Department of Family Medicine, Wroclaw Medical University, 51-141 Wroclaw, Poland.
Students' Scientific Group at the Faculty of Psychiatry, Wroclaw Medical University, 50-367 Wroclaw, Poland.
Int J Environ Res Public Health. 2021 Apr 21;18(9):4425. doi: 10.3390/ijerph18094425.
The aim of the study was the assessment of the level of stigmatisation of psychiatric patients and psychiatry as a field of study by students at medical schools in Poland and the comparison of students' attitudes over the years. The study was conducted based on a proprietary questionnaire assessing the stage of tertiary education, sociodemographic status, and MICA-2 psychometric tool that is used for assessing both the attitudes of students at medical schools towards psychiatry as a field of study and patients with mental health disorders. According to the MICA score, those who have higher scores have more negative attitudes towards psychiatry. The survey consisted of two rounds at an interval of 3 years. Results. The first-round survey, conducted in 2017, involved 480 students. The second-round survey, conducted in 2020, involved 573 students. In both cases, women constituted the vast majority of respondents. Women, as well as medical major students, achieved significantly lower scores than men < 0.001. The said relationship was also observed for individual experience with mental illness. There was no correlation between the MICA-2 total score and the psychiatry course completion- = 0.105. However, the levels of stigmatisation are still high. The implementation of educational methods to improve the perception of psychiatric patients by students at medical schools should be taken into consideration. An increase in direct student-patient contact, for example, by means of intensive elective classes, could be beneficial.
这项研究的目的是评估波兰医学生对精神病人和精神病学领域的污名化程度，并比较多年来学生的态度。该研究基于一个专有的问卷，评估了高等教育阶段、社会人口统计学状况和 MICA-2 心理测量工具，该工具用于评估医学生对精神病学领域的态度和心理健康障碍患者的态度。根据 MICA 评分，得分较高的人对精神病学的态度越消极。该调查包括两轮，间隔 3 年。结果。第一轮调查于 2017 年进行，涉及 480 名学生。第二轮调查于 2020 年进行，涉及 573 名学生。在这两轮调查中，女性都占了绝大多数受访者。女性和医学专业学生的得分明显低于男性（<0.001）。对于个体的精神疾病经历，也观察到了这种关系。MICA-2 总分与精神病学课程完成度之间没有相关性（=0.105）。然而，污名化程度仍然很高。应考虑采取教育方法来改善医学生对精神病人的认知。增加学生与患者的直接接触，例如通过强化选修课程，可能会有所帮助。
