Burra P, Kalin R, Leichner P, Waldron J J, Handforth J R, Jarrett F J, Amara I B
Med Educ. 1982 Jan;16(1):31-8. doi: 10.1111/j.1365-2923.1982.tb01216.x.
The development and validation of a thirty item, Likert-type scale designed to measure medical students' attitudes to psychiatry-the ATP-30 (Attitudes Toward Psychiatry-30 items)-are described. We had hoped to demonstrate that 'attitude to psychiatry' was not a unitary matter but an amalgam of attitudes to a number of things to do with psychiatric practice. This hope was not fulfilled, as a unitary dimension was obtained. A positive change in the attitudes of students toward psychiatry was demonstrated in third and fourth medical year students in relation to exposure to psychiatry. Such a change was not demonstrable in two classes of occupational therapy students exposed to a course in psychiatry. The reasons for this difference between medical students and occupational therapy students are discussed-there possibly being important implications here for psychiatric curriculum planning in medical school. Lastly, we have demonstrated that the positive change in attitudes amongst medical students was transient rather than lasting-a matter which most studies of attitude change do not address. In spite of the apparent impermanence of the positive change in attitudes among medical students, there are a number of possible used to a scale such as the ATP-30, and these are discussed.
本文描述了一个旨在测量医学生对精神病学态度的30项李克特式量表(ATP-30,即“对精神病学的态度-30项量表”)的开发与验证过程。我们原本希望证明“对精神病学的态度”并非单一的概念,而是对与精神病学实践相关的诸多方面态度的综合。但事与愿违,最终得到的是一个单一维度。研究表明,医学专业三、四年级学生在接触精神病学相关内容后,对精神病学的态度有积极变化。而在参加了精神病学课程的两类职业治疗专业学生中,未发现这种变化。本文讨论了医学生与职业治疗专业学生之间出现这种差异的原因——这可能对医学院校的精神病学课程规划具有重要意义。最后,我们证明了医学生态度的积极变化是短暂而非持久的——这是大多数态度变化研究未涉及的问题。尽管医学生态度的积极变化看似不持久,但ATP-30这类量表仍有多种可能的用途,本文对此进行了讨论。