used, with data collection methods including focus groups and interviews. Although the rate of public stigma was acceptable in the general population, internalized and perceived stigma had high levels among Iranians with MHCs and their caregivers. Moreover, the high rates of professional stigmatization are reflected in health care providers. Media has a significant role in stigmatizing attitudes and also can be a vital tool for reducing stigma. The available evidence shows that mental health stigma in Iran is a public health priority that needs serious interventions. There is an urgent need to increase the knowledge of society about MHCs to reduce stigma. Clinical Impact StatementMental health stigma is a global problem, and Iran is no exception. This systematic review aims to investigate the challenges and solutions to stigma reduction toward mental disorders in Iran. The review found that there are significant barriers to reducing stigma toward mental health in Iran, and interventions are needed to address this issue. The review highlights the importance of addressing stigma in clinical practice and the efficacy of interventions. The impact of antistigma interventions on helpseeking warrants further research.

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Developing an Educational Package to Improve Attitude of Medical Students Toward People With Mental Illness: A Delphi Expert Panel, Based on a Scoping Review

Cited by 16 publications

References 32 publications

Attitude of Iranian medical specialty trainees toward providing health care services to patients with mental disorders

Attitude of Iranian medical specialty trainees toward providing health care services to patients with mental disorders

Investigation of a group of Iranian theater artists' mental health and attitude toward patients with mental disorders

Mental health stigma in Iran: A systematic review.

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