精神病学课程及精神科工作经历对精神疾病态度的影响(英文)  

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

作　　者：孙梦[1,2] 薛志敏 蒲唯丹[3] 刘哲宁[1,2] Robert Rosenheck[4] SUN Meng;XUE Zhi-min;PU Wei-dan;LIU Zhe-ning;Robert Rosenheck(Department of Psychiatry, The Second Xiangya Hospital, Central South University, Changsha 410011, China;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;Medical Psychological Institutes, The Second Xiangya Hospital of Central South University, Changsha 410011, China;Department of Psychiatry, Yale University, New Haven, CT, USA)

机构地区：[1]中南大学湘雅二医院精神病学科,长沙410011 [2]国家精神心理疾病临床研究中心,精神疾病诊疗技术国家地方联合工程实验室,精神疾病诊疗技术湖南省工程实验室,精神病学与精神卫生湖南省重点实验室,中南大学精神卫生研究所,长沙410011 [3]中南大学湘雅二医院医学心理学研究所,长沙410011 [4]耶鲁大学精神科,美国

出　　处：《中国临床心理学杂志》2018年第2期282-288,共7页Chinese Journal of Clinical Psychology

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 stigmatized 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.

关 键 词：病耻感 精神病学课程 工作经历 医学生 精神科医生 

分 类 号：R395.2[哲学宗教—心理学]