中国临床心理学杂志

The Influence of Psychiatry Course and Work Experience in Psychiatry on Attitudes Towards Mental Disorder

作者：SUN Meng XUE Zhi-min PU Wei-dan LIU Zhe-ning Robert Rosenheck

单位：1. Department of Psychiatry The Second Xiangya Hospital Central South University Changsha 410011 China 2. China National Clinical Research Center on Mental Health Disorders(Xiangya) China National Technology Institute on Mental Disorders Hunan Technology Institute of Psychiatry Hunan Key Laboratory of Psychiatry and Mental Health Mental Health Institute of Central South University Changsha 410011 China 3. Medical Psychological Institutes The Second Xiangya Hospital of Central South University Changsha 410011 China 4. Department of Psychiatry Yale University New Haven CT USA

关键词：Stigma Psychiatry course Work experience Medical students Practicing psychiatrists

分类号：R395.2

出版年,卷(期):页码：2018,26(2):282-288

摘要：

目的：探索针对医学生的精神病学课程及精神科工作经历在改善歧视态度中发挥的作用。方法：采用问卷形式对156名没上过精神病学课程的医学生，161名已完成精神病学课程的医学生及120名精神科医生进行调查，通过协方差分析比较三组人群从四个因素方面对精神疾病的态度。结果：与已完成精神病学课程的医学生及精神科医生相比，未上过精神病学课程的医学生在与精神病人的社交意愿方面表现出更多的歧视和更负面的态度。已完成精神病学课程的大学生与精神科医生的态度不存在显著性的差异。结论：开展规范的精神病学课程有助于提高医学生对精神疾病的病因认识、培养对精神病人积极的态度以及降低歧视。

Objective:To explore the effects of a formal psychiatry course and clinical experience in psychiatry on stig-matized attitudes to mental disorder. Methods:A questionnaire addressing attitudes towards people with mental illness and its causes, was used to compare attitudes of medical students who completed a course in psychiatry(N=161) to those who did not(N=156) and to practicing psychiatrists(N=120). Results:Medical students who had not taken the course showed higher levels of stigma and negative attitudes towards socializing with persons with mental disorder compared to both students who had taken the course and practicing psychiatrists. Scores of medical students who completed the course were not significant-ly different from those of practicing psychiatrists across four factors. No significant correlations were observed between will-ingness to socialize and beliefs about etiology. Conclusion:Structured teaching may help to foster more positive attitudes and less stigma toward persons with mental disorder early in their training, while subsequent clinical experience seems to have less effect.However, simply promoting biopsychosocial understanding of etiology seems unrelated with reducing stigma.

基金项目：

The work was supported by the National Natural Science Foundation of China(81271485, 81471362, 81561168021, 81171287, 81671335, 81401125) and the Hunan Province Science and Technology Project of China(2013FJ473)

作者简介：

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