Attitudes of Medical and Pharmacy Students Towards Patients Suffering from Schizophrenia

Open access

Abstract

Research over the past twenty years has shown that the attitudes of health care workers and students towards people who are suffering from schizophrenia have become more negative. The aim of our study was to investigate the attitudes of medical and pharmacy students towards patients with schizophrenia and explore the differences in attitudes between study groups and students in different years. Materials and methods: Second- and fifth-year medical and pharmacy students from the Faculty of Medical Sciences at the University of Kragujevac were included in an observational, prospective, cross-sectional study. The sample consisted of 113 students from the pharmacy and medical schools who were chosen via random sampling. The students completed a two-part questionnaire. Th e first part contained questions about sociodemographic characteristics, whereas the second part was a translated version of the Mental Illness: Clinician’s Attitudes (MICA) v4 scale. Results: There is a statistically significant difference (р<0.05) in the attitudes towards people with schizophrenia between second- and fifth-year medical and pharmacy students (with lower scores in both groups in fifth-year students). Of the total number of students who had lower summed scores on the Likert scale, 51.3% had previously finished medical high school, whereas 28.3% had previously finished regular high school. Conclusion: Our results showed a statistically significant difference in attitudes towards people with schizophrenia between second- and fifth-year students as well as a difference related to previous high school education. This stresses the importance of levels of knowledge about schizophrenia to reducing the stigmatization of patients who suffer from this disorder.

1. Newcomb TM. Attitude and related concepts London. Oxford University Press, 1950.

2. Tornicroft G, Rose D, Kassam A, Sartorius N. Stigma: ignorance, prejudice or discrimination? The British Journal of Psychiatry Feb 2007; 190 (3) 192-193.

3. Schomerus G, Schwahn C, Holzinger A, et al. Evolution of Public Attitudes about Mental Illness: A Systematic Review and Meta-Analysis. Acta Psychiatr Scand 2012; 125: 440-452.

4. Crisp AH, Gelder MG, Rix S, Meltzer HI, Rowlands OJ. Stigmatization of people with mental illnesses. Br J Psychiatry. 2000; 177: 4-7.

5. World Health Organization. The World Health Report 2001: Mental health: new understanding, new hope. World Health Organization, 2001.

6. Lauber C, Nordt C, Braunschweig C, Rossler W. Do Mental Health Professionals Stigmatize Their Patients? Acta Psychiatr Scand 2006; 113: 51-59.

7. Nordt C, Rossler W, Lauber C. Attitudes of Mental Health Professionals towards People with Schizophrenia and Major Depression. Schizophrenia Bulletin 2006; 32: 709-714.

8. Eker D. Attitudes toward mental illness: recognition, desired social distance, expected burden and negative influence on mental health among Turkish freshmen. Soc Psychiatry Psychiatr Epidemiol. 1989; 24(3): 146-50.

9. Byrne P. Stigma of mental illness. Changing minds, changing behaviour. Br J Psychiatry 1999; 174: 1-2.

10. Aker S, Aker AA, Boke O, Dundar C, Sahin AR, Peksen Y. The attitude of medical students to psychiatric patients and their disorders and the influence of psychiatric study placements in bringing about changes in attitude. Isr J Psychiatry Relat Sci 2007; 44(3): 204-12.

11. Serafini G, Pompili M, Haghighat R, et al. Stigmatization of schizophrenia as perceived by nurses, medical doctors, medical students and patients. Journal of Psychiatric and Mental Health Nursing 2011; 18: 576-585.

12. Volmer D, Maesalu M, Bell JS. Pharmacy Students’ Attitudes toward and Professional Interactions with People with Mental Disorders. International Journal of Social Psychiatry 2008; 54(5): 402-413.

13. Yamauchi T, Semba T, Sudo A, et al. Effects of psychiatric training on nursing students’ attitudes towards people with mental illness in Japan. Int J Soc Psychiatr 2011; 57:574-9.

14. Benov E, Eljaala S, Felice E, et al. Stigma of Schizophrenia: Assessing Attitudes among European University Students. Journal of European Psychology Students 2013; 4(2), 40-48.

15. Couture S, Penn DL. Interpersonal contact and the stigma of mental illness: A review of the literature. J Ment Health 2003; 12:291-305.

16. Pinfold V, Toulmin H, Thornicroft G, Huxley P, Farmer P, Graham T. Reducing psychiatric stigma and discrimination: evaluation of educational interventions in UK secondary schools. Br J Psychiatry 2003; 182(4): 342-346.

17. Pinfold V, Huxley P, Thornicroft G, Farmer P, Toulmin H, Graham T. Reducing psychiatric stigma and discrimination--evaluating an educational intervention with the police force in England. Soc Psychiatry Psychiatr Epidemiol 2003; 38(6):337-44.

18. Kerby J, Calton T, Dimambro B, Flood C, Glazebrrok C. Anti-stigma films and medical students’ attitudes towards mental illness and psychiatry: randomized controlled trial. Psychiatr Bull. 2008; 32: 345-9.

19. Mino Y, Yasuda N, Tsuda T, Shimodera S. Effects of a one-hour educational program on medical students’ attitudes to mental illness. Psychiatry Clin Neurosci 2001; 55(5): 501-507.

20. Altindag A, Yanik M, Ucok A, Alptekin K, Ozkan M. Effects of an antistigma program on medical students’ attitudes towards people with schizophrenia. Psychiatry Clin Neurosci 2006; 60(3): 283-8.

21. Llerena A, Caceres MC, Penas-LLedo EM. Schizophrenia stigma among medical and nursing undergraduates. Eur Psych 2002; 17: 298-9.

22. Stojiljković DJ, Music M, Munjiza A, Jašović Gašić M, Totic Poznanovic S, Marić NP. Da li su studenti Medicinskog fakulteta skloni stigmatizaciji osoba koje se javljaju psihijatru? Medicinski Podmladak 2009; 60: 73-82.

23. Мunjiza A, Stojiljković DJ, Milekić B, Latković O, Jašović Gašić M, Marić NP. Stigmatizacija usled odlaska kod psihijatra zavisi od pola posmatraca. Medicinski pregled 2010; 63 (9-10): 638-642.

24. Totic S, Stojiljkovic D, Pavlovic Z, et al. Stigmatization of psychiatric label by medical and non-medical students. Int J Soc Psychiatry. 2012; 58(5): 455-62.

25. Gabbidon J, Clement S, van Nieuwenhuizen A, et al. G. Mental Illness: Clinicians’ Attitudes (MICA) Scale- Psychometric properties of a version for healthcare students and professionals. Psychiatry research 2013; 206(1): 81-87.

26. Burgić Radmanović M. Stavovi studenata medicine prema mentalnim bolestima. Glasnik Zavoda za zaštitu zdravlja Srbije 2008; 80(1-2): 20-22.

27. Penn DL, Guynan K, Daily T, et al. Dispelling the stigma of schizophrenia: what sort of information is best? Schizophrenia Bulletin 1994; 20(3): 567-78.

28. Pejović Milovančevic M, Lečić Toševski D, Tenjović L, Popović Deušić S, Draganić Gajić S. Changing attitudes of high school students towards peers with mental health problems. Psychiatria Danubina 2009; 21(2): 213-219.

29. Mas A, Hatim A. Stigma in Mental Illness: Attitudes of Medical Students Towards Mental Illness. Med J Malaysia. 2002; 57(4): 433-44.

30. Magliano L, Read J, Sagliocchi A, Patalano M, D’Ambrosio A, Oliviero N. Differences in views of schizophrenia during medical education: a comparative study of 1st versus 5th-6th year Italian medical students. Soc Psychiatry Psychiatr Epidemiol. 2013 Oct; 48(10): 1647-55.

31. Filipčić I, Pavičić D, Hotujac Lj, Begić D, Grubičin J, Đorđević V. Аttitudes of medical staff towards the psychiatric label „schizophrenic patient“ tested by an antistigma questionnarie. Coll. Antropol. 2003; 27(1): 301-307.

32. Penn DL, Guynan K, Daily T, Spaulding WD, Garbin CP, Sullivan M. Dispelling the stigma of schizophrenia: what sort of information is best? Schizophrenia Bulletin 1994; 20(3): 567-78.

33. Shen Y, Dong H, Fan X, et al. What can the medical education do for eliminating stigma and discrimination associated with mental illnessamong future doctors? Effect of clerkship training on chinese students’ attitudes. Int J Psychiatry Med. 2014; 47(3): 241-54.

34. Cates ME, Neace AL, Woolley TW. Pharmacy students’ attitudes toward mental illness at the beginning and end of professional curriculum. Currents in Pharmacy Teaching and Learning 2012; 4: 132-136.

35. Failde I, Salazar A, Elorza J, et al. Spanish medical students’ attitudes and views towards mental health and psychiatry: a multicentric cross-sectional study. Acad Psychiatry. 2014; 38(3): 332-8. d

36. Baxter H, Singh SP, Standen P, Duggan C. The attitudes of ‘tomorrow’s doctors’ towards mental illness and psychiatry: Changes during the final undergraduate year. Med Educ. 200; 35(4): 381-3.

Serbian Journal of Experimental and Clinical Research

The Journal of Faculty of Medical Sciences, University of Kragujevac

Journal Information


CiteScore 2017: 0.21

SCImago Journal Rank (SJR) 2017: 0.126
Source Normalized Impact per Paper (SNIP) 2017: 0.081

Metrics

All Time Past Year Past 30 Days
Abstract Views 0 0 0
Full Text Views 257 249 9
PDF Downloads 121 120 5