Mukhim Diamsalon, George Arunima, Gopalakrishnan Rajesh, Gowri Mahasampath S, Kuruvilla Anju
Department of Psychiatry Christian Medical College, Vellore 632004, Tamil Nadu, India.
Department of Biostatistics Christian Medical College, Vellore 632004, Tamil Nadu, India.
Natl Med J India. 2025 Mar-Apr;38(2):84-91. doi: 10.25259/NMJI_157_2023.
Background Medical students' attitude towards psychiatry (ATP) and mental illness will impact their choice of psychiatry as a future specialization and the quality of mental healthcare that they deliver to their patients. There is a paucity of longitudinal research on students' ATP and mental illness at different periods during medical school. We aimed to assess the attitudes of a cohort of medical undergraduates towards psychiatry and mental illness, before and after a clinical psychiatry rotation. Methods Medical students, in their second clinical year, underwent the first assessment on the 1st day of the psychiatry rotation. Socio-demographic information was collected. ATP and mental illness were assessed using the ATP-30 and the attitudes towards mental illness (AMI) scale, respectively. Assessments were repeated on the last day of the rotation and again 1 year later. Results One hundred and three medical students completed the pre- and immediate post-rotation survey questionnaire. One student withdrew consent for the 1-year assessment. There was an increase in ATP-30 and AMI scores after the rotation, and this persisted at the 1-year assessment. However, only the increase in ATP-30 scores was statistically significant. There was a significant reduction in the number of students with an overall negative attitude towards psychiatry and mental illness at 1 year. Conclusion Students generally had positive attitudes towards psychiatry and mental illness before the rotation. This improved further by the end of the rotation and persisted at 1 year of follow-up.
背景 医学生对精神病学的态度（ATP）以及对精神疾病的态度会影响他们未来选择精神病学作为专业方向，以及他们为患者提供的精神卫生保健质量。在医学院校的不同阶段，关于学生ATP和精神疾病的纵向研究较少。我们旨在评估一组医学本科生在临床精神病学轮转前后对精神病学和精神疾病的态度。方法 医学专业二年级学生在精神病学轮转的第1天接受首次评估。收集社会人口统计学信息。分别使用ATP-30和精神疾病态度（AMI）量表评估ATP和精神疾病。在轮转的最后一天以及1年后再次进行评估。结果 103名医学生完成了轮转前和轮转后即刻的调查问卷。1名学生撤回了1年评估的同意书。轮转后ATP-30和AMI评分有所提高，并且在1年评估时仍然保持。然而，只有ATP-30评分的提高具有统计学意义。1年后，对精神病学和精神疾病持总体消极态度的学生人数显著减少。结论 学生在轮转前对精神病学和精神疾病总体持积极态度。到轮转结束时进一步改善，并在随访1年时持续存在。
