Department of Medicine of Community, Information and Health Decision Sciences (MEDCIDS), Faculty of Medicine, University of Porto, Porto, Portugal.
Center for Health Technology and Services Research (CINTESIS), Faculty of Medicine, University of Porto, Alameda Hernani Monteiro, 4200-319, Porto, Portugal.
BMC Med Educ. 2021 May 10;21(1):265. doi: 10.1186/s12909-021-02714-8.
The stigma about mental diseases is common in the population and also in medical students, where it may condition their future practice and the way they deal with these patients.
To evaluate and characterize the stigma on mental diseases in Portuguese sixth-year medical students, based on a clinical scenario of a classmate suffering from a mental disorder.
Observational cross-sectional study, involving sixth-year students of all Portuguese medical schools. We applied an online self-response questionnaire, using the Portuguese version of the Attribution Questionnaire AQ-9, and a vignette of a classmate colleague, presenting mental illness symptoms. Stigma scores were calculated. We used logistic regression to estimate the effect of social determinants on stigma pattern, and we analysed the correlation between 9 variables evaluated by the AQ-9 and total stigma.
A total of 501 participants were included for analysis (69.5% females, median age of 24 years old). Medical students were available to help in the proposed clinical scenario (6.93/9.00; 95%CI:6.77-7.10), if necessary using coercion for treatment (3.85; 95%CI:3.63-4.07), because they felt pity (6.86; 95%CI:6.67-7.06) and they perceived some kind of dangerousness (4.06; 95%CI:3.84-4.28). Stigma was lower in students having a personal history of mental illness (OR:0.498; 95%CI:0.324-0.767; p = 0.002) and in those with positive familial history (OR: 0.691; 95%CI:0.485-0.986; p = 0.041).
Our results show the importance of implementing anti-stigma education, to improve medical students' attitudes towards peers living with mental diseases.
精神疾病的污名在人群中很常见，在医学生中也是如此，这可能会影响他们未来的实践和与这些患者打交道的方式。
基于一名患有精神障碍的同学的临床情况，评估和描述葡萄牙六年级医学生对精神疾病的污名。
这是一项观察性的横断面研究，涉及所有葡萄牙医学院的六年级学生。我们使用葡萄牙版归因问卷 AQ-9 以及一名同学同事出现精神疾病症状的病例进行在线自我反应问卷调查。计算污名分数。我们使用逻辑回归来估计社会决定因素对污名模式的影响，并分析 AQ-9 评估的 9 个变量与总污名之间的相关性。
共纳入 501 名参与者进行分析（69.5%为女性，中位年龄 24 岁）。如果有必要，医学生会在提出的临床情景中提供帮助（6.93/9.00；95%CI：6.77-7.10），可能会使用强制治疗（3.85；95%CI：3.63-4.07），因为他们感到同情（6.86；95%CI：6.67-7.06）并认为有某种危险（4.06；95%CI：3.84-4.28）。有精神疾病个人病史的学生（OR：0.498；95%CI：0.324-0.767；p=0.002）和有阳性家族史的学生（OR：0.691；95%CI：0.485-0.986；p=0.041）的污名程度较低。
我们的研究结果表明，实施反污名教育的重要性，以改善医学生对患有精神疾病的同伴的态度。
