Mental health literacy about bipolar disorder and schizophrenia among medical students: a comparative study of illness recognition, treatment, and attitudes according to perception of aggressiveness-dangerousness
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Resumen
Introducción. La falta de información puede dar como resultado actitudes negativas de los profesionales de la salud hacia los individuos con trastornos mentales.
Objetivo. Determinar la asociación entre la percepción de agresión-peligrosidad y el reconocimiento de la enfermedad, tratamiento sugerido y actitudes sobre la esquizofrenia y el trastorno bipolar en un grupo de estudiantes de pregrado de medicina.
Método. El presente es un estudio no experimental, transversal comparativo en una muestra propositiva de estudiantes de medicina. El reconocimiento de la enfermedad, creencias acerca del tratamiento más adecuado, percepción de la agresión-peligrosidad del paciente y las actitudes hacia los trastornos mentales graves fueron evaluados con instrumentos previamente validados.
Resultados. El 54.8% de un total de 104 participantes identificaron un estado de salud mental en la viñeta de esquizofrenia en contraste con tan sólo el 3.8% para el caso de trastorno bipolar. La mayoría de los estudiantes consideraron que ambos diagnósticos se relacionaban con conductas agresivas. La peligrosidad fue percibida más frecuentemente en la viñeta del caso con esquizofrenia.
Discusión y conclusión. Es necesario sensibilizar y educar a los estudiantes de medicina para que tengan información clara y precisa sobre los síntomas y tratamientos disponibles para los individuos con trastornos mentales.
Referencias
Altindag, A., Yanik, M., Ucok, A., Alptekin, K., & Ozkan, M. (2006). Effects of an antistigma program on medical students’ attitudes towards people with schizophrenia. Psychiatry and Clinical Neurosciences, 60, 283-288.
Bolton, J. (2001). Pull yourself together! A survey of the stigma and discrimination faced by people who experience mental distress. The Psychiatrist, 25, 366-366.
Chawla, J. M., Balhara, Y. P. S., & Rajesh Sagar, S. (2012). Undergraduate medical students’ attitude toward psychiatry: A cross-sectional study. Indian Journal of Psychiatry, 54, 37-40.
Corrigan, P. (2005). On the Stigma of Mental Illness. Washington, DC, United States of America: American Psychological Association.
Dixon, R. P., Roberts, L. M., Lawrie, S., Jones, L. A., & Humphreys, M. S. (2008). Medical students’ attitudes to psychiatric illness in primary care. Medical Education, 42, 1080-1087.
Durand-Zaleski, I., Scott, J., Rouillon, F., & Leboyer, M. (2012). A first national survey of knowledge, attitudes and behaviours towards schizophrenia, bipolar disorders and autism in France. BMC psychiatry, 12, 128.
Eisenberg, D., Speer, N., & Hunt, J. B. (2012). Attitudes and beliefs about treatment among college students with untreated mental health problems. Psychiatric services, 63, 711-713.
Ellemers, N., Spears, R., & Doosje, B. (2002). Self and social identity. Annual review of psychology, 53(1), 161-186.
Fernando, S. M., Deane, F. P., & McLeod, H. J. (2010). Sri Lankan doctors’ and medical undergraduates’ attitudes towards mental illness. Social Psychiatry and Psychiatric Epidemiology, 45, 733-739.
Fresan, A., Robles-García, R., De Benito, L., Saracco, R., & Escamilla, R. (2010). Development and psychometric properties of a brief instrument to measure the stigma of aggressiveness in schizophrenia. Actas Españolas de Psiquiatría, 38, 340-344.
Fresán, A., Robles, R., Cota, M., Berlanga, C., Lozano, D., & Tena, A. (2012). Actitudes de mujeres estudiantes de psicología hacia las personas con esquizofrenia: Relación con la percepción de agresividad y peligrosidad. Salud Mental, 35, 215-223.
Fresán, A., Berlanga, C., Robles-García, R., Alvarez-Icaza, D., & Vargas-Huicochea, I. (2013). Mental health literacy in bipolar disorder: Association with perception of aggressiveness and gender of medical students. Salud Mental, 36, 229-234.
Jorm, A. F. (2000). Mental health literacy: Public knowledge and beliefs about. British Journal of Psychiatry, 177, 396-401.
Lauber, C., Nordt, C., Falcato, L., & Rössler, W. (2003). Do people recognise mental illness? European Archives of Psychiatry and Clinical Neuroscience, 253, 248-251.
Link, B. G., Phelan, J. C., Bresnahan, M., Stueve, A., & Pescosolido, B. A. (1999). Public conceptions of mental illness: labels, causes, dangerousness, and social distance. American Journal of Public Health, 89, 1328-1333.
Magliano, L., Read, J., Rega, S., Oliviero, N., Sagliocchi, A., Patalano, M., & D'Ambrosio, A. (2011). The influence of causal explanations and diagnostic labeling on medical students' views of schizophrenia. Academic Medicine, 86, 1155-1162.
Magliano, L., Read, J., & Marassi, R. (2011). Metaphoric and non-metaphoric use of the term “schizophrenia” in Italian newspapers. Social Psychiatry and Psychiatric Epidemiology, 46, 1019-1025.
Malhi, G. S., Parker, G. B., Parker, K., Carr, V. J., Kirkby, K. C., Yellowlees, P., … & Tonge, B. (2003). Attitudes toward psychiatry among students entering medical school. Acta Psychiatrica Scandinavica, 107, 424-429.
Mino, Y., Yasuda, N., Tsuda, T., & Shimodera, S. (2001). Effects of a one‐hour educational program on medical students' attitudes to mental illness. Psychiatry and Clinical Neurosciences, 55, 501-507.
Nedopil, N. (1997). Violence of psychotic patients: how much responsibility can be attributed? International Journal of Law and Psychiatry, 20, 243-247.
Ng, P., & Chan, K. F. (2000). Sex differences in opinion towards mental illness of secondary school students in Hong Kong. International Journal of Social Psychiatry, 46(2), 79-88.
Ottati, V., Bodenhausen, G.V., & Newman, L.S. (2005). Social psychological models of mental illness stigma. In P. W. Corrigan (Ed.). On the Stigma of mental illness: Practical strategies for research and social change (pp. 99-128). Washington, D.C: American Psychological Association.
Robles-García, R., Fresán, A., Berlanga, C., & Martínez, N. (2013). Mental illness recognition and beliefs about adequate treatment of a patient with schizophrenia: Association with gender and perception of aggressiveness-dangerousness in a community sample of Mexico City. International Journal of Social Psychiatry, 59, 811-818.
Rose, D., Thornicroft, G., Pinfold, V., & Kassam, A. (2007). 250 labels used to stigmatise people with mental illness. BMC Health Services Research, 7(1), 97.
Thornicroft, G. (2006). Shunned: Discrimination against people with mental illness (Vol. 399). Geneva: Oxford.
Royal College of Psychiatrists, Royal College of Physicians of London, & British Medical Association. (2001). Mental illness: stigmatization and discrimination within the medical profession. Glasgow: Bell & Bain Limited.
Sirey, J. A., Bruce, M. L., Alexopoulos, G. S., Perlick, D. A., Friedman, S. J., & Meyers, B. S. (2001). Stigma as a barrier to recovery: Perceived stigma and patient-rated severity of illness as predictors of antidepressant drug adherence. Psychiatric services, 52, 1615-1620.
Spiegel, M.R., & Stephens, L.J. (2009). Estadística (4ta ed.). México, D.F.: McGraw Hill.
Stip, E., Caron, J., & Mancini-Marïe, A. (2006). General population perceptions and attitudes towards schizophrenia and bipolar disorder. Primary Care and Community Psychiatry, 11, 157-165.
Vargas-Huicochea, I., & Huicochea-Gómez, L. (2007). Percepción de la enfermedad en pacientes con diagnóstico de trastorno bipolar. Aproximación a la relación médico/paciente. Estudios de Antropología Biológica, 13, 711-729.
Vargas-Huicochea, I., & Berenzon-Gorn, S. (2013). From self-care to hospitalization: Bipolar patients' health care practices in Mexico. International Journal of Social Psychiatry, 59, 592–601.
Walsh, E., Buchanan, A., & Fahy, T. (2002). Violence and schizophrenia: examining the evidence. The British Journal of Psychiatry, 180, 490-495.
World Medical Association. (2013). World Medical Association Declaration of Helsinki: ethical principles for medical research involving human subjects. Journal of the American Medical Association, 310(20), 2191.
Yeo, S. G., Parker, G., Mahendran, R., Jorm, A. F., Yap, H. L., Lee, C., & Loh, M. I. (2001). Mental health literacy survey of psychiatrically and generally trained nurses employed in a Singapore psychiatric hospital. International Journal of Nursing Practice, 7, 414-421.