Virginia Commonwealth University Health System, 401 North 12th Street, Richmond, VA 23298, United States.
University of North Carolina Eshelman School of Pharmacy, 301 Pharmacy Lane, Chapel Hill, NC 27599, United States.
Curr Pharm Teach Learn. 2021 Dec;13(12):1634-1645. doi: 10.1016/j.cptl.2021.09.041. Epub 2021 Oct 7.
Pharmacy students are significantly less likely than medical students to seek on-campus mental health services, though barriers are not well known. This study's objective is to expand on perceived barriers to seeking care for mental health concerns among doctor of pharmacy students in the United States.
An institutional review board-exempt, online survey was disseminated to eight pharmacy programs' students assessing mental health barriers to care, resource interest, attitudes towards treatment, and stigma. Quantitative data were analyzed aggregately and by gender, program type, employment status, and education year. Free-text response analysis used thematic coding.
Common barriers to care included lack of time (20.2%), financial support or resources (13.2%), and preferring to solve the issue independently (13.2%). About half agreed their programs had sufficient resources to support mental health (58.4%). Suggested resources included on-site counselors (14.5%), pet therapy (13.4%), and wellness activities (12.3%). Students reported high rates of perceived internal stigma, yet low rates of stigma towards others. No significant differences were found among employment status or program type, but first-year students had more positive attitudes towards mental health treatment. Females were significantly more likely to agree mental health treatment was effective and less likely to view someone differently who received treatment.
Common barriers to care included lack of time, finances or resources, and concerns of being viewed differently. Additionally, substantial stigma exists, particularly public perception and concern for negative impact on future opportunities. Programs should take initiative to understand students' needs and interest in support services.
与医学生相比，药学专业的学生寻求校内心理健康服务的可能性要小得多，尽管人们对障碍并不了解。本研究的目的是扩大美国药学专业学生对寻求精神健康问题治疗的障碍的认识。
一项机构审查委员会豁免的在线调查分发给八所药学专业的学生，评估他们在寻求精神健康护理方面的障碍、对资源的兴趣、对治疗的态度和耻辱感。对定量数据进行综合分析，并按性别、专业类型、就业状况和教育年限进行分析。自由文本响应分析采用主题编码。
常见的护理障碍包括缺乏时间（20.2%）、资金支持或资源（13.2%）以及更愿意独立解决问题（13.2%）。约一半的人同意他们的项目有足够的资源来支持心理健康（58.4%）。建议的资源包括现场顾问（14.5%）、宠物治疗（13.4%）和健康活动（12.3%）。学生报告了较高的内在耻辱感，但对他人的耻辱感较低。就业状况或专业类型之间没有显著差异，但一年级学生对心理健康治疗的态度更为积极。女性更有可能认为心理健康治疗是有效的，不太可能因为接受治疗而对他人有不同的看法。
常见的护理障碍包括缺乏时间、资金或资源，以及担心被区别对待。此外，还存在大量的耻辱感，特别是公众的看法和对未来机会产生负面影响的担忧。项目应主动了解学生对支持服务的需求和兴趣。
