Medical Students' Attitudes Toward Mental Disorders Before and After a Psychiatric Rotation

Galka, Steven W.; Perkins, David V.; Butler, Nancy E.; Griffith, Deborah A.; Schmetzer, Alan D.; Avirrappattu, George; Lafuze, Joan Esterline

doi:10.1176/appi.ap.29.4.357

Cited by 41 publications

(26 citation statements)

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“…Portuguese medical students have similar results to some studies that showed good or better attitudes towards the psychiatric patients in late medicine school years, 23 after psychoeducation [24][25][26][27][28][29] and psychiatric teaching. [30][31][32] Although our students' attitudes showed a regression in scores after the third year, they were still better at the end of the course than the in first year. Anyway we shall be aware of the bias of age, as older students may have better attitudes when compared to younger students.…”

Section: Discussionmentioning

confidence: 54%

“…10,13,20 Nevertheless this positive impact wasn't long lasting and this could be due, as stated, to contamination of negative attitudes towards the psychiatric disorders from teachers to students and negative attitudes held towards psychiatry and psychiatrists by their medical educators, among other factors that are mostly present in late medicine school years. 28,30,31 …”

Section: Discussionmentioning

confidence: 99%

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Stigma and Attitudes towards Psychiatric Patients in Portuguese Medical Students

et al. 2015

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(36,13). A melhor diferença verificou-se para a sub-escala Autoritarismo (5º ano -1º ano = 2,03), e a pior diferença verificou-se para a sub-escala Benevolência (5º ano -1º ano = 0,39). Os melhores resultados foram encontrados no final do 3º ano. Discussão: Os resultados poderão dever-se ao módulo de luta contra o estigma, incluído na disciplina de 'Introdução à Saúde Mental'. Esse efeito positivo ter-se-á perdido no 4º e 5º anos, com uma degradação das atitudes. Conclusão: Este estudo salienta a importância dos módulos de luta contra o estigma na melhoria das atitudes dos estudantes de medicina perante a saúde mental. Este tipo de acções pedagógicas preventivas com intuito anti-estigma, devem ser na melhor preparação possível de gerações médicas futuras. Palavras-chave: Atitude; Estigma Social; Estudantes de Medicina; Psiquiatria. ABSTRACT Introduction:This study aims to assess the impact of psychiatric education on attitudes of medical students towards psychiatric patients. Material and Methods:A cross-sectional survey of medical students was conducted at the biggest Portuguese medical school. The students completed an anonymous self-report questionnaire, including sociodemographic data, family history of psychiatric illness, and the Community Attitudes toward the Mentally Ill scale. Results: Of the 2 178 students, 398 answered the survey, representing 18.2% of the whole medical school. There was a significant improvement in all Community Attitudes toward the Mentally Ill scale dimensions along the medical course. The higher scores were in Restrictiveness subscale (38.01), and the lower scores were for Authoritarianism (36.13). The best improvement along the course was for Authoritarianism (5 th year score -1 st year score = 2.03), and the worse was for Benevolence (5 th year score -1 st year score = 0.39). The biggest improvement, in all scores, was found at the end of the 3rd year. Discussion: The authors propose that the better attitudes found on third year students were due to a very specific anti-stigma module on the theoretical discipline 'Introduction to Mental Health'. After that, this positive effect was lost, with fourth and fifth year medical students showing a worsening of their attitudes. Conclusion: Our results highlight the importance of anti-stigma specific education modules in order to improve students' attitudes toward mental health. Thus more anti-stigma preventive measures can be taken onward, on preparing the best way possible, the next generation of doctors.

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Section: Discussionmentioning

confidence: 54%

Section: Discussionmentioning

confidence: 99%

Stigma and Attitudes towards Psychiatric Patients in Portuguese Medical Students

et al. 2015

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“…6 There are conflicting reports as to whether workplace experience reduces social distance from people with mental illness. [7][8][9] Contacts between pharmacy students and people with mental illness during clinical placements typically occur in the context of a provider-patient interaction. This kind of interaction may not contribute to students developing a greater understanding of a consumer's experience of their illness.…”

Section: Use Of Consumer Educators In Mental Health Pharmacy Educationmentioning

confidence: 99%

Letters

Sweileh¹,

Al-Jabi²,

Sawalha³

et al. 2009

Am J Pharm Educ

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“…The principal investigator constructed the interview questions (see Table 1) from previous medical student self-report questionnaire findings (Cutler et al 2006), as well as from a general review of existing psychiatric education literature (Feifel et al 1999;Chew-Graham et al 2003;Fink 1983;Walter 1989;Furnham 1986;Cutler et al 2006;Galka et al 2005;Martin et al 2005;Singh et al 1998;Balon et al 1999;Sierles and Taylor 1995;Nielsen and Eaton 1981). Two faculty members in the department of psychiatry conducted the interviews shortly after students received notification of their residency matches.…”

Section: Materials and Proceduresmentioning

confidence: 99%

“…While enrolled medical students in the United States find the field intellectually interesting (Cutler et al 2006), many regard clinical work with psychiatric patients as unappealing (Galka et al 2005;Martin et al 2005;Singh et al 1998;Balon et al 1999;Sierles et al 1995;Nielsen et al 1981) and even stressful (Cutler et al 2006). Similar observations have been made in many countries around the world (Brockington and Mumford 2002;Malhi et al 2002;Fischel et al 2008;Ndetei et al 2008;Syed et al 2008;Ay et al 2006).…”

Section: Introductionmentioning

confidence: 99%

Discrediting the notion “working with ‘crazies’ will make you ‘crazy’”: addressing stigma and enhancing empathy in medical student education

Cutler

Harding

Mozian

et al. 2008

Adv in Health Sci Educ

111

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People with mental illness around the world continue to suffer from stigmatization and limited care. Previous studies utilizing self-report questionnaires indicate that many medical students regard clinical work with psychiatric patients as unappealing, while the professionalism literature has documented a general decline in students' capacity for empathy over the course of medical school. Through in-depth interviews, this study attempts to better understand the formation of medical students' perceptions of psychiatry and the implications of that process for a more general understanding of the impact of emotionally-laden experiences on medical students' capacity for empathy. Forty-seven fourth-year medical students who had expressed interest or performed well in psychiatry were asked a series of questions to elicit their perceptions of the field of psychiatry. Interview transcripts were systematically coded using content analysis and principles of grounded theory. Stigma, stereotypes, and stressfully intense emotional reactions seemed to adversely affect the students' expected satisfaction from and willingness to care for the mentally ill, despite enjoying psychiatry's intellectual content and the opportunity to develop in-depth relationships with patients. Teaching faculty need to directly address the stigma and stereotypes that surround mental illness and actively help medical students cope with the stress that they report experiencing during their psychiatry clerkship in order to improve the recognition and treatment of psychiatric illness by newly graduating physicians. More generally, the relationships that we identify among stress, stigmatization, and stereotyping along an empathic spectrum suggest that increased attention should be paid to the stress that empathy can entail. This perspective may allow for the creation of similarly targeted interventions throughout the medical school curriculum to counteract the decline in empathy, the so-called "hardening of the heart," associated with physician-training worldwide.

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Medical Students' Attitudes Toward Mental Disorders Before and After a Psychiatric Rotation

Abstract: Participation in a psychiatry rotation can strengthen student attitudes about biologically- and socially-based causes and community based treatments for mental illness.

Cited by 41 publications

References 8 publications

Stigma and Attitudes towards Psychiatric Patients in Portuguese Medical Students

Stigma and Attitudes towards Psychiatric Patients in Portuguese Medical Students

Letters

Discrediting the notion “working with ‘crazies’ will make you ‘crazy’”: addressing stigma and enhancing empathy in medical student education

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