Department of Psychiatry, Faridpur Medical College, Faridpur, Bangladesh
Department of Community Mental Health, Faculty of Social Welfare and Health Sciences, University of Haifa, Haifa, Israel.
Int J Soc Psychiatry. 2015 Mar;61(2):137-47. doi: 10.1177/0020764014537237. Epub 2014 Jun 9.
The shortage of specialized human resources in mental health in Bangladesh requires active recruitment of psychiatric residents. In addition, the involvement of positively inclined health personnel, for example, medical doctors, emerges as an immediate priority.
To explore stigma among medical students toward persons with mental disorders (PMDs) and their attitudes toward psychiatry.
A cross-sectional study was conducted at Faridpur Medical College in Bangladesh before (First year) and following psychiatric rotation (Fifth year). Students (N = 200) filled anonymous questionnaires measuring stigma toward PMDs and attitudes to psychiatry.
Upper medical school year (p = .028), older age (p = .005), mother's lower academic level (p = .043), upper and lower socioeconomic level affiliation (p = .008) and self-consultation for mental or neurological complaints (p = .032) were associated with increased stigma toward PMDs. More favorable attitudes toward psychiatry were found in upper medical school year (p = .073) and were significantly associated with female gender (p = .018) and middle socioeconomic level affiliation (p = .013).
The relative improvement in attitudes toward psychiatry in the upper medical school year is overshadowed by the increased stigma toward PMDs. Specific anti-stigma program in the curriculum and strategies to improve the attitudes are required.
孟加拉国心理健康领域专业人力资源短缺，需要积极招募精神科住院医师。此外，积极的卫生人员（例如医生）的参与也成为当务之急。
探讨医学生对精神障碍患者（PMD）的污名化态度以及他们对精神病学的态度。
在孟加拉国的法里德布尔医学院进行了一项横断面研究，分别在医学生第一学年（基础年）和第五学年（精神科轮转年）进行。学生（N=200）填写了匿名问卷，测量对 PMD 的污名化态度和对精神病学的态度。
更高的医学年级（p=0.028）、年龄较大（p=0.005）、母亲较低的学术水平（p=0.043）、较高和较低的社会经济水平（p=0.008）以及精神或神经科疾病的自我咨询（p=0.032）与对 PMD 的污名化态度增加有关。对精神病学的态度更为有利，与更高的医学年级（p=0.073）相关，且与女性性别（p=0.018）和中等社会经济水平相关（p=0.013）。
在更高的医学年级，对精神病学的态度相对改善，但对 PMD 的污名化态度却增加了。课程中需要有专门的反污名化计划，并采取措施改善态度。
