Articles Information
International Journal of Biomedical and Clinical Sciences, Vol.5, No.2, Jun. 2020, Pub. Date: May 26, 2020
A Cross Sectional Study on Stigma Towards Psychiatric Disorders Among Undergraduate Medical Students
Pages: 105-114 Views: 1407 Downloads: 437
Authors
[01]
Shaman Kalearasu, Faculty of Medicine, Melaka Manipal Medical College (MMMC), Melaka, Malaysia.
[02]
Syed Mohammad Nihal Bin Syed Waseem Zaidi, Faculty of Medicine, Melaka Manipal Medical College (MMMC), Melaka, Malaysia.
[03]
Sadiyah Umaima Hamid Asmil, Faculty of Medicine, Melaka Manipal Medical College (MMMC), Melaka, Malaysia.
[04]
Tharusi Amaya Fonseka, Faculty of Medicine, Melaka Manipal Medical College (MMMC), Melaka, Malaysia.
[05]
Munaweera Hettiarachchige Roweena Chantelle Fernandopulle, Faculty of Medicine, Melaka Manipal Medical College (MMMC), Melaka, Malaysia.
Abstract
Stigma refers to the prejudice resulting from misconceptions over psychiatric illness, which often robs psychiatric patients of opportunities that could provide for a better quality of life. Nine out ten sufferers of psychiatric illness claim that the fear, shame and stigma attached to mental illness and the associated discrimination they face make recovery more challenging and often prevent them from seeking the care that would help them most. Therefore, we conducted this cross-sectional study to assess the stigma towards psychiatric disorders and mental illness amongst medical students. This study conducted in Melaka Manipal Medical College from November to December 2019. The sample included a total of 160 medical students from the MBBS students from semester 6 to 7 in Muar Campus. Mental illness clinician attitudes scale (MICA-2) was used to assess the stigma toward psychiatric disorders and mental illness. Unpaired t test and ANOVA was calculated. Most of the students had low stigma toward psychiatric disorders and mental illness as the mean score of MICA-2 was 43.41. Among different ethnicities, Malay students have shown the highest stigma followed by Chinese, Others and Indian medical students. The students who had a diagnosis of psychiatric illness sometime in their life showed lesser stigma (mean 37.0) than those who had never had a diagnosis of psychiatric illness before (mean 43.84). Furthermore, medical students with a family member diagnosed with psychiatric illness also showed lesser stigma (mean 38.86) than those who do not have a family member diagnosed with psychiatric illness (mean 44.14). Stigma towards psychiatric disorders is low among undergraduate medical students in our college. Male gender, Malay and Chinese ethnicities, Muslim and Christian religions and Malaysian students revealed a relatively higher stigma. Moreover, students with diagnosed psychiatric disorders, family history of psychiatric illnesses, and students who were aware of friends with a diagnosed psychiatric illness revealed a lower stigma towards psychiatric disorders and mental illness.
Keywords
Stigma, Psychiatric Disorders, Medical Students, Cross-sectional
References
[01]
WHO. World Health Report. Mental disorders affect one in four people, 2001.
[02]
Yoshimasu, K., Kiyohara, C., Miyashita, K. et al. Environmental Health and Preventative Medicine (2008) 13: 243.
[03]
National Alliance on Mental Illness. Mental health conditions.
[04]
Edmund, S. G; Scientific American Mind. Mental Health. Is Mental Heath Declining in th U.S. 2017.
[05]
Hannah R, Max R; Our world in Data. Mental Health.
[06]
Claire, H., Sara, E. L., Graham, T., AJPH, Mental Illness Stigma, Help Seeking, and Public Health Programs, 2013.
[07]
Mental Health Foundation. Stigma and discrimination.
[08]
M. Subramaniam, E. Abdin, L Picco, S. Pang, S. Shafie J. A. Vaingankar et al. PMC, Epidemiology and Psychiatric Sciences. 2016.
[09]
Patrick, W. C., Amy, C. W., PMC, World Psychiatry, Understanding the impact of stigma on people with mental illness. 2002.
[10]
A. Mas., A. Hatim., Stigma in /mental Illness: Attitudes of Medical Students Towards Mental Illness.
[11]
Suwalska, J., Suwalska, A., Neumann-Podczaska, A., Lojko D. APA PsycNET, Medical students and stigma of depression. Part 1. Stigmatization of patients. 2017.
[12]
Stephanie, K., Ed, M., Andrew, S., SAGE, Healthcare Management Forum, Mental illness related stigma in healthcare. Barriers to care and evidence- based solutions.
[13]
JP Reddy, SMK Tan, MT Azmi, MH Shaharom, R Rosdinom, T Maniam et al., Ann Acad Med Singapore, The Effect of a Clinical Posting in Psychiatry on the Attitudes of Medical Students Towards Psychiatry and Mental Illness in a Malaysian Medical School, 2005; 35: 505-10.
[14]
Sherilyn, C., Hui, L. O., Esmond, Seow., Boon, Y. C., Edimansyah, A., Allaisha, S., et al., BMJ Open, Medical Education and Training Research, Stigma towards mental illness among medical and nursing students in Singapore: a cross sectional study.
[15]
Ministry of Health Malaysia, National Health and Morbidity Survey, Non Communicable Diseases, Risk Factors and other health problems, Volume II, 2015; 187.
[16]
Harry, M., Ruzanna, Z., Marhani, M., Alex, C., BMC Public Health, Attitudes of Malaysian General Hospital Staff towards patients with mental illness and diabetes, 2011; 317.
[17]
Ainul, N. H., Tine, V. B., International Journal of Mental Health Systems, A qualitative exploration of the perspectives of mental health professionals on stigma and discrimination of mental illness in Malaysia, 2015.
[18]
Kassam A., Glozier N., Leese M., Henderson C., Thornicroft G. (2010) Development and responsiveness of a scale to measure clinicians' attitudes to people with mental illness (medical student version). Acta Psychiatrica Scandinavica 122 (2), 153-161.
[19]
P. Corry, Stigma Shouts: Service User and Carer Experiences of Stigma and Discrimination, Time to Change, London, UK, 2008.
[20]
Mukherjee R, Fiahlo A, Wijetunge A: The stigmatisation of psychiatric illness: the attitudes of medical students and doctors in a London teaching hospital. Psychiatr Bull. 2002, 26: 178-181. 10.1192/pb.26.5.178.
[21]
The World Health Report, Approach to Mental Health, WHO, Geneva, Switherland, 2001.
[22]
Mann CEHimelein MJ Factors associated with stigmatization of persons with mental illness. Psychiatr Serv 2004; 55185- 187.
[23]
Dinos SStevens SSerfaty MWeich SKing M Stigma: the feelings and experiences of 46 people with mental illness: qualitative study. Br J Psychiatry 2004; 184176-181.
[24]
Alem A, Kebede D, Woldesemiat G, Jacobsson L, Kullgren G: The prevalence and socio-demographic correlates of mental distress in Butajira, Ethiopia. Acta Psychiatr Scand Suppl. 1999, 397: 48-55.
[25]
Addison SJ, Thorpe SJ (2004) Factors involved in the formation of attitudes towards those who are mentally ill. Soc Psychiatry Psychiatr Epidemiol 39: 228–234.
[26]
Vistorte, Angel O. R., Ribeiro, W., Ziebold, C., Asevedo, E., Evans- Lacko, S., Keeley, J. W., et al: Clinical decisions and stigmatizing attitudes towards mental health problems in primary care physicians from Latin American countries. PLOS ONE. 2018.
[27]
Youssef FF. Attitudes toward mental illness among Caribbean medical students. Educ Health 2018; 31: 3-9.
[28]
Kumar MV, Macharapu R, Reddy PK, Babu S. Attitude toward mental illness among medical students and nonpsychiatric doctors [Internet]. Archives of Mental Health. Indian Psychiatric Society-Andhra Pradesh Branch; 2019 [cited 2019Dec5]. Available from: http://www.amhonline.org/article.asp?issn=2589-9171;year=2019;volume=20;issue=1;spage=9;epage=13;aulast=Kumar
[29]
Roth, D., Antony, M. M., Kerr, K. L., & Downie, F. (2000). Attitudes toward mental illness in medical students: does personal and professional experience with mental illness make a difference? Medical Education, 34 (3), 234–236. doi: 10.1046/j.1365-2923.2000.00478.x.