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日本医学生和卫生专业人员对精神分裂症态度的比较及其影响因素分析: 一项横断面研究。

Comparison of attitudes toward schizophrenia among medical students and health professionals in Japan and their associated factorsamong medical students: a cross-sectional study.

机构信息

Department of Epidemiology, Fukushima Medical University School of Medicine.

Department of Neuropsychiatry, Fukushima Medical University School of Medicine.

出版信息

Fukushima J Med Sci. 2024 Oct 18;70(4):219-228. doi: 10.5387/fms.23-00012. Epub 2024 Oct 4.

Abstract

Changing perceptions of schizophrenia is crucial for both medical professionals and students. This study examined negative attitudes toward schizophrenia among medical students, psychiatrists, psychiatric staff, physicians, and non-medical workers. We created an 18-item survey using a web-based tool to assess attitudes toward schizophrenia, focusing on three factors:stigma, underestimation of patients' abilities, and skepticism about treatment. To compare scores among the five participants' groups, we used analysis of covariance, adjusting for age and sex. The study included 237 medical students, 10 psychiatrists, 16 psychiatric staff, 26 physicians, and 98 non-medical workers. After adjusting for age and sex, the overall discrimination score for psychiatrists was significantly lower than those of medical students, physicians, and non-medical workers. Among medical students, a comparison of each score by grade revealed that underestimation of patients' abilities scores was significantly higher in the fourth year than in the third year. Furthermore, those aspiring to become psychiatrists had significantly lower adjusted mean and stigma scores than students with different career goals (p<0.05). In conclusion, medical students, as well as physicians and non-medical workers, displayed higher levels of stigma towards schizophrenia than psychiatrists. It is essential to explore modifying factors to improve medical students' attitudes towards schizophrenia.

摘要

改变对精神分裂症的看法对于医学专业人员和学生来说至关重要。本研究调查了医学生、精神科医生、精神科医务人员、内科医生和非医务人员对精神分裂症的负面态度。我们使用基于网络的工具创建了一个包含 18 个项目的调查,用于评估对精神分裂症的态度,重点关注三个因素:耻辱感、低估患者能力和对治疗的怀疑。为了比较五个参与者群体的分数,我们使用协方差分析,根据年龄和性别进行调整。该研究包括 237 名医学生、10 名精神科医生、16 名精神科医务人员、26 名内科医生和 98 名非医务人员。在调整年龄和性别后,精神科医生的总体歧视评分明显低于医学生、内科医生和非医务人员。在医学生中,通过年级比较每个分数发现,低估患者能力的分数在第四年明显高于第三年。此外,那些希望成为精神科医生的学生的调整后平均和耻辱感评分明显低于有不同职业目标的学生(p<0.05)。总之,医学生以及内科医生和非医务人员对精神分裂症的耻辱感程度高于精神科医生。探索改变因素以改善医学生对精神分裂症的态度至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0b59/11625854/7b835eb085fe/2185-4610-70-219-g001.jpg

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