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

BMC Medical Education

Volumn 13, Issue 1, 2013, Pages

  Papish, Andriyka ^a   Kassam, Aliya ^b   Modgill, Geeta ^c   Vaz, Gina ^b   Zanussi, Lauren ^b   Patten, Scott ^b  

^a UNIVERSITY OF SASKATCHEWAN   (Canada)

^b UNIVERSITY OF CALGARY   (Canada)

^c Opening Minds Anti Stigma Initiative   (Canada)

Author keywords

Contact based education; Knowledge; Medical education; Mental illness; Process; Psychiatry; Randomized controlled trial; Stigma

Indexed keywords

ADOLESCENT; ADULT; ARTICLE; CANADA; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; CURRICULUM; FEMALE; HEALTH PERSONNEL ATTITUDE; HUMAN; MALE; MEDICAL EDUCATION; MEDICAL STUDENT; MENTAL DISEASE; METHODOLOGY; NON INSULIN DEPENDENT DIABETES MELLITUS; PSYCHOLOGICAL ASPECT; RANDOMIZED CONTROLLED TRIAL; STEREOTYPING; YOUNG ADULT;

ADOLESCENT; ADULT; ALBERTA; ATTITUDE OF HEALTH PERSONNEL; CURRICULUM; DIABETES MELLITUS, TYPE 2; EDUCATION, MEDICAL, UNDERGRADUATE; FEMALE; HUMANS; MALE; MENTAL DISORDERS; STEREOTYPING; STUDENTS, MEDICAL; YOUNG ADULT;

EID: 84886048398     PISSN: None     EISSN: 14726920     Source Type: Journal    
DOI: 10.1186/1472-6920-13-141     Document Type: Article

References (61)

1. Stigma and discrimination [position paper]. Abbey S, Charbonneau M, Tranulis C, Moss P, Baici W, Dabby L, Gautam M, Paré M, Can J Psychiatry 2011 56 10 1 9
2. WPA guidance on how to combat stigmatization of psychiatry and psychiatrists. 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, World Psychiatry 2010 9 3 131 144 20975855
3. Stigma: ignorance, prejudice or discrimination? Thornicroft G, Rose D, Kassam A, Sartorius N, Br J Psychiatry 2007 190 192 193 10.1192/bjp.bp.106. 025791 17329736 (Pubitemid 46384000)
4. Lessons from social psychology on discrediting psychiatric stigma. Corrigan PW, Penn DL, Am Psychol 1999 54 9 765 776 10510666
5. Challenging the public stigma of mental illness: a meta-analysis of outcome studies. Corrigan PW, Morris SB, Michaels PJ, Rafacz JD, Rusch N, Psychiatr Serv 2012 63 10 963 973 10.1176/appi.ps.201100529 23032675
6. Reducing stigma and discrimination: candidate interventions. Thornicroft G, Brohan E, Kassam A, Lewis-Holmes E, Int J Ment Health Syst 2008 2 1 3 10.1186/1752-4458-2-3 18405393
7. Discrimination against people with mental illness: what can psychiatrists do? Thornicroft G, Rose D, Mehta N, Adv Psychiatr Treat 2010 16 53 59 10.1192/apt.bp.107.004481
8. Stigma and mental health professionals: a review of the evidence on an intricate relationship. Schultz B, Int Rev Psychiatry 2007 19 2 137 155 10.1080/09540260701278929 17464792 (Pubitemid 46676526)
9. How stigma interferes with mental health care. Corrigan P, Am Psychol 2004 59 7 614 625 15491256 (Pubitemid 39442875)
10. Attitudes towards people with a mental disorder: a survey of the Australian public and health professionals. Jorm AF, Korten AE, Jacomb PA, Christensen H, Henderson S, Aust N Z J Psychiatry 1999 33 1 77 83 10.1046/j.1440-1614.1999.00513.x 10197888 (Pubitemid 29121903)
11. Attitudes of mental health professionals towards people with schizophrenia and major depression. Nordt C, Rossler W, Lauber C, Acta Psychiatr Scand 2006 114 2 145 146 16836605 (Pubitemid 44034277)
12. US Dept of Health and Human Services, Mental health: a report of the surgeon general Bethesda, MD: US Department of Health and Human Services 1999
13. Physicians and Depression. Gautam M, The Handbook of physician health: the essential guide to understanding the health needs of physicians Chicago, IL: American Medical Association, Goldman LS, Myers M, Dickstein LJ, 2000 80 94
14. Capturing medical students' idealism. Smith JK, Weaver DB, Ann Fam Med 2006 4 32 S37 10.1370/afm.543 17003160 (Pubitemid 46372292)
15. Students' conceptions of the medical profession: an interview study. Nieuwhof MG, Rademakers JJ, Kuyvenhoven MM, Soethout MB, Ten Cate TJ, Med Teach 2008 27 709 714
16. Medical attitudes about mental illness: does medical-school education reduce stigma? Korszun A, Dinos S, Ahmed K, Kamaldeep B, Acad Psychiatry 2012 36 197 204 22751821
17. Depression, stigma, and suicidal ideation in medical students. Schwenk TL, Davis L, Wimsatt LA, JAMA 2010 304 11 1181 1190 10.1001/jama.2010.1300 20841531
18. Burnout and suicidal ideation among U.S. medical students. Dyrbye LN, Thomas MR, Massie FS, Power DV, Eacker A, Harper W, Durning S, Moutier C, Szydio DW, Novotny PJ, Sloan JA, Shanafelt TD, Ann Intern Med 2008 149 5 334 341 10.7326/0003-4819-149-5-200809020-00008 18765703
19. 'I wouldn't want it on my CV or their records': medical students' experiences of help-seeking for mental health problems. Chew-Graham CA, Rogers A, Yassin N, Med Educ 2003 37 10 873 880 10.1046/j.1365-2923.2003.01627.x 12974841 (Pubitemid 37204614)
20. 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
21. Discrediting the notion "working with 'crazies' will make you 'crazy"': addressing stigma and enhancing empathy in medical student education. Cutler JL, Harding KJ, Mozian SA, Wright LL, Pica AG, Masters SR, Graham MJ, Adv in Health Sci Educ 2009 14 487 502 10.1007/s10459-008-9132-4
22. Medical students' perceptions of psychiatry as a career choice. Cutler JL, Alspector SL, Harding KJ, Wright LA, Graham MJ, Acad Psychiatry 2006 30 144 149 10.1176/appi.ap.30.2.144 16609121 (Pubitemid 46939973)
23. Medical students' attitudes toward psychiatry and mental disorders. Feldman TB, Acad Psychiatry 2005 29 4 4 356
24. Active ingredients in anti-stigma programmes in mental health. Pinfold V, Thornicroft G, Huxley P, Farmer P, Int Rev Psychiatry 2005 17 2 123 131 10.1080/09540260500073638 16194782 (Pubitemid 40903065)
25. From sin to science: fighting the stigmatization of mental illnesses. Arboleda-Florez J, Stuart H, Can J Psychiatry 2012 57 8 457 463 22854027
26. Interpersonal contact and the stigma of mental illness: a review of the literature. Couture S, Penn DL, J Ment Health 2003 12 3 291 303 10.1080/09638231000118276 (Pubitemid 36836521)
27. A controlled trial of mental illness related stigma training for medical students. Kassam A, Glozier N, Leese M, Loughran J, Thornicroft G, BMC Med Educ 2011 11 1 1 51 10.1186/1472-6920-11-1 21219639
28. The social rejection of ex-mental patients: understanding why labels matter. Link BG, Cullen FT, Frank J, Wozniak J, Am J Sociol 1987 92 1461 1500 10.1086/228672
29. Thornicroft G, Shunned: Discrimination against people with mental illness New York: Oxford University Press 2006
30. The development and validation of a knowledge, attitude and behaviour questionnaire to assess undergraduate evidence-based practice teaching and learning. Johnston JM, Leung GM, Fielding R, Tin KY, Ho LM, Med Educ 2003 37 992 1000 10.1046/j.1365-2923.2003.01678.x 14629412 (Pubitemid 37411931)
31. Continuing the cultural competency journey through exploration of knowledge, attitudes, and skills with advanced practice psychiatric nursing students: an exemplar. Hoke MM, Robbins LK, Nurs Clin North Am 2011 46 2 201 205 10.1016/j.cnur.2011.02.004 21501731
32. Evidence-based practice: attitudes, knowledge and behaviour among allied health care professionals. Kajermo KN, Tyni-Lenné R, Guidetti S, Samuelsson M, Andersson IL, Wengström Y, Int J Qual Health Care 2011 23 2 198 209 10.1093/intqhc/mzq083 21242158
33. Knowledge, attitude, and behaviour of public health doctors towards pandemic influenza compared to the general population in Italy. La Torre G, Semyonov L, Mannocci A, Boccia A, Scand J Public Health 2011 0 1 7
34. National Institute for Health and Clinical Excellence, Behaviour change at population, community and individual levels London, England: National Institute for Health and Clinical Excellence 2007
35. Contact with the mentally ill and perceptions of how dangerous they are. Link BG, Cullen FT, J Health Soc Behav 1986 27 289 302 10.2307/2136945 3559124 (Pubitemid 17022203)
36. An attribution model of public discrimination towards persons with mental illness. Corrigan P, Markowitz FE, Watson A, Rowan D, Kubiak MA, J Health Soc Behav 2003 44 162 179 10.2307/1519806 12866388 (Pubitemid 38457475)
37. The paradox of self-stigma and mental illness. Corrigan PW, Watson AC, Clin Psychol Sci Pract 2002 9 1 35 53 10.1093/clipsy.9.1.35 (Pubitemid 41288910)
38. Attitudes of social distance and social responsibility for mental illness: a comparison of teachers and the general public. Bentz WK, Hollister WG, Kherlopian M, Psychol Sch 1970 7 2 198 203 10.1002/1520-6807(197004)7: 2<198::AID-PITS2310070218>3.0.CO;2-D
39. Illness management and recovery: a review of the research. Mueser KT, Corrigan PW, Hilton DW, et al. Psychiatr Serv 2002 53 1272 1284 10.1176/appi.ps.53.10.1272 12364675
40. Emotional reactions to people with mental illness. Angermeyer MC, Holzinger A, Matschinger H, Epidemiol Psichiatr Soc 2010 19 1 26 32 20486421
41. Felt versus enacted stigma: a concept revisited: Evidence from a study of people with epilepsy in remission. Jacoby A, Soc Sci Med 1994 38 2 269 274 10.1016/0277-9536(94)90396-4 8140453
42. No hope without compassion: the importance of compassion in recovery-focused mental health services. Spandler H, Stickley T, J Ment Health 2011 20 6 555 566 10.3109/09638237.2011.583949 22126632
43. Diabetes as a stigmatized condition: the case of low-income clinic patients in the United States. Hopper S, Soc Sci Med Med Anthropol 1981 15B 1 11 19 7209601 (Pubitemid 11038557)
44. University of Calgary Medical School operating Philosophy Calgary, Canada 2010 http://www.ucalgary.ca/mdprogram/operatingphilosophy
45. Medical Council of Canada's (MCC) Objectives for the Qualifying Examination Part I http://mcc.ca/examinations/objectives-overview/
46. The clinical application of the biopsychosocial model. Engel GL, Am J Psychiatry 1980 137 535 544 7369396 (Pubitemid 10107437)
47. American Psychiatric Association, Diagnostic and statistical manual of mental disorders Washington, DC: American Psychiatric Association 4 2000
48. 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). Kassam A, Papish A, Modgill G, Patten S, BMC Psychiatry 2012 12 62 10.1186/1471-244X-12-62 22694771
49. Stata Corporation, Stata, version 11.0. [11.0] College Station, TX: Stata Corporation 2009
50. Evaluating the impact of direct and indirect contact on the mental health stigma of pharmacy students. Nguyen E, Chen TF, O'Reilly CL, Soc Psychiatry Psychiatr Epidemiol 2012 47 7 1087 1098 10.1007/s00127-011-0413-5 21755345
51. Three strategies for changing attributions about severe mental illness. Corrigan PW, River LP, Lundin RK, Penn DL, Uphoff-Wasowski K, Campion J, Mathisen J, Gagnon C, Bergman M, Goldstein H, Kubiak MA, Schizophr Bull 2001 27 2 187 195 10.1093/oxfordjournals.schbul.a006865 11354586 (Pubitemid 33644294)
52. Boundaries in the doctor-patient relationship. Nadelson C, Noteman M, Theor Med Bioeth 2002 23 3 191 201 10.1023/A:1020899425668 12467344 (Pubitemid 35363412)
53. Conceptualizing stigma. Link BG, Phelan JC, Annu Rev Sociol 2001 27 363 385 10.1146/annurev.soc.27.1.363 (Pubitemid 33342722)
54. An uncertain revolution: why the rise of a genetic model of mental illness has not increased tolerance. Schnittker J, Soc Sci Med 2008 67 9 1370 1381 10.1016/j.socscimed.2008.07.007 18703264
55. "A disease like any other?" a decade of change in public reactions to schizophrenia, depression, and alcohol dependence. Pescosolido B, Martin J, Long JS, Medina T, Phelan J, Link B, Am J Psychiatry 2010 167 1321 1330 10.1176/appi.ajp.2010.09121743 20843872
56. The junior medical student psychiatry clerkship: curriculum, attitudes, and test performance. Niedermier JA, Bornstein R, Brandemihl A, Acad Psychiatry 2006 30 136 143 10.1176/appi.ap.30.2.136 16609120 (Pubitemid 46939972)
57. Marrying content and process in clinical method teaching: enhancing the calgary-cambridge guides. Kurtz S, Silverman J, Benson J, Draper J, Acad Med 2003 78 802 809 10.1097/00001888-200308000-00011 12915371 (Pubitemid 36993082)
58. Up close and personal: medical students prefer face-to-face teaching in psychiatry. Lampe L, Coulston C, Walter G, Mahli G, Australas Psychiatry 2010 18 4 354 360 10.3109/10398561003739620 20645903
59. Canadian Residency Matching Service (CaRMS) Reports and Statistics 2012 http://www.carms.ca/eng/operations-R1reports-12-e.shtml
60. Grads matching in psychiatry. Mark M, Fewer US, Am Psychiatr Assoc Psychiatr News 2012 47 8 1b 30b
61. The recruitment problem in psychiatry: a critical commentary. Stampfer H, Educ Res Perspect 2011 38 2 1 19