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医学生与抑郁症污名化。第一部分:患者的污名化

Medical students and stigma of depression. Part I. Stigmatization of patients.

作者信息

Suwalska Julia, Suwalska Aleksandra, Neumann-Podczaska Agnieszka, Łojko Dorota

机构信息

Studenckie Koło Neuropsychiatryczne Neuroscience, Katedra Psychiatrii UM w Poznaniu.

Pracownia Neuropsychobiologii, Katedra Psychiatrii UM w Poznaniu.

出版信息

Psychiatr Pol. 2016 Jun 18;51(3):495-502. doi: 10.12740/PP/OnlineFirst/63515. Epub 2016 Jul 30.

DOI:10.12740/PP/OnlineFirst/63515
PMID:28866719
Abstract

The stigmatization of the mentally ill is called the first barrier hampering their treatment and recovery: it leads to the rejection of such individuals, their discrimination and exclusion from participation in various areas of social life. It becomes particularly significant if the patients encounter this attitude among doctors, nurses and others healthcare professionals. The literature describes stigmatizing attitudes towards the mentally ill and it transpires that stigmatization and a negative approach can be found even among medical students, despite the fact that in the course of their studies they receive information on psychiatric disorders and their treatment. The attitude stigmatizing mental illnesses as presented by medical students may be related to their subsequent similar views as physicians, thus adversely affecting the quality of care offered to patients and cause self-stigmatization and its consequences. The paper presents a review of the literature on the stigmatization of patients suffering from depression by medical students and a review of the interventions proposed to-date, as well as a discussion of their effectiveness.

摘要

对精神疾病患者的污名化被称为阻碍其治疗和康复的首要障碍

它导致对这些个体的排斥、歧视以及将他们排除在参与社会生活的各个领域之外。如果患者在医生、护士和其他医疗专业人员中遭遇这种态度,情况就会变得尤为严重。文献描述了对精神疾病患者的污名化态度,结果发现即使在医学生中也存在污名化和消极态度,尽管他们在学习过程中会获取有关精神疾病及其治疗的信息。医学生所表现出的将精神疾病污名化的态度可能与他们日后作为医生时类似的观点有关,从而对患者所接受的护理质量产生不利影响,并导致自我污名化及其后果。本文对关于医学生对抑郁症患者污名化的文献进行了综述,回顾了迄今为止提出的干预措施,并讨论了其有效性。

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