Harris Suzanne C, Yates Derek, Patel Michael, Patel Khushboo
Clinical Assistant Professor, Division of Practice Advancement and Clinical Education, UNC Eshelman School of Pharmacy, Chapel Hill, North Carolina; Clinical Pharmacist Practitioner, UNC Medical Center, Chapel Hill, North Carolina,
PGY-1 Ambulatory Care Resident, William S. Middleton Memorial Veterans Hospital, Madison, Wisconsin; Clinical Instructor, University of Wisconsin School of Pharmacy, Madison, Wisconsin.
Ment Health Clin. 2018 Mar 23;7(5):187-193. doi: 10.9740/mhc.2017.09.187. eCollection 2017 Sep.
While often unintentional, stigma associated with mental health remains prevalent among health care professionals and is implicated in treatment disparities between patients with and without mental disorders. Pharmacists and pharmacy students have also been previously described as prone to discomfort interacting with this population. The purpose of this study was to evaluate stigma, student involvement in mental health activities, and student interest in psychiatric pharmacy.
An anonymous, voluntary online survey was open to all student chapters in a mental health-focused professional organization. Sixty-five students from 19 chapters participated in the survey after consent was obtained. Stigma and social distance survey items were adapted from previously validated instruments. Descriptive statistics were used and correlations were investigated using Spearman rank correlation.
Results indicated that students had overall low stigma but more negative views related to disclosure of one's own illness or to more personal interactions. Level of involvement was unrelated to level of stigma, and perceived impact by nonleadership activities was associated with lower stigma ( = .016). Shadowing pharmacists and community service were frequently reported as most influential on student perceptions of mental health (23% and 26%, respectively).
Students involved in a mental health-focused organization had overall positive perceptions toward mental illness. Student engagement in specific opportunities at any level may be more influential than total number of activities participated in. Students have a strong interest in pursuing extracurricular activities in mental health and perceive interactions with patient contact as the most influential on their attitudes.
虽然心理健康相关的污名通常是无意的，但在医疗保健专业人员中仍然普遍存在，并且与患有和未患有精神障碍的患者之间的治疗差异有关。药剂师和药学专业学生此前也被描述为在与这一人群互动时容易感到不适。本研究的目的是评估污名、学生参与心理健康活动的情况以及学生对精神科药学的兴趣。
一项匿名的自愿在线调查向一个专注于心理健康的专业组织的所有学生分会开放。在获得同意后，来自19个分会的65名学生参与了调查。污名和社会距离调查项目改编自先前经过验证的工具。使用描述性统计方法，并使用斯皮尔曼等级相关分析相关性。
结果表明，学生总体上污名程度较低，但对披露自己的病情或更私人的互动有更负面的看法。参与程度与污名程度无关，非领导活动的感知影响与较低的污名相关（=0.016）。跟随药剂师实习和社区服务经常被报告为对学生心理健康认知影响最大的因素（分别为23%和26%）。
参与专注于心理健康的组织的学生对精神疾病总体上有积极的看法。学生在任何层面参与特定机会可能比参与活动的总数更有影响力。学生对开展心理健康课外活动有浓厚兴趣，并认为与患者接触的互动对他们的态度影响最大。
