Abstract/References

Comparison of attitudes toward schizophrenia among medical students and health professionals in Japan and their associated factorsamong medical students: a cross-sectional study

Mariko Kataoka, Tetsuya Ohira, Satoshi Tsuboi, Itaru Miura, Hirooki Yabe

Author information
  • Mariko Kataoka

    Department of Epidemiology, Fukushima Medical University School of Medicine

  • Tetsuya Ohira

    Department of Epidemiology, Fukushima Medical University School of Medicine

  • Satoshi Tsuboi

    Department of Epidemiology, Fukushima Medical University School of Medicine

  • Itaru Miura

    Department of Neuropsychiatry, Fukushima Medical University School of Medicine

  • Hirooki Yabe

    Department of Mind & Brain Medicine, Fukushima Medical University School of Medicine

Abstract

Changing perceptions of schizophrenia is crucial for both medical professionals and students. This study examined negative attitudes toward schizophrenia among medical students, psychiatrists, psychiatric staff, physicians, and non-medical workers. We created an 18-item survey using a web-based tool to assess attitudes toward schizophrenia, focusing on three factors:stigma, underestimation of patients’ abilities, and skepticism about treatment. To compare scores among the five participants’ groups, we used analysis of covariance, adjusting for age and sex. The study included 237 medical students, 10 psychiatrists, 16 psychiatric staff, 26 physicians, and 98 non-medical workers. After adjusting for age and sex, the overall discrimination score for psychiatrists was significantly lower than those of medical students, physicians, and non-medical workers. Among medical students, a comparison of each score by grade revealed that underestimation of patients’ abilities scores was significantly higher in the fourth year than in the third year. Furthermore, those aspiring to become psychiatrists had significantly lower adjusted mean and stigma scores than students with different career goals (p<0.05). In conclusion, medical students, as well as physicians and non-medical workers, displayed higher levels of stigma towards schizophrenia than psychiatrists. It is essential to explore modifying factors to improve medical students’ attitudes towards schizophrenia.

The cintent of reseach paper

References

1. Thornicroft G, Brohan E, Rose D, Sartorius N, Leese M. Global pattern of experienced and anticipated discrimination against people with schizophrenia:a cross-sectional survey. Lancet, 373(9661):408-415, 2009.


2. González-Torres MA, Oraa R, Arístegui M, Fernández-Rivas A, Guimon J. Stigma and discrimination towards people with schizophrenia and their family members. A qualitative study with focus groups. Soc Psychiatry Psychiatr Epidemiol, 42:14-23, 2007.


3. Kukulu K, Ergün G. Stigmatization by nurses against schizophrenia in Turkey:a questionnaire survey. J Psychiatr Ment Health Nurs, 14:302-309, 2007.


4. Ross CA, Goldner EM. Stigma, negative attitudes and discrimination towards mental illness within the nursing profession:a review of the literature. J Psychiatr Ment Health Nurs, 16:558-567, 2009.


5. Aydin N, Yigit A, Inandi T, Kirpinar I. Attitudes of hospital staff toward mentally ill patients in a teaching hospital, Turkey. Int J Soc Psychiatry, 49: 17-26, 2003.


6. Serafini G, Pompili M, Haghighat R, et al. Stigmatization of schizophrenia as perceived by nurses, medical doctors, medical students and patients. J Psychiatr Ment Health Nurs, 18:576-585, 2011.


7. Uçok A, Polat A, Sartorius N, Erkoc S, Atakli C. Attitudes of psychiatrists toward patients with schizophrenia. Psychiatry Clin Neurosci, 58: 89-91, 2004.


8. Nordt C, Rössler W, Lauber C. Attitudes of mental health professionals toward people with schizophrenia and major depression. Schizophr Bull, 32:709-714, 2006.


9. Hori H, Richards M, Kawamoto Y, Kunugi H. Attitudes toward schizophrenia in the general population, psychiatric staff, physicians, and psychia­trists:a web-based survey in Japan. Psychiatry Res, 186:183-189, 2011.


10. Sartorius N, Chiu H, Heok KE, et al. Name change for schizophrenia. Schizophr Bull, 40: 255-258, 2014.


11. Ay P, Save D, Fidanoglu O. Does stigma concerning mental disorders differ through medical education? A survey among medical students in Istanbul. Soc Psychiatry Psychiatr Epidemiol, 41:63-67, 2006.


12. Esen Danacı A, Balıkçı K, Aydın O, Cengisiz C, Uykur AB. The Effect of medical education on attitudes towards schizophrenia:A five-year follow-up study. Turk Psikiyatri Derg, 27:176-184, 2016.


13. Economou M, Peppou LE, Louki E, Stefanis CN. Medical students’ beliefs and attitudes towards schizophrenia before and after undergraduate psychiatric training in Greece. Psychiatry Clin Neurosci, 66:17-25, 2012.


14. Yadav T, Arya K, Kataria D, Balhara YP. Impact of psychiatric education and training on attitude of medical students towards mentally ill:A comparative analysis. Ind Psychiatry J, 21:22-31, 2012.


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


16. Denman M, Oyebode F, Greening J. Reasons for choosing to specialise in psychiatry:differences between core psychiatry trainees and consultant psychiatrists. BJPsych Bull, 40:19-23, 2016.


17. Ruhnke GW, Wilson SR, Akamatsu T, et al. Ethical decision making and patient autonomy:a comparison of physicians and patients in Japan and the United States. Chest, 118:1172-1182, 2000.


18. Hübner-Liebermann B, Spiessl H, Iwai K, Cording C. Treatment of schizophrenia:implications derived from an intercultural hospital comparison between Germany and Japan. Int J Soc Psychiatry, 51:83-96, 2005.


19. Schulze B. Stigma and mental health profession­als:a review of the evidence on an intricate relationship. Int Rev Psychiatry, 19:137-155, 2007.


20. Kuroda N, Sun S, Lin CK, et al. Attitudes toward taking medication among outpatients with schizophrenia:cross-national comparison between Tokyo and Beijing. Environ Health Prev Med, 13:288-295, 2008.


21. Naeem F, Ayub M, Javed Z, Irfan M, Haral F, Kingdon D. Stigma and psychiatric illness. A survey of attitude of medical students and doctors in Lahore, Pakistan. J Ayub Med Coll Abbottabad, 18:46-49, 2006.


22. 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, 55:501-507, 2001.


23. Janoušková M, Weissová A, Formánek T, Pasz J, Bankovská Motlová L. Mental illness stigma among medical students and teachers. Int J Soc Psychiatry, 63:744-751, 2017.


24. Ando S, Yamaguchi S, Aoki Y, Thornicroft G. Review of mental-health-related stigma in Japan. Psychiatry Clin Neurosci, 67:471-482, 2013.


25. Allport GW. The nature of prejudice. Cambridge, Massachusetts:Addison-Wesley Publishing Company, Inc.;1954.


26. 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, 60:283-288, 2006.

Figures