What Can the Medical Education Do for Eliminating Stigma and Discrimination Associated with Mental Illness among Future Doctors? Effect of Clerkship Training on Chinese Students' Attitudes

Shen, Yidong; Dong, Huixi; Fan, Xiaoduo; Zhang, Zhanchou; Li, Lehua; Lv, Hailong; Zhang, Xue; Guo, Xiaofeng

doi:10.2190/pm.47.3.e

Cited by 46 publications

(38 citation statements)

References 20 publications

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“…After their rotation, an improvement in their attitudes towards psychiatry and mental health was noticed (32). Similar results were found by German researchers, who noticed a positive effect of a two-week educational programme in psychiatry on the reduction of stigma in medical students towards schizophrenic patients (33).…”

Section: Discussionsupporting

confidence: 77%

Attitudes of Medical and Pharmacy Students Towards Patients Suffering from Schizophrenia

Ignjatovic-Ristic

Solujic²,

Obradović

et al. 2017

Serbian Journal of Experimental and Clinical Research

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Research over the past twenty years has shown that the attitudes of health care workers and students towards people who are suff ering from schizophrenia have become more negative. Th e aim of our study was to investigate the attitudes of medical and pharmacy students towards patients with schizophrenia and explore the diff erences in attitudes between study groups and students in diff erent years. Materials and methods: Second-and

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Section: Discussionsupporting

confidence: 77%

Attitudes of Medical and Pharmacy Students Towards Patients Suffering from Schizophrenia

Ignjatovic-Ristic

Solujic²,

Obradović

et al. 2017

Serbian Journal of Experimental and Clinical Research

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“…A recent study conducted by Reddy et al [30] in India, to investigate the effect of increasing the duration of psychiatry posting by 15 days, the students showed more favorable attitude when they had more exposure to psychiatric posting. However, psychiatry rotationsinfluenceon medical studentsmight be limitedwhen it comes to choosing psychiatry as a future career as evident byShenet al study [31]. Table 4 shows the eleven statements having a significant difference based on gender.…”

Section: Positive Attitudementioning

confidence: 97%

Medical Students Attitude Toward Psychiatry in Umm Al-Qura University: A Cross-Sectional Study.

Sarhan¹,

Alkhiri²,

Maqadmi³

et al. 2017

IJAR

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Background: Several studies worldwide reported negative attitude toward psychiatry from medical students and interns. Despite the increasing demand for psychiatry and mental health services, psychiatrists' numbers are still low, and the field of psychiatry is still attracting a lower number of medical students. Objective: This study aims to measure the attitude of medical students and interns toward psychiatry in Umm Al-Qura University medical college, Makkah, Saudi Arabia. Method: A Cross-sectional study. A web-based Attitude Toward Psychiatry (ATP-30) questionnaire was distributed among randomly chosen interns and 6th-year medical students, who had completed their psychiatry course and rotation, and to fourth and 5th-year medical students, who did not have any previous exposure to psychiatry. Results: A total of 335 participants completed the survey, of which 168 were males, and 167 were females. Among them, only 53 are considering psychiatry as a career, while 193 did not, and 89 are not sure. The participants showed an overall positive attitude with the mean scoring of 98.09 ±12.22 on the ATP-30 questionnaire, with male participants showing more positive attitude (99.65±11.48) than female participants (96.44±12.79). The most neutral responses were about how facts in psychiatry are just vague speculations, how their undergraduate training in psychiatry was valuable, and that psychiatry cannot be taughteffectively because it is so amorphous. Negative attitude was observed in the areas concerning the choice of psychiatry as a future career and viewing psychiatric hospitals as little more than prisons. Positive attitude toward areas on the validity of psychotherapy, viewing psychiatry as a respected branch of medicine, attention toward mental illness, and the humanity of the mentally ill. Significant differences based on gender were observed in the areas measuring attitude toward psychiatric patients, psychiatric illness, psychiatry, and psychiatrists. The prior exposure to psychiatry teaching and practice did not seem to affect the attitude. Conclusions: Interns and students overall showed neutral to positive ATP. Proper evaluation and subsequent modification to the current

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“…In 95% of them, the intervention methodologies to reduce the stigma had positive results, with the only exceptions of Iran, 8 with two randomized clerkships with patient exposure, and Spain, 17 where no association was observed. Didactic teaching 18 and self-directed learning 19 showed an improvement in the knowledge of and attitudes towards depression, 20 education through exposure 12,21 had a strong anti-stigma effect; and when it was included in the curriculum, 22 it reduced the stigma of mental illness and increased confidence among students. 5,21…”

Section: R E S U L T Smentioning

confidence: 99%

Is There a Stigma towards Mental Illness among Medical Students? - A Systematic Review of the 1997-2018 Literature

Gervás¹,

Bueno²,

García-Ullán³

et al. 2020

jemds

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BACKGROUND The stigma associated with mental illness is a global public health problem 3 , having worse consequences than the disorders themselves 4. The objective of this study is to review the literature on the stigma towards mental illness in medical students and know about its presence. METHODS Following the PRISMA 9 methodology, a systematic review is carried out in PubMed, Web of Science (WOS) and Cochrane Library. We proceed to the reading of the abstracts of a total of 67 manuscripts, 38 of which are excluded because they do not comply with the parameters that are the object of the study. Additionally, 9 relevant articles of associated searches are reviewed. RESULTS A total of 38 manuscripts containing a participation of 18,808 medical students are evaluated. The publications come from 20 countries worldwide, without a representative predominance of any of them, led by Great Britain and Canada. 87% of the publications are concentrated in the last 8 years, showing the increase and continued presence of research. CONCLUSIONS The existence of stigma towards mental illness among the target population is corroborated in 97% of the literature. This is a heterogeneous field of study with few studies with large sample sizes. More research is needed to identify interventions which will produce a long-term change in behaviour to reduce stigma among medical students.

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What Can the Medical Education Do for Eliminating Stigma and Discrimination Associated with Mental Illness among Future Doctors? Effect of Clerkship Training on Chinese Students' Attitudes

Cited by 46 publications

References 20 publications

Attitudes of Medical and Pharmacy Students Towards Patients Suffering from Schizophrenia

Attitudes of Medical and Pharmacy Students Towards Patients Suffering from Schizophrenia

Medical Students Attitude Toward Psychiatry in Umm Al-Qura University: A Cross-Sectional Study.

Is There a Stigma towards Mental Illness among Medical Students? - A Systematic Review of the 1997-2018 Literature

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