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How to reduce stigmatization of people with mental illness in medical education: READ intervention


Authors: Miroslava Janoušková 1,2;  Tomáš Formánek 1;  Michaela Zrnečková 1;  Aneta Alexová 1;  Martin Hejzlar 1;  Dana Chrtková 1;  Markéta Vítková 1;  Zbyněk Roboch 1;  Lucie Bankovská Motlová 1,2
Authors‘ workplace: Výzkumný program sociální psychiatrie, Národní ústav duševního zdraví, Klecany 1;  Oddělení lékařské psychologie 3. lékařské fakulty UK v Praze 2
Published in: Čas. Lék. čes. 2019; 158: 151-155
Category: Original Article

Overview

Stigmatization of people with mental illness in health care is a serious problem contributing to poor provision of health care and preventive medicine, it decreases their willingness to seek help and reduces quality of their life and life expectancy. The aim of this study is to evaluate the impact of the anti-stigma training READ on medical students during their psychiatric module. The training was held by a psychiatrist and a peer lecturer. This study is a part of the international project INDIGO.

A total of 53 medical students participated in this study (32 in intervention group, 21 in control group). Participants completed questionnaire at baseline and at immediate follow-up. It contained scales measuring attitudes, knowledge, empathy and intergroup anxiety.

The intervention group demonstrated reductions in stigma-related attitudes, improvements in mental illness knowledge and reductions in intergroup anxiety. At immediate follow-up the control group demonstrated improvements in mental illness knowledge and reductions in intergroup anxiety.

Based on the results of this study common psychiatric module at the medical school (including theoretical and practical education) does not contribute to the sufficient reduction of stigma. The training READ with an involvement of peer lecturers appears to be a convenient instrument how to reduce stigmatization of people with mental illness at medical schools. The contact with people who are not in the acute state of the illness is crucial for destigmatization.

Keywords:

medical students – intervention – peer lecturer – intergroup anxiety


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Article was published in

Journal of Czech Physicians

Issue 3-4

2019 Issue 3-4

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