Anti-stigma training and positive changes in mental illness stigma outcomes in medical students in ten countries: a mediation analysis on pathways via empathy development and anxiety reduction
-
Published:2022-04-22
Issue:9
Volume:57
Page:1861-1873
-
ISSN:0933-7954
-
Container-title:Social Psychiatry and Psychiatric Epidemiology
-
language:en
-
Short-container-title:Soc Psychiatry Psychiatr Epidemiol
Author:
Potts Laura C.ORCID, Bakolis Ioannis, Deb Tanya, Lempp Heidi, Vince Tushar, Benbow Yasmin, Waugh William, Kim San, Raza Syed, Henderson Claire, Thornicroft Graham, Ando Shuntaro, Kondo Shinsuke, Ichihashi Kayo, Kasai Kiyoto, Yamaguchi Sosei, Matsunaga Asami, Ojio Yasutaka, Ogawa Makoto, Fujii Chiyo, Candelas Andrea, Martín Laura, Jiménez Andrea, Castañeda Cristina, Hernández Cecilia, de la Higuera Jesús, Muñoz-Negro José Eduardo, Sola Mercedes, García Rocío, Gota José Miguel, Mula Juan Francisco, López Ana, Oria Amadeo, Cervilla Jorge A., Bono Aguila, Franco Dolores, Gómez Jaime, Jiménez Carmen, Dorado Remedios, Ingunza Evelio, Márquez Irene, de la Vega Diego, Gª-Cubillana Pablo, Ouali Uta, Jouini Lamia, Zgueb Yosra, Nacef Fethi, Campbell Megan, Stein Dan, Harangozo Judit, Acs Andrea, Bulyáki Tünde, Szabó Gyöngyi, Ojo Tunde Masseyferguson, Ogunwale A., Sowunmi A. O., Awhangansi S. S., Ogundapo Deji, Sodiya O. T., Fadipe Babatunde, Olagunju Andrew T., Erinfolami Adebayo R., Ogunnubi Peter O., Tomás Catarina Cardoso, Janoušková Miroslava, Krupchanka Dzmitry, Bacle Simon Vasseur, Colliez Antoine, Sebbane Deborah, Mengin Amaury C., Vidailhet Pierre, Cazals Cyril, Fiorillo Andrea, Sampogna Gaia, Savorani Micaela, Del Vecchio Valeria, Luciano Mario, Borriello Giuseppina, Pocai Benedetta, Guimaraes Patricia Neves, Caldeira Antônio Prates, de Avelar Pedro Paulo Narciso,
Abstract
Abstract
Purpose
Studies of mental illness stigma reduction interventions have been criticised for failing to evaluate behavioural outcomes and mechanisms of action. This project evaluates training for medical students entitled ‘Responding to Experienced and Anticipated Discrimination’ (READ), developed to focus on skills in addition to attitudes and knowledge. We aimed to (i) evaluate the effectiveness of READ with respect to knowledge, attitudes, and clinical communication skills in responding to mental illness-related discrimination, and (ii) investigate whether its potential effectiveness was mediated via empathy or/and intergroup anxiety.
Methods
This is an international multisite non-randomised pre- vs post-controlled study. Eligible medical students were currently undertaking their rotational training in psychiatry. Thirteen sites across ten countries (n = 570) were included in the final analysis.
Results
READ was associated with positive changes in knowledge (mean difference 1.35; 95% CI 0.87 to 1.82), attitudes (mean difference − 2.50; 95% CI − 3.54 to − 1.46), skills (odds ratio 2.98; 95% CI 1.90 to 4.67), and simulated patient perceived empathy (mean difference 3.05; 95% CI 1.90 to 4.21). The associations of READ with knowledge, attitudes, and communication skills but not with simulated patient perceived empathy were partly mediated through student reported empathy and intergroup anxiety.
Conclusion
This is the first study to identify mediating effects of reduced intergroup anxiety and increased empathy in an evaluation of anti-stigma training that includes behavioural measures in the form of communication skills and perceived empathy. It shows the importance of both mediators for all of knowledge, skills, and attitudes, and hence of targeting both in future interventions.
Publisher
Springer Science and Business Media LLC
Subject
Psychiatry and Mental health,Social Psychology,Health (social science),Epidemiology
Reference61 articles.
1. Clement S et al (2015) What is the impact of mental health-related stigma on help-seeking? A systematic review of quantitative and qualitative studies. Psychol Med 45(1):11–27 2. Corrigan PW, Larson JE, Ruesch N (2009) Self-stigma and the “why try” effect: impact on life goals and evidence-based practices. World Psychiatry 8(2):75 3. Suhrcke M, de Paz Nieves C (2011) The impact of health and health behaviours on educational outcomes in high-income countries: a review of the evidence. WHO Regional Office for Europe, Copenhagen 4. Lee S et al (2009) Mental disorders and termination of education in high-income and low- to middle-income countires: epidemiological study. Br J Psychiatry 194:411–417 5. Mai Q, D’Arcy C, Holman J, Sanfilippo FM, Emery JD, Preen DB (2011) Mental illness related disparities in diabetes prevalence, quality of care and outcomes: a population-based longitudinal study. BMC Med 9(118):1–11
Cited by
10 articles.
订阅此论文施引文献
订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献
|
|