Reducing the stigma of mental illness in undergraduate medical education: a randomized controlled trial

BMC Medical Education - Tập 13 Số 1 - 2013
Andriyka L. Papish1, Aliya Kassam2, Geeta Modgill3, Gina Vaz4, Lauren Zanussi4, Scott B. Patten5
1Department of Psychiatry, College of Medicine - Regina Campus, University of Saskatchewan, 2110 Hamilton St, Regina, SK S4P 2E3, Canada
2Department of Community Health Sciences, Faculty of Medicine, University of Calgary, Calgary, Canada
3Opening Minds Anti-Stigma Initiative, Mental Health Commission of Canada, Calgary, Canada
4Department of Psychiatry, Faculty of Medicine, University of Calgary, Calgary, Canada
5Department of Community Health Sciences, University of Calgary, Calgary, Canada

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Abbey S, Charbonneau M, Tranulis C, Moss P, Baici W, Dabby L, Gautam M, Paré M: Stigma and discrimination [position paper]. Can J Psychiatry. 2011, 56 (10): 1-9.

Sartorius N, Gaebel W, Cleveland HR, Stuart H, Akiyama T, Arboleda-Florez J, Baumann AE, Gureje O, Jorge MR, Kastrup M, Suzuki Y, Tasman A: WPA guidance on how to combat stigmatization of psychiatry and psychiatrists. World Psychiatry. 2010, 9 (3): 131-144.

Thornicroft G, Rose D, Kassam A, Sartorius N: Stigma: ignorance, prejudice or discrimination?. Br J Psychiatry. 2007, 190: 192-193. 10.1192/bjp.bp.106.025791.

Corrigan PW, Penn DL: Lessons from social psychology on discrediting psychiatric stigma. Am Psychol. 1999, 54 (9): 765-776.

Corrigan PW, Morris SB, Michaels PJ, Rafacz JD, Rusch N: Challenging the public stigma of mental illness: a meta-analysis of outcome studies. Psychiatr Serv. 2012, 63 (10): 963-973. 10.1176/appi.ps.201100529.

Thornicroft G, Brohan E, Kassam A, Lewis-Holmes E: Reducing stigma and discrimination: candidate interventions. Int J Ment Health Syst. 2008, 2 (1): 3-10.1186/1752-4458-2-3.

Thornicroft G, Rose D, Mehta N: Discrimination against people with mental illness: what can psychiatrists do?. Adv Psychiatr Treat. 2010, 16: 53-59. 10.1192/apt.bp.107.004481.

Schultz B: Stigma and mental health professionals: a review of the evidence on an intricate relationship. Int Rev Psychiatry. 2007, 19 (2): 137-155. 10.1080/09540260701278929.

Corrigan P: How stigma interferes with mental health care. Am Psychol. 2004, 59 (7): 614-625.

Jorm AF, Korten AE, Jacomb PA, Christensen H, Henderson S: Attitudes towards people with a mental disorder: a survey of the Australian public and health professionals. Aust N Z J Psychiatry. 1999, 33 (1): 77-83. 10.1046/j.1440-1614.1999.00513.x.

Nordt C, Rossler W, Lauber C: Attitudes of mental health professionals towards people with schizophrenia and major depression. Acta Psychiatr Scand. 2006, 114 (2): 145-146.

US Dept of Health and Human Services: Mental health: a report of the surgeon general. 1999, Bethesda, MD: US Department of Health and Human Services

Gautam M: Physicians and Depression. The Handbook of physician health: the essential guide to understanding the health needs of physicians. Edited by: Goldman LS, Myers M, Dickstein LJ. 2000, Chicago, IL: American Medical Association, 80-94.

Smith JK, Weaver DB: Capturing medical students’ idealism. Ann Fam Med. 2006, 4: S32-S37. 10.1370/afm.543.

Nieuwhof MG, Rademakers JJ, Kuyvenhoven MM, Soethout MB, Ten Cate TJ: Students’ conceptions of the medical profession: an interview study. Med Teach. 2008, 27: 709-714.

Korszun A, Dinos S, Ahmed K, Kamaldeep B: Medical attitudes about mental illness: does medical-school education reduce stigma?. Acad Psychiatry. 2012, 36: 197-204.

Schwenk TL, Davis L, Wimsatt LA: Depression, stigma, and suicidal ideation in medical students. JAMA. 2010, 304 (11): 1181-1190. 10.1001/jama.2010.1300.

Dyrbye LN, Thomas MR, Massie FS, Power DV, Eacker A, Harper W, Durning S, Moutier C, Szydio DW, Novotny PJ, Sloan JA, Shanafelt TD: Burnout and suicidal ideation among U.S. medical students. Ann Intern Med. 2008, 149 (5): 334-341. 10.7326/0003-4819-149-5-200809020-00008.

Chew-Graham CA, Rogers A, Yassin N: 'I wouldn’t want it on my CV or their records’: medical students’ experiences of help-seeking for mental health problems. Med Educ. 2003, 37 (10): 873-880. 10.1046/j.1365-2923.2003.01627.x.

Canadian Medical Protective Association (CMPA): Physician personal Health Information: Supporting public safety and individual privacy. 2010, http://www.cmpa-acpm.ca/cmpapd04/docs/submissions_papers/com_physician_personal_health_information-e.pdf .

Cutler JL, Harding KJ, Mozian SA, Wright LL, Pica AG, Masters SR, Graham MJ: Discrediting the notion “working with 'crazies’ will make you 'crazy”’: addressing stigma and enhancing empathy in medical student education. Adv in Health Sci Educ. 2009, 14: 487-502. 10.1007/s10459-008-9132-4.

Cutler JL, Alspector SL, Harding KJ, Wright LA, Graham MJ: Medical students’ perceptions of psychiatry as a career choice. Acad Psychiatry. 2006, 30: 144-149. 10.1176/appi.ap.30.2.144.

Feldman TB: Medical students’ attitudes toward psychiatry and mental disorders. Acad Psychiatry. 2005, 29 (4): 4-356.

Pinfold V, Thornicroft G, Huxley P, Farmer P: Active ingredients in anti-stigma programmes in mental health. Int Rev Psychiatry. 2005, 17 (2): 123-131. 10.1080/09540260500073638.

Arboleda-Florez J, Stuart H: From sin to science: fighting the stigmatization of mental illnesses. Can J Psychiatry. 2012, 57 (8): 457-463.

Couture S, Penn DL: Interpersonal contact and the stigma of mental illness: a review of the literature. J Ment Health. 2003, 12 (3): 291-303. 10.1080/09638231000118276.

Kassam A, Glozier N, Leese M, Loughran J, Thornicroft G: A controlled trial of mental illness related stigma training for medical students. BMC Med Educ. 2011, 11 (1): 1-51. 10.1186/1472-6920-11-1.

Link BG, Cullen FT, Frank J, Wozniak J: The social rejection of ex-mental patients: understanding why labels matter. Am J Sociol. 1987, 92: 1461-1500. 10.1086/228672.

Thornicroft G: Shunned: Discrimination against people with mental illness. 2006, New York: Oxford University Press

Johnston JM, Leung GM, Fielding R, Tin KY, Ho LM: The development and validation of a knowledge, attitude and behaviour questionnaire to assess undergraduate evidence-based practice teaching and learning. Med Educ. 2003, 37: 992-1000. 10.1046/j.1365-2923.2003.01678.x.

Hoke MM, Robbins LK: Continuing the cultural competency journey through exploration of knowledge, attitudes, and skills with advanced practice psychiatric nursing students: an exemplar. Nurs Clin North Am. 2011, 46 (2): 201-205. 10.1016/j.cnur.2011.02.004.

Kajermo KN, Tyni-Lenné R, Guidetti S, Samuelsson M, Andersson IL, Wengström Y: Evidence-based practice: attitudes, knowledge and behaviour among allied health care professionals. Int J Qual Health Care. 2011, 23 (2): 198-209. 10.1093/intqhc/mzq083.

La Torre G, Semyonov L, Mannocci A, Boccia A: Knowledge, attitude, and behaviour of public health doctors towards pandemic influenza compared to the general population in Italy. Scand J Public Health. 2011, 0: 1-7.

National Institute for Health and Clinical Excellence: Behaviour change at population, community and individual levels. 2007, London, England: National Institute for Health and Clinical Excellence

Link BG, Cullen FT: Contact with the mentally ill and perceptions of how dangerous they are. J Health Soc Behav. 1986, 27: 289-302. 10.2307/2136945.

Corrigan P, Markowitz FE, Watson A, Rowan D, Kubiak MA: An attribution model of public discrimination towards persons with mental illness. J Health Soc Behav. 2003, 44: 162-179. 10.2307/1519806.

Corrigan PW, Watson AC: The paradox of self-stigma and mental illness. Clin Psychol Sci Pract. 2002, 9 (1): 35-53. 10.1093/clipsy.9.1.35.

Bentz WK, Hollister WG, Kherlopian M: Attitudes of social distance and social responsibility for mental illness: a comparison of teachers and the general public. Psychol Sch. 1970, 7 (2): 198-203. 10.1002/1520-6807(197004)7:2<198::AID-PITS2310070218>3.0.CO;2-D.

Mueser KT, Corrigan PW, Hilton DW, et al: Illness management and recovery: a review of the research. Psychiatr Serv. 2002, 53: 1272-1284. 10.1176/appi.ps.53.10.1272.

Angermeyer MC, Holzinger A, Matschinger H: Emotional reactions to people with mental illness. Epidemiol Psichiatr Soc. 2010, 19 (1): 26-32.

Jacoby A: Felt versus enacted stigma: a concept revisited: Evidence from a study of people with epilepsy in remission. Soc Sci Med. 1994, 38 (2): 269-274. 10.1016/0277-9536(94)90396-4.

Spandler H, Stickley T: No hope without compassion: the importance of compassion in recovery-focused mental health services. J Ment Health. 2011, 20 (6): 555-566. 10.3109/09638237.2011.583949.

Hopper S: Diabetes as a stigmatized condition: the case of low-income clinic patients in the United States. Soc Sci Med Med Anthropol. 1981, 15B (1): 11-19.

University of Calgary Medical School operating Philosophy. 2010, Calgary, Canada, http://www.ucalgary.ca/mdprogram/operatingphilosophy .

Medical Council of Canada’s (MCC) Objectives for the Qualifying Examination Part I. http://mcc.ca/examinations/objectives-overview/ .

Engel GL: The clinical application of the biopsychosocial model. Am J Psychiatry. 1980, 137: 535-544.

American Psychiatric Association: Diagnostic and statistical manual of mental disorders. 2000, Washington, DC: American Psychiatric Association, 4

Kassam A, Papish A, Modgill G, Patten S: The development and psychometric properties of a new scale to measure mental illness related stigma by health care providers: the opening minds scale for health care providers (OMS-HC). BMC Psychiatry. 2012, 12: 62-10.1186/1471-244X-12-62.

Stata Corporation: Stata, version 11.0. [11.0]. 2009, College Station, TX: Stata Corporation

Nguyen E, Chen TF, O’Reilly CL: Evaluating the impact of direct and indirect contact on the mental health stigma of pharmacy students. Soc Psychiatry Psychiatr Epidemiol. 2012, 47 (7): 1087-1098. 10.1007/s00127-011-0413-5.

Corrigan PW, River LP, Lundin RK, Penn DL, Uphoff-Wasowski K, Campion J, Mathisen J, Gagnon C, Bergman M, Goldstein H, Kubiak MA: Three strategies for changing attributions about severe mental illness. Schizophr Bull. 2001, 27 (2): 187-195. 10.1093/oxfordjournals.schbul.a006865.

Nadelson C, Noteman M: Boundaries in the doctor-patient relationship. Theor Med Bioeth. 2002, 23 (3): 191-201. 10.1023/A:1020899425668.

Link BG, Phelan JC: Conceptualizing stigma. Annu Rev Sociol. 2001, 27: 363-385. 10.1146/annurev.soc.27.1.363.

Schnittker J: An uncertain revolution: why the rise of a genetic model of mental illness has not increased tolerance. Soc Sci Med. 2008, 67 (9): 1370-1381. 10.1016/j.socscimed.2008.07.007.

Pescosolido B, Martin J, Long JS, Medina T, Phelan J, Link B: “A disease like any other?” a decade of change in public reactions to schizophrenia, depression, and alcohol dependence. Am J Psychiatry. 2010, 167: 1321-1330. 10.1176/appi.ajp.2010.09121743.

Niedermier JA, Bornstein R, Brandemihl A: The junior medical student psychiatry clerkship: curriculum, attitudes, and test performance. Acad Psychiatry. 2006, 30: 136-143. 10.1176/appi.ap.30.2.136.

Kurtz S, Silverman J, Benson J, Draper J: Marrying content and process in clinical method teaching: enhancing the calgary-cambridge guides. Acad Med. 2003, 78: 802-809. 10.1097/00001888-200308000-00011.

Lampe L, Coulston C, Walter G, Mahli G: Up close and personal: medical students prefer face-to-face teaching in psychiatry. Australas Psychiatry. 2010, 18 (4): 354-360. 10.3109/10398561003739620.

Canadian Residency Matching Service (CaRMS) Reports and Statistics. 2012, http://www.carms.ca/eng/operations_R1reports_12_e.shtml .

Mark M, Fewer US: Grads matching in psychiatry. Am Psychiatr Assoc Psychiatr News. 2012, 47 (8): 1b-30b.

Stampfer H: The recruitment problem in psychiatry: a critical commentary. Educ Res Perspect. 2011, 38 (2): 1-19.