Masedo Gutiérrez Ana Isabel, Martinez Geraldine Cedeño
Department of Personality, Evaluation and Psychological Treatment, University of Malaga, 29071 Malaga, Spain.
Master Program of General Health Psychology, University of Malaga, 29071 Malaga, Spain.
Int J Environ Res Public Health. 2025 Feb 24;22(3):333. doi: 10.3390/ijerph22030333.
Individuals diagnosed with Severe Mental Illness (SMI) often perceive negative attitudes from health professionals, acting as a barrier to effective treatment. The present study explores healthcare students' attitudes toward SMI to identify potential areas of stigma.
A descriptive analytical qualitative approach was employed. Twenty-seven students from six different healthcare programs at the University of Malaga participated in semi-structured interviews, which were subsequently analyzed using thematic content analysis with the assistance of NVivo 12 software.
Three main themes emerged from the data: ideals, experiences with SMI, and views on hospitalization and coercive measures. Students acknowledge the importance of empathy but often feel unprepared due to limited knowledge, leading to avoidance and negative interactions. Although stigmatizing beliefs regarding dangerousness and inabilities persist, students generally reject segregation and advocate for equal rights. Positive contact experiences with mental illness can modify negative attitudes and enhance empathy, particularly among individuals with their own personal experiences. Participants generally oppose coercive measures, except for safety concerns and lack of illness awareness, advocating for alternatives to preserve autonomy.
The study highlights that insecurity and feeling unprepared could be linked to stigmatizing and negative experiences with individuals with SMI. Therefore, we underline the need for the anti-stigma education of healthcare students focusing on contact experiences and promoting confidence in their knowledge and skills.
被诊断患有严重精神疾病(SMI)的个体常常察觉到医疗保健专业人员的负面态度,这成为有效治疗的障碍。本研究探讨了医学生对严重精神疾病的态度,以确定潜在的污名化领域。
采用描述性分析定性方法。来自马拉加大学六个不同医疗保健专业的27名学生参与了半结构化访谈,随后在NVivo 12软件的协助下使用主题内容分析法进行分析。
数据中出现了三个主要主题:理想、与严重精神疾病的经历以及对住院治疗和强制措施的看法。学生们承认同理心的重要性,但由于知识有限,常常觉得没有准备好,从而导致回避和负面互动。尽管关于危险性和无能的污名化观念依然存在,但学生们普遍反对隔离并倡导平等权利。与精神疾病的积极接触经历可以改变负面态度并增强同理心,尤其是在有个人经历的个体中。参与者普遍反对强制措施,除了出于安全考虑和对疾病缺乏认识的情况外,他们倡导采用替代措施以维护自主权。
该研究强调,不安全感和准备不足可能与对严重精神疾病患者的污名化和负面经历有关。因此,我们强调有必要对医学生进行反污名化教育,重点是接触经历,并增强他们对自身知识和技能的信心。