Impact of clinical posting in psychiatry on the attitudes towards psychiatry and mental illness in undergraduate medical students

Desai, Rishi; Panchal, Bharat Navinchandra; Vala, Ashok Ukabhai; Ratnani, Imran Jahangirali; Vadher, Sneha; Khania, Pushpa

doi:10.1136/gpsych-2019-100072

Cited by 18 publications

(19 citation statements)

References 24 publications

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“…Moreover, the therapy effects of rTMS still existed in subgroup comparisons in terms of stimulation sites, frequencies and number of treatments with rTMS. In any case, the positive results may be beneficial to improving people’s attitudes towards mental illness in the long run 49…”

Section: Discussionmentioning

confidence: 99%

Efficacy and safety of repetitive transcranial magnetic stimulation for generalised anxiety disorder: A meta-analysis

et al. 2019

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BackgroundPharmacological and conventional non-pharmacological treatments are only moderately effective in treating generalised anxiety disorder (GAD). Recently, repetitive transcranial magnetic stimulation (rTMS) has attracted interest because of its potential therapeutic value.AimTo investigate the efficacy and safety of rTMS treatment for GAD.MethodsLiterature studies published in English or Chinese were screened in 10 electronic databases up to 5 December 2018. The included studies’ bias risk was assessed using Cochrane risk of bias assessment tool. Meta-analysis was performed to compute the standardised mean difference (SMD) and risk ratio (RR) along with its 95% CIs through using RevMan V.5.3. Heterogeneity was inspected by I2 and the χ2 test. We performed subgroup analysis and meta-regression to investigate heterogeneity. We used funnel plot to assess publication bias. We used the GRADE approach to assess the whole quality of evidence.ResultsTwenty-one studies, with a total sample size of 1481, were analysed. The risk of bias in most studies included is moderate, the majority of which are lacking of blinding methods of treatment allocation. The treatment had beneficial effects in the rTMS group compared with the control group in mean anxiety score (SMD=−0.68; 95% CI −0.89 to −0.46). None of the 21 studies included here reported severe adverse events. As for dropout rates, there are no statistically significant differences between the two groups (RR 1.14, 95% CI 0.72 to 1.82) or adverse events (RR 0.95, 95% CI 0.77 to 1.18). No particular influence on the heterogeneity of any variable was observed. The risk of publication bias was low. According to the GRADE approach, the evidence levels of primary outcome (treatment effects) and secondary outcomes (acceptability and safety) were rated as ‘medium’.ConclusionThe use of rTMS combined with medication treatment may have a significant positive anti-anxiety effect on patients with GAD. However, we should interpret the results cautiously due to the relatively high heterogeneity of the meta-analysis. Future high-quality clinical trials are needed to confirm our results.

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Section: Discussionmentioning

confidence: 99%

Efficacy and safety of repetitive transcranial magnetic stimulation for generalised anxiety disorder: A meta-analysis

et al. 2019

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“…Mean standard deviation score in our study was very high as compared to a study done by Jilowa et al 18 and other studies. 10,22 Attitude of the interns increased significantly on the positive domain of ATP-30 Scale (p< 0.001). However, the attitude of the intern improved even on the negative domains but it was not statistically significant.…”

Section: Discussionmentioning

confidence: 95%

“…These findings were consistent with studies done in last few years. 22,23,24 On comparison of the ATP-30 scale's four groups, it was found that attitude of the interns in three groups towards psychiatry significantly (statistically) increased after the posting of 15 days except the attitude towards psychiatric hospitals and treatment.…”

Section: Discussionmentioning

confidence: 97%

To study the impact of psychiatry posting on attitude towards psychiatry and estimated likelihood of psychiatry as a career choice in female interns in North India

et al. 2020

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Background: Psychiatric disorders have been rising in last few years and emerging as leading cause of disease burden. Psychiatry as a discipline of medicine carry a lot of stigma due to which there is a lack of young medical students or professionals in choosing psychiatry as a career. Aims and Objectives: To study the impact of psychiatry posting on attitude towards psychiatry and estimation of likelihood of Psychiatry as a career choice in female interns. Materials and Methods: A cross sectional observational study of 112 female interns who met the Inclusion criteria. A written informed consent was obtained from the interns. A selfassessable ATP-30 scale was used to assess the attitude of the interns, this questionnaire was filled by the interns on the first day and after the two weeks of their posting in psychiatry department. The data collected was analysed with the help of SPSS version (21.0) info. Results: Ninety-eight interns were considered for further analysis because 14 female interns fulfilled the exclusion criteria. More than 95% interns reported to have positive attitude towards psychiatry throughout the posting. Results showed a statistically significant (<0.01) positive attitude towards major areas in psychiatry except only psychiatric hospitals and treatment. Only 33 female interns chose psychiatry as a career choice after the posting of two weeks which is not statistically significant, while around 40% interns denied for it. Conclusion: Interns showed highly positive attitude towards psychiatry. The positive attitude of interns towards psychiatry would go a long way towards reducing the stigma attached to people with mental illness and mental health professionals.

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“…India being a signatory to Alma-Ata declaration, which envisaged 'Health for all by the year 2000" should look into training of undergraduates in psychiatry at this crucial juncture [2][3]. An attitude is relative during organization of emotionally linked, learn beliefs around an object or situation predisposing one to respond in preferential manner [4][5].…”

Section: Introductionmentioning

confidence: 99%

Medical Students Attitude & Knowledge of Psychiatry an Impact of Psychiatry Posting

Behere

Chowdhury

Behere

et al. 2021

JPRI

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India being a signatory to Alma-Ata declaration, envisaged ‘Health for all by the year 2000” and hence should look into training undergraduates in psychiatry. Medical students’ attitude towards psychiatry are determined by complex inter lacing variables. Low recruitment is a serious challenge for psychiatry worldwide. Moreover, psychiatry is poorly represented in medical education and undergraduate training in psychiatry and behavioral sciences in most medical colleges in India is unsatisfactory. Keeping these facts in mind, this study was carried out to assess the influence of psychiatry training, including direct patient contact on attitude of medical students towards mental illness. This study was conducted at Department of Psychiatry, Mahatma Gandhi Institute of Medical Science, Sevagram, Wardha, Maharashtra. Second year MBBS students were evaluated with a pre and posttest during their 2 weeks posting in the Psychiatry department. There was some improvement in attitude & knowledge of undergraduate medical students about mental health after two weeks of psychiatry posting. The improvement in male medical students is more than three times of that seen in female medical students, after two weeks of training. The existing M.C.I. recommendations need serious considerations for implementation in each & every Medical College of India. As per the current curriculum, the introduction to psychiatry is in the 1st term during lectures on behavioral sciences following which they not exposed again until the 5th semester when the undergraduate students are required to attend 40 hours lectures parallel to 4 weeks clinical posting culminating with compulsory short note questions worth 20 marks included in paper II of the General Medicine exam. Finally, another two weeks of psychiatry posting is mandatory during internship. Female medical students have shown deterioration in their attitudes & knowledge over more questions than male counterparts. Hence it can be deduced that, males tend to learn better by experience.

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Impact of clinical posting in psychiatry on the attitudes towards psychiatry and mental illness in undergraduate medical students

Cited by 18 publications

References 24 publications

Efficacy and safety of repetitive transcranial magnetic stimulation for generalised anxiety disorder: A meta-analysis

Efficacy and safety of repetitive transcranial magnetic stimulation for generalised anxiety disorder: A meta-analysis

To study the impact of psychiatry posting on attitude towards psychiatry and estimated likelihood of psychiatry as a career choice in female interns in North India

Medical Students Attitude & Knowledge of Psychiatry an Impact of Psychiatry Posting

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