“Social dangerousness and incurability in schizophrenia”: Results of an educational intervention for medical and psychology students

Magliano, Lorenza; Read, John; Sagliocchi, Alessandra; Oliviero, Nicoletta; D’Ambrosio, Antonio; Campitiello, Federica; Zaccaro, Antonella; Guizzaro, Lorenzo; Patalano, Melania

doi:10.1016/j.psychres.2014.06.002

Cited by 29 publications

(38 citation statements)

References 45 publications

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“…In the schizophrenia group, 5 th year students resulted more pessimistic about recovery, and perceived these people as more dangerous to others, compared to 1 st year students. This result confirms previous findings on the association of schizophrenia label with prognostic pessimism, and stresses the need to provide students with education on recovery and stigma in schizophrenia, including evidence-based education about the actual rates of violence in this group (30,49,50). Conversely, it is encouraging that 5 th year students perceive people with depression as less unpredictable than 1 st year students.…”

Section: Results Interpretationsupporting

confidence: 88%

“…In particular, an educational initiatives addressing "social dangerousness and incurability in schizophrenia'' is regularly held as mandatory for psychology students in their last stage of training (Magliano et al 2014(Magliano et al , 2016. This educational initiative, addressing common prejudices via scientific evidence and prerecorded audio-testimonies from people with schizophrenia has proven to be effective in reducing prognostic pessimism and perception of unpredictability among future psychologists.…”

Section: Results Interpretationmentioning

confidence: 99%

See 1 more Smart Citation

The Opinions of Italian Psychology Students About People Diagnosed with Depression and Schizophrenia: A Comparative Study

Magliano

Schioppa

Costanzo

et al. 2017

J. Psychosoc. Rehabil. Ment. Health

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Section: Results Interpretationsupporting

confidence: 88%

Section: Results Interpretationmentioning

confidence: 99%

The Opinions of Italian Psychology Students About People Diagnosed with Depression and Schizophrenia: A Comparative Study

Magliano

Schioppa

Costanzo

et al. 2017

J. Psychosoc. Rehabil. Ment. Health

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“…These findings confirm the hypothesis that such an educational, contact-based initiative can facilitate students' acceptance of an integrated bio-psycho-social model of care in schizophrenia (Deacon & McKay, 2015), and support the favorable changes found at immediate post intervention assessment in previous studies (Brown et al, 2010;Magliano et al, 2014;Mann & Himelein, 2008).…”

Section: Discussionsupporting

confidence: 86%

“…The educational intervention included two three-hour sessions with an interval of a week between them (Magliano et al, 2014). The first session addressed stigma and its impact on persons with mental illness, while the second session provided scientific evidences contrasting stereotypes and prejudices towards stigmatized groups.…”

Section: Materials and Proceduresmentioning

confidence: 99%

Improving psychology students’ attitudes toward people with schizophrenia: A quasi-randomized controlled study.

Magliano¹,

Rinaldi²,

Costanzo³

et al. 2016

American Journal of Orthopsychiatry

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Despite scientific evidence that the majority of People With Schizophrenia (PWS) have personal histories of traumatic life events and adversities, their needs for psychological support often remain unmet. Poor availability of non-pharmacological therapies in schizophrenia may be partly due to professionals' attitudes toward people diagnosed with this disorder. As future health professionals, psychology students represent a target population for efforts to increase the probability that PWS will be offered effective psychological therapies. This quasirandomized controlled study investigated the effect of an educational intervention, addressing common prejudices via scientific evidence and pre-recorded audio-testimony from PWS, on the attitudes of psychology students towards PWS. Students in their fifth year of a master's degree in Psychology at the Second University of Naples, Italy were randomly assigned to an experimental group -which attended two three-hour sessions a week apart --or to a control group. Compared to their baseline assessment, at one-month reassessment, the 76 educated students endorsed more psychosocial causes and more of them recommended psychologists in the treatment of schizophrenia. They were also more optimistic about recovery, less convinced that PWS are recognizable and unpredictable and more convinced that treatments, pharmacological and psychological, are useful. No significant changes were found, from baseline to one-month reassessment, in the 112 controls. At one-month reassessment, educated students were more optimistic about recovery and less convinced that PWS are unpredictable than controls. These findings suggest that psychology students' attitudes toward PWS can be improved by training initiatives including education and indirect contact with users.

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“…The revised version of the Opinion Questionnaire (OQ) to be applied in health contexts (Magliano et al, 2014) included: a) 16 yes/no items exploring factors involved in the development of schizophrenia; b) 4 yes/no items about which professionals should treat PWS; c) 23 items grouped into 10 factors addressing: 1) usefulness of pharmacological treatments; 2) usefulness of psychological therapies; 3) need of long-term pharmacological therapies (i.e, beliefs that PWS should take drugs permanently, and that they become unwell again or dangerous if they stop the drugs) ; 4) possibility of recovery; 5) insight of PWS; 6) capacity of PWS to report their health conditions to medical doctors; 7)…”

Section: Methodsmentioning

confidence: 99%

General practitioners’ beliefs about people with schizophrenia and whether they should be subject to discriminatory treatment when in medical hospital: The mediating role of dangerousness perception.

Magliano¹,

Punzo²,

Strino³

et al. 2017

American Journal of Orthopsychiatry

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This study explored the relationships between General Practitioners' (GPs) beliefs about People With Schizophrenia (PWS) and GPs' recommendations regarding restrictions for such people when in medical (nonpsychiatric) hospital, and whether these relationships were mediated by dangerousness perception. Three-hundred twenty-two randomly selected ….. GPs completed a questionnaire measuring beliefs about PWS. Structural EquationModel (SEM) was used to explore the effects of these beliefs on the GPs' views about the need for restrictive rules in hospital. Thirty-one percent of GPs firmly believed that, in medical wards, PWS should be supervised and 18% that they should be separated from other patients. SEM revealed that belief in such differential treatment was positively related to a belief that PWS need medication for the rest of their lives, and to perceptions of others' need for social distance, and of dangerousness. Dangerousness was, in turn, positively related to the belief that PWS need medication for their lives, and to a perception of the need for social distance, but negatively related to perceived capacity to report health problems. Analyses of indirect effects showed that the relationships of belief in discriminatory treatment with belief in medication for life and with perceived social distance were mediated by perceived dangerousness. GPs' attitudes about PWS appear closely with their beliefs on discriminatory behaviours in hospital, and the mediating role of dangerousness perceptions. Providing GPs with education about schizophrenia treatments and prognosis, and countering stereotypes about dangerousness, could be helpful to reduce GPs beliefs in the need for discriminatory treatment of PWS.

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“Social dangerousness and incurability in schizophrenia”: Results of an educational intervention for medical and psychology students

Cited by 29 publications

References 45 publications

The Opinions of Italian Psychology Students About People Diagnosed with Depression and Schizophrenia: A Comparative Study

The Opinions of Italian Psychology Students About People Diagnosed with Depression and Schizophrenia: A Comparative Study

Improving psychology students’ attitudes toward people with schizophrenia: A quasi-randomized controlled study.

General practitioners’ beliefs about people with schizophrenia and whether they should be subject to discriminatory treatment when in medical hospital: The mediating role of dangerousness perception.

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