South London and Maudsley NHS Foundation Trust, Maudsley Hospital, Denmark Hill, London, Greater London, SE58AZ, UK,
Psychiatr Danub. 2020 Sep;32(Suppl 1):130-134.
Mental health problems are over-represented in doctors and medical students. However, stigma and 'a culture of shame' are formidable barriers to mental health services and consequently many doctors and medical students with mental health difficulties continue to suffer in silence despite the availability of effective treatment. Indeed, a recent study on over 2100 female physicians who met the diagnostic criteria for a mental disorder revealed that 50% were reluctant to seek professional help due to fear of exposure to stigma. Left untreated or undertreated, mental health problems in doctors can result in impairment of occupational functioning, compromise patient safety and place considerable strain on the economy (by increasing the amount of sick leave taken). Moreover, the consequences of mental health stigma in the medical profession can be fatal. Dr Daksha Emson, a psychiatrist with bipolar affective disorder, tragically killed herself and her baby daughter during a psychotic episode. An independent inquiry into Dr Emson's death concluded that she was the victim of stigma in the National Health Service. The mental health of medical students and doctors, in all of its aspects, must therefore be addressed with the urgency that it demands. Stephanie Knaak and colleagues conducted a data synthesis of evaluative studies on anti-stigma programmes for healthcare providers and identified six key ingredients one of which was a personal testimony from a trained speaker who has lived experience of mental illness. In this paper we outline a study protocol with the aim of answering the following research question, 'Does attending an anti-stigma programme comprised of a medic with first-hand experience of a mental health condition cause immediate and sustained reductions in mental health stigma from medical students and doctors towards their peers with mental health difficulties?'
心理健康问题在医生和医学生中更为常见。然而，耻辱感和“羞耻文化”是获得心理健康服务的巨大障碍，因此，许多有心理健康问题的医生和医学生仍然默默地忍受着痛苦，尽管有有效的治疗方法。事实上，最近一项针对 2100 多名符合精神障碍诊断标准的女医生的研究表明，由于担心受到耻辱感的影响，50%的人不愿意寻求专业帮助。如果不治疗或治疗不足，医生的心理健康问题可能会导致职业功能受损，危及患者安全，并给经济带来相当大的压力（增加病假天数）。此外，医疗行业的心理健康耻辱感的后果可能是致命的。患有双相情感障碍的精神病医生 Daksha Emson 博士在一次精神病发作中自杀并杀害了她的婴儿女儿。对 Emson 博士死因的独立调查得出结论，她是国民保健制度中耻辱感的受害者。因此，必须紧急关注医学生和医生的心理健康问题，包括所有方面。Stephanie Knaak 和同事对针对医疗保健提供者的反耻辱计划进行了评估研究的综合分析，确定了六个关键要素，其中之一是来自一位受过培训的演讲者的个人证词，他有精神疾病的生活经历。在本文中，我们概述了一项研究方案，旨在回答以下研究问题，“参加由具有心理健康状况第一手经验的医生组成的反耻辱计划是否会立即和持续减少医学生和医生对有心理健康困难的同行的心理健康耻辱感？”
