Akanni Oluyemi O, Eboreime-Oikeh Imesidayo O, Oyeyemi Oderinde K, Olashore Anthony A
Clinical Services, Federal Neuropsychiatric Hospital, Benin City, Edo State, Nigeria.
Department of Medicine, College of Health Sciences, Igbinedion University, Okada, Nigeria.
J Med Educ Curric Dev. 2024 Aug 19;11:23821205241275420. doi: 10.1177/23821205241275420. eCollection 2024 Jan-Dec.
Negative attitudes towards mental illness are known to exist among medical students in Nigeria. However, the effect of undergoing a rotation in psychiatry on their attitudes is uncertain.
It aimed to determine the effect of psychiatry posting during medical training on medical students' attitudes toward mental illness and examine the association of posting-related and demographic factors with their attitudes.
It is a prospective cohort study in which 187 medical students from three different universities were followed up during their psychiatry postings in two different posting sites. Questionnaires containing basic demography, posting-related variables, and the Community Attitude to Mental Illness (CAMI) scale were administered to all available students before and after the rotation in psychiatry. A paired t-test was applied to test the differences in the CAMI scores before and after posting, while ANOVA and hierarchical regression were utilized to determine the association of variables with the CAMI scores.
There were significant differences between the pre-and post-rotation CAMI scores in CAMI's social restrictiveness (SR) and community mental health ideology (CMHI) domains, indicating improved attitudes. Demographic factors had no significant influence on the students' attitudes, but the length of posting, university of the students, and posting sites had varying impacts.
Psychiatry rotation has a positive impact on students' attitudes toward mental illness in both posting sites, particularly in the domains of SR and CMHI. This underscores the importance of psychiatry training in medical education in changing the attitudes of future healthcare professionals.
众所周知，尼日利亚的医学生对精神疾病存在消极态度。然而，参与精神病学轮转对他们态度的影响尚不确定。
旨在确定医学培训期间的精神病学实习对医学生对精神疾病态度的影响，并考察与实习相关及人口统计学因素与他们态度之间的关联。
这是一项前瞻性队列研究，对来自三所不同大学的187名医学生在两个不同实习地点进行精神病学实习期间进行随访。在精神病学轮转前后，对所有可参与的学生发放包含基本人口统计学、与实习相关变量以及社区对精神疾病态度（CAMI）量表的问卷。采用配对t检验来检验实习前后CAMI分数的差异，同时运用方差分析和分层回归来确定各变量与CAMI分数之间的关联。
在CAMI的社会限制（SR）和社区心理健康观念（CMHI）领域，轮转前后的CAMI分数存在显著差异，表明态度有所改善。人口统计学因素对学生的态度没有显著影响，但实习时长、学生所在大学以及实习地点有不同程度的影响。
在两个实习地点，精神病学轮转对学生对精神疾病的态度都有积极影响，尤其是在SR和CMHI领域。这凸显了精神病学培训在医学教育中对于改变未来医疗专业人员态度的重要性。
