Beliefs and attitudes towards mental health among medical professionals in Delhi

Kishore, Jugal; Mukherjee, Radhika; Parashar, Mamta; Jiloha, RC; Ingle, GK

doi:10.4103/0970-0218.36827

Cited by 27 publications

(24 citation statements)

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“…Stigmatizing attitude is also present among different health care professionals (5-7) and a label of mental illness can produce a negative attitude in medical students (8). Negative attitude can in turn cause low attention to patients’ medical needs, unnecessary referral to a highly specialized care center, mismanagement of patients with mental illness, and even the lack of acceptance and support in the social and personal life (9-11). Welch et al showed that physicians` negative attitudes toward patients with schizophrenia alter patient doctor interaction, therefore affect clinical management of chronic illness qualitatively (12).…”

Section: Introductionmentioning

confidence: 99%

“…Furthermore, negative attitude can result in inattention to psychological symptoms and misunderstanding them with somatic complaints. Formation of unconstructive attitude toward mental illness during medical college and stigma attached to mental disorder can exacerbate cultural effects embedded in each nation (9, 13-17). There have been attempts in the literature to reduce the stigmatizing belief.…”

Section: Introductionmentioning

confidence: 99%

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The Effect of Clinical Exposure to Patients on Medical Students’ Attitude Towards Mental Illness

Amini

Shoar

Tabatabaee

et al. 2016

Iran J Psychiatry Behav Sci

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BackgroundStigma of mental disorders causes a reduction in seeking help from the health care professionals and is evident across the world.ObjectivesThe current study aimed to compare medical students’ attitude towards mental illness after two different psychiatry clerkships in terms of the level of clinical exposure to patients with mental illness.Patients and MethodsThrough a quasi-experimental study, all of the 4th-year medical students were invited to enroll this study conducted in Tehran University of Medical Sciences (TUMS). They were non-randomly assigned into two different psychiatry clerkships from January 2009 to January 2010. One group was enrolled in the traditional lecture-based course (low-exposure) while the second group participated in a novel method with increased hours of patient exposure (high-exposure). Attitude towards mental illness (AMI) was measured by a 22-item questionnaire before and after the clerkship and data were compared between the two groups in terms of changing attitude towards mental illness in five different categories.ResultsA total of 211 participants were enrolled in the study (115 female) of which 115 students (54.5%) were in low-exposure group and 96 students (45.5%) in the high-exposure group. Generally, AMI scores did not differ between the two groups and did not show any significant changes before and after the psychiatry clerkship. The only exceptions to this were AMI4 category (the concept of etiology of the mental illness), which significantly improved after the clerkship in the low-exposure (P = 0.011) and the high-exposure groups (P = 0.024), respectively.ConclusionsExposure of medical students to patients with mental illness did not improve attitude towards mental illness and psychiatric conditions.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

The Effect of Clinical Exposure to Patients on Medical Students’ Attitude Towards Mental Illness

Amini

Shoar

Tabatabaee

et al. 2016

Iran J Psychiatry Behav Sci

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“…Unfavorable people's interaction with people affected by mental illness may be an unwanted consequence of such negative attitudes. The intolerable attitudes of the health care personnel toward people with mental illness need attention since this might form a barrier for patients to receive appropriate care [6, 7]. Despite efforts to try to change opinions about mental illness by individuals, groups, or organizations such as the World Health Organization, it still exists [8, 9].…”

Section: Introductionmentioning

confidence: 99%

How Mental Illness is Perceived by Iranian Medical Students: A Preliminary Study

Amini¹,

Majdzadeh²,

Eftekhar-Ardebili³

et al. 2013

CPEMH

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The study aimed to assess medical students' attitudes toward mental illness following a 4-week psychiatry clerkship. All fifth-year medical students from three academic centers in Tehran were asked to participate in the study. They completed the questionnaire on the last day of their 4-week psychiatry clerkship. A self-administered questionnaire was used to examine participants' Attitudes Toward Mental Illness (ATMI). One hundred and sixty eight students completed the questionnaires (88.9% response rate). In general, the students had favorable attitudes toward mental illness at the end of their clerkship, with mean (± SD) ATMI total score of 78.6 (± 8.1) (neutral score, 66.0). The students showed the most favorable opinion (95.2%) about Category 5 (stereotypic attitude toward people with mental illness) whilst they revealed the least favorable opinion (64.3%) regarding Category 1 (social relations with people affected by mental illness). In addition, the students thought that movies were on the top of influential media on shaping the attitudes toward mental illness. Overall, most of Iranian medical students had generally favorable attitudes toward people with mental illness at the end of their clerkship. Therefore, it may be expected next generation of medical doctors show more favorable attitude toward mental illness.

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“…Only three relatively recent studies (two urban and one rural) investigating mental health-related knowledge, attitudes and practices of PHC doctors in India were identified [20-22]. The findings typically indicated a lack of knowledge of diagnostic criteria, insufficient training in mental health, and a mixed range of positive and negative attitudes regarding mental health.…”

Section: Introductionmentioning

confidence: 99%

Knowledge and attitudes of doctors regarding the provision of mental health care in Doddaballapur Taluk, Bangalore Rural district, Karnataka

Cowan

Raja²,

Naik³

et al. 2012

Int J Ment Health Syst

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BackgroundSpecialist mental health care is out of reach for most Indians. The World Health Organisation has called for the integration of mental health into primary health care as a key strategy in closing the treatment gap. However, few studies in India have examined medical practitioners’ mental health-related knowledge and attitudes. This study examined these facets of service provision amongst doctors providing primary health care in a rural area of Karnataka is Southern India.MethodsA mental health knowledge and attitudes questionnaire was self- administered by participants. The questionnaire consisted of four sections; 1) basic demographics and practice information, 2) training in mental health, 3) knowledge of mental health, and self-perceived competence in providing mental health care, and 4) attitudes towards mental health. Data was analysed quantitatively, primarily using descriptive statistics.ResultsThis study recruited 46 participants. The majority of participants (69.6%) felt competent in providing mental health services to their patients. However, there was a substantial level of endorsement for several statements that reflected negative attitudes. Almost one third of participants (28.0%) had not received any training in providing mental health care. Whilst three-quarters of participants correctly identified depression (76.1%) and psychosis (76.1%) in a vignette, fewer were able to name three common signs and symptoms of depression (50.0%) and psychosis (28.3%).ConclusionsIntegrating mental health into primary health care requires evidence-based up-skilling programs. Doctors in this study desired such training and would benefit from it, with a focus on both depth of knowledge and uncovering stigmatising attitudes towards people with mental health problems.

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Beliefs and attitudes towards mental health among medical professionals in Delhi

Cited by 27 publications

References 0 publications

The Effect of Clinical Exposure to Patients on Medical Students’ Attitude Towards Mental Illness

The Effect of Clinical Exposure to Patients on Medical Students’ Attitude Towards Mental Illness

How Mental Illness is Perceived by Iranian Medical Students: A Preliminary Study

Knowledge and attitudes of doctors regarding the provision of mental health care in Doddaballapur Taluk, Bangalore Rural district, Karnataka

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