Mental illness attitudes in medical education: assessing the stigma in medical students

Factors affecting the quality of physician care include a shortage of trained staff, stigma, and discrimination. Objective. The objective was to compare the intensity of stigmatization before and after a Psychiatry course, as measured by the scale of clinicians’ attitudes towards mental illness, a v...

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Detalles Bibliográficos
Autores principales: Márquez Cervantes, Ernesto, Romero Guerra, Daniela Haydé, Costilla Esquivel, Antonio
Formato: Artículo
Lenguaje:inglés
Publicado: Instituto Nacional de Psiquiatría Ramón de la Fuente Muñiz 2023
Acceso en línea:http://eprints.uanl.mx/30132/7/30132.pdf
Descripción
Sumario:Factors affecting the quality of physician care include a shortage of trained staff, stigma, and discrimination. Objective. The objective was to compare the intensity of stigmatization before and after a Psychiatry course, as measured by the scale of clinicians’ attitudes towards mental illness, a version for medical students (MICA-2) designed to identify stigmatic attitudes towards mental disorders. Method. The fifth-year Medicine students enrolled in the Psychiatry course answered anonymously using the MICA-2 test at the start and the end of their course. Additionally, we asked the students to answer a question about their interest in learning more about mental illness. Results. Three hundred and thirty students were invited; 300 agreed to participate in the first application of the scales, and 291 in the follow-up. The average age was 22 ± 2 years,with a range of 20-30 years, and there was a similar gender distribution in both applications. In the initial application, the average score of the MICA-2 was 41.34 (SD = 7.86, 95% CI = [40.43, 42.25]). The follow-up application’s mean was 37.10 (SD = 8.15, 95% CI = [36.30, 38.15]). Also, there was a decrease in interest in learning more about mental illness. Discussion and conclusion. A reduction in the average scores of the MICA-2 was observed after a Psychiatry course, suggesting that attitudes toward mental disorders improved. A Psychiatry clerkship with close supervision modified the attitudes of medical students toward mental disorders. However, it did not increase their interest in learning more about mental illness.