1 Department of Social Psychiatry, National Institute of Mental Health, Klecany, Czech Republic.
2 Faculty of Science, Charles University, Prague, Czech Republic.
Int J Soc Psychiatry. 2017 Dec;63(8):744-751. doi: 10.1177/0020764017735347. Epub 2017 Oct 16.
Medical school curriculum contributes to future doctors' attitude formation towards people with mental illness.
The purpose of this study was to compare stigmatizing attitudes between medical students and faculty, analyse stigmatizing attitudes among students from different years of study and identify factors predicting stigma.
A cross-sectional study with the use of scales measuring attitudes and social distance was designed. Online questionnaires were distributed to all students and teachers at a medical faculty in the Czech Republic.
The response rate was 32.1% ( n = 308) among students and 26.7% ( n = 149) among teachers. Teachers had a greater prevalence of stigmatizing attitudes than students. Increased tolerant attitudes in students were detected after the fourth year, that is, following introduction to psychiatry. Preferred specialization in psychiatry and attending two psychiatry courses predicted more tolerant attitudes. Among both students and teachers, men possessed more stigmatizing attitudes towards people with mental illness. Age was an important predictor of stigmatizing attitudes among teachers.
Educators should pay closer attention to the role of medical psychology and communication training implementation, which may be beneficial to improving skills and increasing medical students' self-esteem and feeling of competence throughout their psychiatry rotation.
医学院课程有助于未来医生对精神病患者形成态度。
本研究旨在比较医学生和教师之间的污名化态度,分析不同学习年限学生的污名化态度,并确定预测污名化的因素。
采用横断面研究设计,使用测量态度和社会距离的量表。向捷克共和国一所医学院的所有学生和教师发放在线问卷。
学生的应答率为 32.1%(n=308),教师的应答率为 26.7%(n=149)。教师的污名化态度比学生更为普遍。在接触精神病学后的第四年,即精神病学课程引入后,学生的态度变得更加宽容。选择精神病学专业和参加两门精神病学课程预测更宽容的态度。在学生和教师中,男性对精神病患者的污名化态度更为严重。年龄是教师污名化态度的重要预测因素。
教育者应更加关注医学心理学和沟通培训实施的作用,这可能有助于提高技能,并在整个精神病学轮转过程中增加医学生的自尊心和能力感。