Reducing Stigma Toward Psychiatry Among Medical Students

Amsalem, Doron; Gothelf, Doron; Dorman, Alexandra; Goren, Yaron; Tene, Oren; Shelef, Assaf; Horowitz, Itai; Dunsky, Liora Libman; Rogev, Eldor; Klein, Efrat Hirsh; Mekori‐Domachevsky, Ehud; Fischel, Tsvi; Levkovitz, Yechiel; Martin, Andrés; Gross, Raz

doi:10.4088/pcc.19m02527

Prim. Care Companion CNS Disord.

2020

DOI: 10.4088/pcc.19m02527

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Reducing Stigma Toward Psychiatry Among Medical Students

Doron Amsalem¹,

Doron Gothelf²,

Alexandra Dorman³

et al.

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Cited by 9 publications

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“…Previous studies have shown that good clinical training can reduce the stigma associated with psychiatric illness, improve the student's attitude towards Psychiatry, and generate interest in the branch. [11][12][13][14] Against this background, we aimed to assess the effect of online customized psychiatry learning on perceptions about Psychiatry among undergraduate medical students. Online method was chosen considering the ongoing COVID-19 pandemic.…”

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Effect of online customized psychiatry teaching on the perceptions about psychiatry among undergraduate medical students: A randomized controlled study

Chandran¹,

Menon²

2023

KJP

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Effect of online customized psychiatry teaching on the perceptions about psychiatry among undergraduate medical students: A randomized controlled study

Chandran¹,

Menon²

2023

KJP

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“…Stigma among physicians contributes to poor medical treatment and outcomes, including earlier death in patients with psychiatric disorders like schizophrenia ( 4 , 5 ). Starting in medical school, and despite overwhelming evidence to the contrary, students commonly report that psychiatric treatments have little effect or utility and view the specialty as a non-evidence-based, unscientific, barely medical discipline ( 6 ). Interventions to reduce stigma, including online programs that embed SPs and principles of direct social contact ( 7 ), have the potential to change this biased outlook early in medical education.…”

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confidence: 99%

Editorial: Medical Education in Psychiatry

Amsalem¹,

Duvivier²,

Martin³

2021

Front. Psychiatry

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Attitudes to psychiatry and to mental illness among nursing students: Adaptation and use of two validated instruments in preclinical education

Martin

Krause

Chilton

et al. 2019

Psychiatric Ment Health Nurs

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Accessible SummaryWhat is known on the subject Stigma towards psychiatry and people with serious mental illness (SMI) is prevalent among healthcare providers and can adversely affect patient care. Internalized stigma among nurses can affect personal self‐care and limit help‐seeking behaviours. Stigma around mental health nursing can adversely affect recruitment into this already underserved field. What the paper adds to existing knowledge This is the first report on the adaptation and use in a nursing student sample of two widely used stigma‐related instruments that have been normed among medical students. The attitudes to psychiatry (ATP‐30) and the attitudes to mental illness (AMI) instruments proved sensitive to change and can be useful in tracking specific anti‐stigma curricular interventions. Interactive and participatory student activities in courses such as ours (that include simulation with standardized patients, clinical placements and patient interaction) need to be complemented by exposure to individuals with lived experience with mental illness in order to address stigmatized views of SMI. Nursing educators and fellow nurses willing to share their own experiences with mental illness—including diagnosis, health–seeking, treatment and recovery—may prove especially powerful and germane during nursing school. What are the implications for practice Even a strong academic curriculum is not sufficient to change stigmatized perceptions about mental illness, psychiatric care and mental health nursing as a profession. Comparison and potential synergy between ATP‐30, AMI and OMS‐HC (Opening Minds Scale for Health Care Providers) could prove fruitful in identifying a more comprehensive approach to stigma assessment over time. The addition of validated instruments, such as the Self‐Compassion Scale–Short Form (SCS–SF) and the Self‐Stigma of Seeking Help (SSOSH), which tap into internalized stigma and into health‐seeking behaviours and intervening barriers could prove particularly useful in evaluating innovative interventions for stigma‐decreasing initiatives in nursing education. Interactive and participatory didactic offerings need to be complemented by exposure to individuals with lived experience with mental illness and ideally to nursing educators and practicing nurses willing to share their histories of diagnosis, help‐seeking, treatment and recovery. AbstractIntroductionStigma towards psychiatry and to people with serious mental illness (SMI) is prevalent among healthcare providers and can adversely affect patient care. Such stigmatized views can adversely affect recruitment into the already underserved field of mental health nursing.Aim/questionWe adapted two stigma‐related instruments in a sample of nursing students and examined change in scores after participation in an eight‐week preclinical psychiatry curriculum. Our goal was to identify stigma‐malleable opportunities that would inform refinements in future iterations of a preclinical psychiatry curriculum in nursing.MethodWe made minor adaptations to the attitudes to psychiatry (ATP‐30) and the attitudes to mental illness (AMI) instruments. We invited first‐year nursing students to complete assessments at two time points: before and after completion of an eight‐week core course in preclinical psychiatry.ResultsSeventy‐one students completed the assessment at both time points. ATP‐30 and three of its eight subscale scores improved by course's endpoint. By contrast, AMI scores did not change. Compared with medical student published norms, nursing students in our sample had higher (less stigmatized) average scores.DiscussionThe ATP‐30 and the AMI can be easily adapted to a nursing student population and may prove useful in tracking specific anti‐stigma educational interventions.Implications for practiceA general psychiatry course during nursing school is, it and of itself, unlikely to change biased views about SMI and should be enhanced with exposure to, and interaction with individuals with lived experiences of mental illness, ideally by nurse educators and practicing nurses.

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Reducing Stigma Toward Psychiatry Among Medical Students

Cited by 9 publications

References 0 publications

Effect of online customized psychiatry teaching on the perceptions about psychiatry among undergraduate medical students: A randomized controlled study

Effect of online customized psychiatry teaching on the perceptions about psychiatry among undergraduate medical students: A randomized controlled study

Editorial: Medical Education in Psychiatry

Attitudes to psychiatry and to mental illness among nursing students: Adaptation and use of two validated instruments in preclinical education

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