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Órgano Oficial del Instituto Nacional de Psiquiatría Ramón de la Fuente Muñiz

2017, Number 4

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Salud Mental 2017; 40 (4)

Mental health literacy about bipolar disorder and schizophrenia among medical students: a comparative study of illness recognition, treatment, and attitudes according to perception of aggressiveness-dangerousness

Vargas-Huicochea I, Robles-García R, Berlanga C, Tovilla-Zarate Carlos-Alfonso, Martínez-López N, Fresan A

Language: Spanish
References: 33
Page: 141-148
PDF size: 483.78 Kb.


ABSTRACT

Introduction. Lack of information may result in health professionals’ negative attitudes toward individuals with mental illness. Objective. We sought to determine the association between the perception of aggressiveness– dangerousness and illness recognition, suggested treatment, and attitudes regarding schizophrenia and bipolar disorder in a group of medical students. Method. This field study used a non-experimental, cross-sectional comparative design in a purposive sample of medical students. Mental illness recognition, beliefs about adequate treatment, perception of patient’s aggressiveness-dangerousness, and attitudes toward severe mentally ill persons were assessed with previously validated instruments. Results. Of the 104 participants, 54.8% identified a mental health condition in the schizophrenia vignette compared with only 3.8% in the case of bipolar disorder. Most students believed that both diagnoses could lead to aggressive behaviors. Dangerousness was more frequently perceived in the schizophrenia vignette. Discussion and conclusion. It is necessary to sensitize and educate medical students so they have accurate information about symptoms and available treatments for individuals with mental illnesses.


REFERENCES

  1. Altindag, A., Yanik, M., Ucok, A., Alptekin, K., & Ozkan, M. (2006). Effects of an antistigma program on medical students’ attitudes towards people with schizophrenia. Psychiatry and Clinical Neurosciences, 60(3), 283-288.

  2. Bolton, J. (2001). Pull yourself together! A survey of the stigma and discrimination faced by people who experience mental distress. The Psychiatrist, 25(9), 366.

  3. Chawla, J. M., Balhara, Y. P. S., & Rajesh Sagar, S. (2012). Undergraduate medical students’ attitude toward psychiatry: A cross-sectional study. Indian Journal of Psychiatry, 54(1), 37-40.

  4. Corrigan, P.W. (2005). On the Stigma of Mental Illness: Practical strategies for research and social change. Washington, DC, United States of America: American Psychological Association.

  5. Dixon, R. P., Roberts, L. M., Lawrie, S., Jones, L. A., & Humphreys, M. S. (2008). Medical students’ attitudes to psychiatric illness in primary care. Medical Education, 42(11), 1080-1087.

  6. Durand-Zaleski, I., Scott, J., Rouillon, F., & Leboyer, M. (2012). A first national survey of knowledge, attitudes and behaviours towards schizophrenia, bipolar disorders and autism in France. BMC Psychiatry, 12(1), 128.

  7. Eisenberg, D., Speer, N., & Hunt, J. B. (2012). Attitudes and beliefs about treatment among college students with untreated mental health problems. Psychiatric Services, 63(7), 711-713.

  8. Ellemers, N., Spears, R., & Doosje, B. (2002). Self and social identity. Annual review of psychology, 53(1), 161-186.

  9. Fernando, S. M., Deane, F. P., & McLeod, H. J. (2010). Sri Lankan doctors’ and medical undergraduates’ attitudes towards mental illness. Social Psychiatry and Psychiatric Epidemiology, 45(7), 733-739.

  10. Fresan, A., Robles-García, R., de Benito, L., Saracco, R., & Escamilla, R. (2010). Development and psychometric properties of a brief instrument to measure the stigma of aggressiveness in schizophrenia. Actas Españolas de Psiquiatría, 38(6), 340-344.

  11. Fresán, A., Robles, R., Cota, M., Berlanga, C., Lozano, D., & Tena, A. (2012). Actitudes de mujeres estudiantes de psicología hacia las personas con esquizofrenia: Relación con la percepción de agresividad y peligrosidad. Salud Mental, 35(3), 215-223.

  12. Fresán, A., Berlanga, C., Robles-García, R., Alvarez-Icaza, D., & Vargas-Huicochea, I. (2013). Mental health literacy in bipolar disorder: Association with perception of aggressiveness and gender of medical students. Salud Mental, 36(3), 229-234.

  13. Jorm, A. F. (2000). Mental health literacy: Public knowledge and beliefs about. British Journal of Psychiatry, 177, 396-401.

  14. Lauber, C., Nordt, C., Falcato, L., & Rössler, W. (2003). Do people recognise mental illness? European Archives of Psychiatry and Clinical Neuroscience, 253(5), 248-251.

  15. Link, B. G., Phelan, J. C., Bresnahan, M., Stueve, A., & Pescosolido, B. A. (1999). Public conceptions of mental illness: labels, causes, dangerousness, and social distance. American Journal of Public Health, 89(9), 1328-1333.

  16. Magliano, L., Read, J., Rega, S., Oliviero, N., Sagliocchi, A., Patalano, M., & D’Ambrosio, A. (2011). The influence of causal explanations and diagnostic labeling on medical students’ views of schizophrenia. Academic Medicine, 86(9), 1155- 1162.

  17. Magliano, L., Read, J., & Marassi, R. (2011). Metaphoric and non-metaphoric use of the term “schizophrenia” in Italian newspapers. Social Psychiatry and Psychiatric Epidemiology, 46(10), 1019-1025.

  18. Malhi, G. S., Parker, G. B., Parker, K., Carr, V. J., Kirkby, K. C., Yellowlees, P., … Tonge, B. (2003). Attitudes toward psychiatry among students entering medical school. Acta Psychiatrica Scandinavica, 107(6), 424-429.

  19. Mino, Y., Yasuda, N., Tsuda, T., & Shimodera, S. (2001). Effects of a one‐hour educational program on medical students’ attitudes to mental illness. Psychiatry and Clinical Neurosciences, 55(5), 501-507.

  20. Nedopil, N. (1997). Violence of psychotic patients: how much responsibility can be attributed? International Journal of Law and Psychiatry, 20(2), 243-247.

  21. Ng, P., & Chan, K. F. (2000). Sex differences in opinion towards mental illness of secondary school students in Hong Kong. International Journal of Social Psychiatry, 46(2), 79-88.

  22. Ottati, V., Bodenhausen, G.V., & Newman, L.S. (2005). Social psychological models of Mental Illness stigma. In P. W. Corrigan (Ed.). On the Stigma of mental illness: Practical strategies for research and social change (pp. 99-128). Washington, D.C: American Psychological Association.

  23. Robles-García, R., Fresán, A., Berlanga, C., & Martínez, N. (2013). Mental illness recognition and beliefs about adequate treatment of a patient with schizophrenia: Association with gender and perception of aggressiveness-dangerousness in a community sample of Mexico City. International Journal of Social Psychiatry, 59(8), 811-818.

  24. Rose, D., Thornicroft, G., Pinfold, V., & Kassam, A. (2007). 250 labels used to stigmatise people with mental illness. BMC Health Services Research, 7(1), 97.

  25. Royal College of Psychiatrists, Royal College of Physicians of London, & British Medical Association. (2001). Mental illness: stigmatization and discrimination within the medical profession. Glasgow: Bell & Bain Limited.

  26. Sirey, J. A., Bruce, M. L., Alexopoulos, G. S., Perlick, D. A., Friedman, S. J., & Meyers, B. S. (2001). Stigma as a barrier to recovery: Perceived stigma and patient-rated severity of illness as predictors of antidepressant drug adherence. Psychiatric services, 52(12), 1615-1620.

  27. Spiegel, M.R., & Stephens, L.J. (2009). Estadística. México, D.F.: McGraw Hill.

  28. Stip, E., Caron, J., & Mancini-Marïe, A. (2006). General population perceptions and attitudes towards schizophrenia and bipolar disorder. Primary Care and Community Psychiatry, 11(4), 157-165.

  29. Vargas-Huicochea, I., & Huicochea-Gómez, L. (2007). Percepción de la enfermedad en pacientes con diagnóstico de trastorno bipolar. Aproximación a la relación médico/paciente. Estudios de Antropología Biológica, 13(2), 711-729.

  30. Vargas-Huicochea, I., & Berenzon-Gorn, S. (2013). From self-care to hospitalization: Bipolar patients’ health care practices in Mexico. International Journal of Social Psychiatry, 59(6), 592-601.

  31. Walsh, E., Buchanan, A., & Fahy, T. (2002). Violence and schizophrenia: examining the evidence. The British Journal of Psychiatry, 180(6), 490-495.

  32. World Medical Association. (2013). World Medical Association Declaration of Helsinki: ethical principles for medical research involving human subjects. Journal of the American Medical Association, 310(20), 2191.

  33. Yeo, S. G., Parker, G., Mahendran, R., Jorm, A. F., Yap, H. L., Lee, C., & Loh, M. I. (2001). Mental health literacy survey of psychiatrically and generally trained nurses employed in a Singapore psychiatric hospital. International Journal of Nursing Practice, 7(6), 414-421.




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