Munir Kerim, Oner Ozgur, Kerala Coskun, Rustamov Ikram, Boztas Hamit, Juszkiewicz Konrad, Wloszczak-Szubzda Anna, Kalmatayeva Zhanna, Iskandarova Aygun, Zeynalli Sevda, Cibrev Dragan, Kosherbayeva Lyazzat, Miriyeva Nermin, Jarosz Mirosław Jerzy, Kurakbayev Kural, Soroka Ewelina, Mancevska Sanja, Novruzova Nermin, Emin Melda, Olajossy Marcin, Bajraktarov Stojan, Raleva Marija, Roy Ashok, Waqar Azeem Muhammad, Bertelli Marco, Salvador-Carulla Luis, Javed Afzal
Boston Children's Hospital, Harvard Medical School, Boston, Massachusetts, USA; World Psychiatric Association, Geneva, Switzerland.
World Psychiatric Association, Geneva, Switzerland; Bahcesehir University School of Medicine, Istanbul, Turkey.
Psychiatry Res. 2022 Mar;309:114409. doi: 10.1016/j.psychres.2022.114409. Epub 2022 Jan 24.
The study investigated behavioral measures of social distance (i.e., desired proximity between self and others in social contexts) as an index of stigma against those with mental illness among medical students in the Republic of North Macedonia, Turkey, Azerbaijan, Kazakhstan, and Poland, using the Reported and Intended Behavior Scale (RIBS), a standardized, self-administered behavioral measure based on the Star Social Distance Scale. The students' responses to standardized clinical vignettes on schizophrenia, and depression with suicidal ideation, were also assessed. A total of 257 North Macedonian (females, 31.5%; 1-4 grades, 189; 5-6 grades, 68); 268 Turkish (females, 43.3%; 1-4 grades, 90; 5-6 grades, 178); 450 Kazakh (females, 28.4%, 71.6%; 1-4 grades, 312; 5-6 grades, 138); 512 Azerbaijani (females, 24%; 1-4 grades, 468; 5-6 grades, 44; females, 24%), and 317 Polish (females, 59.0%; 1-4 grades, 208; 5-6 grades, 109) students were surveyed. The responses on the RIBS social distance behavior measures did not improve with advancing medical school grade, but students across all sites viewed schizophrenia and depression as real medical illnesses. The results support the development of enhanced range of integrated training opportunities for medical student to socially interact with persons with mental illness sharing their experiences with them.
该研究使用报告与预期行为量表（RIBS），一项基于星级社会距离量表的标准化自填式行为测量工具，调查了北马其顿共和国、土耳其、阿塞拜疆、哈萨克斯坦和波兰的医学生中作为对患有精神疾病者污名化指标的社会距离行为测量（即社交情境中自我与他人之间期望的亲近程度）。还评估了学生对关于精神分裂症以及伴有自杀意念的抑郁症的标准化临床病例的反应。总共对257名北马其顿学生（女性占31.5%；1 - 4年级189名；5 - 6年级68名）、268名土耳其学生（女性占43.3%；1 - 4年级90名；5 - 6年级178名）、450名哈萨克学生（女性占28.4%，71.6%；1 - 4年级312名；5 - 6年级138名）、512名阿塞拜疆学生（女性占24%；1 - 4年级468名；5 - 6年级44名，女性占24%）以及317名波兰学生（女性占59.0%；1 - 4年级208名；5 - 6年级109名）进行了调查。RIBS社会距离行为测量的反应并未随着医学院年级的升高而改善，但所有地区的学生都将精神分裂症和抑郁症视为真正的医学疾病。研究结果支持为医学生开发更多样化的综合培训机会，以便他们与患有精神疾病的人进行社交互动并分享彼此的经历。
