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评估住院医师对精神疾病的污名化情况。

Evaluating Stigmatization Toward Mental Illnesses Among Resident Physicians.

作者信息

Hemingway Jamon, Kunz Justin, Draney David, Martin David E, Sukpraprut-Braaten Suporn

机构信息

Psychiatry, Unity Health, Searcy, USA.

Medicine, Unity Health, Searcy, USA.

出版信息

Cureus. 2024 Jun 4;16(6):e61648. doi: 10.7759/cureus.61648. eCollection 2024 Jun.

Abstract

Background  Individuals with mental illness are stigmatized by peers in societal, workplace, and healthcare settings. The stigmatization individuals experience from healthcare providers is well documented and pervasive, often being a detriment to the quality of healthcare these individuals receive. Objective Recognizing and addressing stigmatization toward individuals with mental illnesses is imperative during residency training in Graduate Medical Education (GME) programs and throughout professional practice. We hope that this cross-sectional study will cultivate mindfulness and improve the healthcare outcomes of stigmatized individuals. Methodology A cross-sectional study using a web-based Attitude to Mental Illness Questionnaire (AMIQ) with additional scenarios was utilized to assess stigma among resident physicians in differing specialties in a hospital training system. The research investigators collected anonymous data on demographics, characteristics, specialties, and the AMIQ. In eight vignettes, participants responded to five items using a five-point Likert scale assessing attitudes toward individuals. Results Of the 104 resident physicians enrolled in the hospital training system where the study was conducted, 58 (56%) volunteered to participate. The participating residents markedly exhibited negative attitudes toward the individual in the vignette with multiple inpatient psychiatric admissions. Residents also exhibited more negative attitudes toward individuals with schizophrenia, self-harm by way of overdose, psychedelic users, cannabis users, and alcohol problems compared to diabetic and Christian individuals. Conclusions Residents exhibited negative attitudes toward individuals with mental illness. Additional research would further our understanding of the reasons for physician bias. Moreover, GME programs and medical educators can play a crucial role in mitigating stigma among future physicians, thereby enhancing care for individuals with mental illness.

摘要

背景

患有精神疾病的个体在社会、工作场所和医疗环境中受到同伴的污名化。医疗服务提供者对个体的污名化有充分的记录且普遍存在,这往往不利于这些个体所接受的医疗服务质量。目的:在毕业后医学教育(GME)项目的住院医师培训期间以及整个专业实践过程中,认识并解决对患有精神疾病个体的污名化问题至关重要。我们希望这项横断面研究能够培养正念并改善受到污名化个体的医疗结局。方法:采用一项横断面研究,使用基于网络的《对精神疾病的态度问卷》(AMIQ)并附加情景,以评估医院培训系统中不同专业的住院医师的污名化情况。研究调查人员收集了关于人口统计学、特征、专业以及AMIQ的匿名数据。在八个 vignettes 中,参与者使用五点李克特量表对五个项目做出回应,以评估对个体的态度。结果:在进行该研究的医院培训系统中登记的104名住院医师中,有58名(56%)自愿参与。参与研究的住院医师对 vignette 中多次住院治疗精神疾病的个体明显表现出消极态度。与糖尿病患者和基督教徒相比,住院医师对患有精神分裂症的个体、过量服药导致的自我伤害、迷幻药使用者、大麻使用者以及有酒精问题的个体也表现出更消极的态度。结论:住院医师对患有精神疾病的个体表现出消极态度。进一步的研究将加深我们对医生偏见原因的理解。此外,GME项目和医学教育工作者在减轻未来医生中的污名化方面可以发挥关键作用,从而加强对患有精神疾病个体的护理。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3a97/11223569/e9ac27a12b2c/cureus-0016-00000061648-i01.jpg

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