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印度尼西亚医学生对精神病学的态度。

Medical students' attitudes toward psychiatry in Indonesia.

机构信息

Faculty of Medicine Universitas Indonesia, Department of Psychiatry, Jakarta, Indonesia.

Cipto Mangunkusumo National General Hospital, Jakarta, Indonesia.

出版信息

PLoS One. 2022 Mar 24;17(3):e0265605. doi: 10.1371/journal.pone.0265605. eCollection 2022.

DOI:10.1371/journal.pone.0265605
PMID:35324955
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8947139/
Abstract

Nearly two-thirds of psychiatric patients are reluctant to seek help from healthcare professionals due to stigma, discrimination, and negligence that evolve around the community, including healthcare providers. Future health professionals should have a positive attitude toward psychiatry and patients with mental health problems. Thus, it is vital to identify medical students' attitudes toward psychiatry as future healthcare providers. The authors conducted a cross-sectional study by using online questionnaires of "Perceptions of Psychiatry" in Faculty of Medicine Universitas Indonesia, with first- and fourth-year students (before psychiatric rotation), as well as fifth-year students and alumni (after psychiatric rotation). Out of 250 questionnaires distributed, 224 subjects responded, with a response rate 89.6%. Chi-square or fisher analysis was conducted to know the correlation between gender and attitudes towards psychiatry. The frequency distribution method was applied to identify the degree of stigmatization from respondents. A mix of positive and negative perceptions towards psychiatry was identified. The overall response was favorable to both before and after psychiatric rotation groups. Differences in perceptions between male and female psychiatry students as a discipline and career were statistically significant. Correcting misapprehension and removing the stigma on psychiatry during medical education might decrease the stigma in the psychiatric field and patients.

摘要

由于围绕社区(包括医疗保健提供者)产生的污名化、歧视和忽视,近三分之二的精神科患者不愿意向医疗保健专业人员寻求帮助。未来的医疗保健专业人员应该对精神病学和有心理健康问题的患者持积极态度。因此,确定未来医疗保健提供者医学生对精神病学的态度至关重要。作者在印度尼西亚大学医学院进行了一项横断面研究,使用在线问卷“对精神病学的看法”,包括一年级和四年级(在精神科轮转之前)以及五年级学生和校友(在精神科轮转之后)。在分发的 250 份问卷中,有 224 名受试者做出了回应,回应率为 89.6%。使用卡方或 fisher 分析来了解性别与对精神病学的态度之间的相关性。应用频率分布方法来确定受访者的污名化程度。确定了对精神病学的混合积极和消极看法。精神病学轮转前后两组的总体反应都很好。男女生对精神病学作为一门学科和职业的看法存在统计学差异。在医学教育中纠正对精神病学的误解和消除污名将有助于减少精神病领域和患者的污名化。

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Psychol Res Behav Manag. 2020 Oct 27;13:845-854. doi: 10.2147/PRBM.S274337. eCollection 2020.
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Gender differences in specialty preference among medical Students at Aleppo University: a cross-sectional study.阿勒颇大学医学生专业偏好中的性别差异:一项横断面研究。
BMC Med Educ. 2020 Jun 5;20(1):184. doi: 10.1186/s12909-020-02081-w.
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Psychiatry as a specialization: influential factors and gender differences among medical students in a low- to middle-income country.精神医学作为一个专业:在中低收入国家的医学生中具有影响力的因素和性别差异。
Ir J Psychol Med. 2020 Jun;37(2):111-117. doi: 10.1017/ipm.2019.38. Epub 2019 Sep 4.
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Impact of clinical posting in psychiatry on the attitudes towards psychiatry and mental illness in undergraduate medical students.精神病学临床实习对本科医学生精神病学态度及精神疾病认知的影响
Gen Psychiatr. 2019 Jul 16;32(3):e100072. doi: 10.1136/gpsych-2019-100072. eCollection 2019.
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Internalized stigma, disclosure and self-esteem among psychiatric patients in a general hospital outpatient clinic.综合医院门诊精神科患者的内化耻辱感、信息披露与自尊
Australas Psychiatry. 2019 Dec;27(6):584-588. doi: 10.1177/1039856219859293. Epub 2019 Jun 27.
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Stigma toward people with mental health problems in Indonesia.印度尼西亚对有心理健康问题者的污名化现象。
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