Ir al contenido

Documat

Eficacia y tipos de intervenciones para reducir el estigma hacia la enfermedad mental en estudiantes universitarios de Medicina: Una revisión de la literatura (1997-2020)

  • Ruth Gervás [1] ; Llanyra García-Ullán [2] Árbol académico ; Víctor Amor [3] ; Alberto Bullon [1] ; Purificación Vicente Galindo [4] Árbol académico ; Carlos Roncero [5]
    1. [1] Hospital Universitario de Salamanca

      Hospital Universitario de Salamanca

      Salamanca, España

    2. [2] Profesor, MD, PhD, Departamento de Medicina. Área de Psiquiatría (Universidad de Salamanca), Salamanca, España. Psiquiatra del Servicio de Psiquiatría (Complejo Asistencial Universitario de Salamanca), España. Investigador Asociado, IBSAL (Instituto de Biomedicina de Salamanca), Complejo Asistencial Universitario de Salamanca; Salamanca, España. https://orcid.org/0000-0001-7023-4935.
    3. [3] Profesor, PhD, Departamento de Medicina. Área de Estadística (Universidad de Salamanca), Salamanca, España. https:// orcid.org/0000-0003-0313-0196
    4. [4] Profesor, PhD, Departamento de Medicina. Área de Estadística (Universidad de Salamanca), Salamanca, España. https:// orcid.org/0000-0002-5854-273X.
    5. [5] Profesor, MD, PhD, Departamento de Medicina. Área de Psiquiatría (Universidad de Salamanca), Salamanca, España. Jefe del Servicio de Psiquiatría (Complejo Asistencial Universitario de Salamanca) Salamanca, España. Investigador Principal, IBSAL (Instituto de Biomedicina de Salamanca) Complejo Asistencial Universitario de Salamanca; Salamanca, España. HYPERLINK “http://orcid.org/0000-0003-1421-7385”http:// HYPERLINK “http://orcid.org/0000-0003-1421-7385” orcid.org/0000-0003-1421-7385
    Mostrar afiliaciones +
  • Localización: Actas españolas de psiquiatría, ISSN 1139-9287, Vol. 50, Nº. 2, 2022, págs. 106-113
  • Idioma: español
  • Títulos paralelos:
    • Effectiveness and types of interventions to reduce mental illness-related stigma among medical university students: A literature review (1997-2020)
  • Enlaces
  • Resumen
    • español

      Entre los estudiantes de MEDICINA existe una alta prevalencia de estigma hacia la enfermedad mental, lo que puede provocar consecuencias negativas de gran alcance. Es de suma importancia intervenir y modificar las cogniciones en los futuros médicos para luchar contra el estigma. El objetivo de este trabajo es describir los tipos y la efectividad de las intervenciones para la reducción del estigma hacia las enfermedades mentales entre los estudiantes de MEDICINA a través de una revisión de la literatura existente de 1997 a 2020. Se realizó una búsqueda sistemática en las bases de datos PubMed, Web of Science (WOS) y Cochrane Library según la metodología PRISMA. Se localizaron un total de 87 manuscritos, tras la lectura de sus resúmenes se procedió a la exclusión de 49 por no adaptarse a los parámetros de estudio. Se seleccionaron 38 documentos que cumplían con los criterios de inclusión y 6 añadidos de búsquedas relacionales. Se evaluaron 44 estudios con una participación de global de 20.196 estudiantes de MEDICINA. En el 97 % de los casos las metodologías de intervención de reducción de estigma fueron eficaces. Se hallaron 16 tipos de intervenciones diferentes que presentan alta heterogeneidad metodológica. Las intervenciones aplicadas para la reducción del estigma hacia las enfermedades mentales (EM) entre los estudiantes de MEDICINA demuestran efectividad prácticamente en su mayoría. Las prácticas educativas son las más eficaces a largo plazo y junto con la comprensión médica positiva, la búsqueda de ayuda y el contacto experiencial en vivo, se presentan como fuertes estrategias de combate hacialas actitudes estigmatizantes.

    • English

      There is a high prevalence of stigma among medical students towards mental illness, which can have far reaching negative consequences. It is essential to intervene and modify their preconceptions in order to fight against stigma. The objective of this study is to describe the types and effectiveness of interventions to reduce mental illness-related stigma among medical university students through a review of the literature published from 1997 to 2020. A systematic search was carried out in the following databases: PubMed, Web of Science (WOS) and Cochrane Library, following the PRISMA methodology. After the search, 87 manuscripts were found.

      49 documents met the selection criteria, and 6 additional texts were included after a search for related studies. 44 studies were assessed, with a global participation of 20.196 Medicine students. In 97% of the cases, the methods of intervention for the reduction of stigma towards mental disorders (TM)were effective. 16 different types of interventions were found, with a limited number of methodologies. Teaching practices are the most effective in the long-term, together with a positive medical understanding, the search for help and the in vivo experiential contact, which are presented as strong strategies to combat stigmatizing attitudes.

  • Referencias bibliográficas
    • 1. Saxena S, Funk M, Chisholm D. World health assembly adopts comprehensive mental health action plan 2013-2020. Lancet [Internet]. 2013;381(9882):1970–1....
    • 2. Roncero C, Rodríguez-Cintas L, Egido A, Barral C, Pérez-Pazos J, Collazos F, et al. The influence of medical student gender and drug use...
    • 3. Thornicroft G, Rose D, Kassam A, Sartorius N. Stigma: Ignorance, prejudice or discrimination? British Journal of Psychiatry. Cambridge...
    • 4. Link BG, Phelan JC. Conceptualizing stigma [Internet]. 2001. Available from: www.annualreviews.org
    • 5. Griffiths KM, Carron-Arthur B, Parsons A, Reid R. Effectiveness of programs for reducing the stigma associated with mental disorders. A...
    • 6. Suwalska J, Suwalska A, Neumann-Podczaska A, Łojko D. Studenci medycyny a stygmatyzacja z powodu depresji. Czȩść. Stygmatyzacja pacjentów....
    • 7. Gervas R, Bueno G, Garcia-Ullan L, de La Mata R, Roncero C. Is There a Stigma towards Mental Illness among Medical Students? A Systematic...
    • 8. Muñoz, M., Pérez Santos, E., Crespo, M., & Guillén, A. (2009). Stigma and mental illness: Analysis of the social rejection suffered...
    • 9. Roncero C, Egido A, Rodríguez-Cintas L, Pérez-Pazos J, Collazos F, Casas M. Consumo de drogas entre los estudiantes de medicina: Una revisión...
    • 10. Urrútia G, Bonfill X. PRISMA declaration: A proposal to improve the publication of systematic reviews and meta-analyses. Med Clin (Barc)....
    • 11. Korszun A, Dinos S, Ahmed K, Bhui K. Medical Student Attitudes About Mental Illness: Does Medical-School Education Reduce Stigma? [Internet]....
    • 12. Papish A, Kassam A, Modgill G, Vaz G, Zanussi L, Patten S. Reducing the stigma of mental illness in undergraduate medical education: a...
    • 13. Sireesha SR, Lanka UVR, J MR, Kumar CS. A cross-sectional and comparative study of stigma in undergraduate medical students towards mentally...
    • 14. Slavin SJ, Schindler DL, Chibnall JT. Medical student mental health 3.0: Improving student wellness through curricular changes. Acad Med....
    • 15. Magliano L, Read J, Patalano M, Sagliocchi A, Oliviero N, D’Ambrosio A, et al. To counteract stigma towards people with schizophrenia...
    • 16. Shen Y, Dong H, Fan X, Zhang Z, Li L, Lv H, et al. What can the medical education do for eliminating stigma and discrimination associated...
    • 17. Adriaensen K, Pieters G, De Lepeleire J. Stigmatisering van psychiatrische patiënten door huisartsen en studenten geneeskunde: Een literatuuronderzoek....
    • 18. Petkari E, Masedo Gutiérrez AI, Xavier M, Moreno Küstner B. The influence of clerkship on students’ stigma towards mental illness: a meta-analysis.Medical...
    • 19. Silva RDDC, Albuquerque SGC, Muniz AD V., Filho PPR, Ribeiro S, Pinheiro PR, et al. Reducing the Schizophrenia Stigma: A New Approach...
    • 20. Stubbs A. Reducing mental illness stigma in health care students and professionals: A review of the literature. Australasian Psychiatry....
    • 21. Yamaguchi S, Wu SI, Biswas M, Yate M, Aoki Y, Barley EA, et al. Effects of short-term interventions to reduce mental health-related stigma...
    • 22. Kassam A, Glozier N, Leese M, Loughran J, Thornicroft G. A controlled trial of mental illness related stigma training for medical students....
    • 23. Patten SB, Remillard A, Phillips L, Modgill G, Szeto AC, Kassam A, et al. Effectiveness of contact-based education for reducing mental...
    • 24. Poreddi V, Thimmaiah R, Math SB. Attitudes toward people with mental illness among medical students. J Neurosci Rural Pract. 2015;6(3):349–54.
    • 25. Davies EB, Beever E, Glazebrook C. A pilot randomised controlled study of the mental health first aid eLearning course with UK medical...
    • 26. Fernando SM, Deane FP, McLeod HJ. Sri Lankan doctors’ and medical undergraduates’ attitudes towards mental illness. Soc Psychiatry Psychiatr...
    • 27. Arbanas G. Adolescents’ attitudes toward schizophrenia, depression, and PTSD. J Psychosoc Nurs Ment Health Serv. 2008;46(3):45–51.
    • 28. Ozelie R, Panfil P, Swiderski N, Walz E. Hearing Voices Simulation: Impact on Occupational Therapy Students. Open J Occup Ther. 2018;...
    • 29. Thompson AH, Stuart H, Bland RC, Arboleda-Florez J, Warner R, Dickson RA. Attitudes about schizophrenia from the pilot site of the WPA...
    • 30. Amarasuriya SD, Jorm AF, Reavley NJ, Mackinnon AJ. Stigmatising attitudes of undergraduates towards their peers with depression: A cross-sectional...
    • 31. De Witt C, Smit I, Jordaan E, Koen L, Niehaus DJH, Botha U. The impact of a psychiatry clinical rotation on the attitude of South African...
    • 32. Chang S, Ong HL, Seow E, Chua BY, Abdin E, Samari E, et al. Stigma towards mental illness among medical and nursing students in Singapore:...
    • 33. Ay P, Save D, Fidanoglu O. Does stigma concerning mental disorders differ through medical education? A survey among medical students in...
    • 34. Hankir AK, Northall A, Zaman R. Stigma and mental health challenges in medical students. BMJ Case Rep. 2014;doi:10.1136/bcr-2014-205226
    • 35. Mukherjee R, Fialho A, Wijetunge A, Checinski K, Surgenor T. The stigmatisation of psychiatric illness: The attitudes of medical students...
    • 36. Anthony J, Ahmedani B, Mickus M, Kubiak S, Rios C. Willingness to treat drug dependence and depression: comparisons of future health professionals....
    • 37. Poreddi V, Thimmaiah R, Math SB. Attitudes toward people with mental illness among medical students. J Neurosci Rural Pract. 2015;6(3):349–54.
    • 38. Magliano L, Read J, Patalano M, Sagliocchi A, Oliviero N, D’Ambrosio A, et al. To counteract stigma towards people with schizophrenia...
    • 39. Shen Y, Dong H, Fan X, Zhang Z, Li L, Lv H, et al. What can the medical education do for eliminating stigma and discrimination associated...
    • 40. Gilaberte I, Failde I, Salazar A, Caballero L. Attitude of fifth-grade medical students towards mental health. Educ Médica. 2012;15(4):227–33.
    • 41. Sandhu HS, Arora A, Brasch J, Streiner DL. Mental Health Stigma: Explicit and Implicit Attitudes of Canadian Undergraduate Students, Medical...
    • 42. Arbanas G. Adolescents’ attitudes toward schizophrenia, depression, and PTSD. J Psychosoc Nurs Ment Health Serv. 2008;46(3):45–51.
    • 43. Koike S, Yamaguchi S, Ojio Y, Ohta K, Shimada T, Watanabe K, et al. A randomised controlled trial of repeated filmed social contact on...
    • 44. Deb T, Lempp H, Bakolis I, Vince T, Waugh W, Henderson C. Responding to experienced and anticipated discrimination (READ): anti -stigma...
    • 45. Wechsler D, Schomerus G, Mahlke C, Bock T. Effects of contact-based, short-term anti-stigma training for medical students: Results from...
    • 46. Heim E, Henderson C, Kohrt BA, Koschorke M, Milenova M, Thornicroft G. Reducing mental health-related stigma among medical and nursing...
    • 47.Janoušková M, Formánek T, Zrnečková M, Alexová A, Hejzlar M, Chrtková D, et al. How to reduce stigmatization of people with mental illness...
    • 48. Montes-Rodríguez JM, Reneses-Prieto B, Pérez-Corrales J, Del Álamo-Jiménez C, Blanco-Ballesteros N, Gómez-Olmeda D et al.Humanization...
Fundación Dialnet

Mi Documat

Opciones de artículo

Opciones de compartir

Opciones de entorno