Document Type : Original Article

Authors

Community Medicine, GMERS Medical College, Vadodara, Gujarat, India

Abstract

BACKGROUND: Worldwide, studies show negative attitude among medical students toward psychiatry
and mental illness. The knowledge of the attitude and awareness of the undergraduate medical students
toward psychiatry, mental health, and psychiatric disorders are most important as they are going to be
involved in the care of these patients either directly or indirectly during the later years of their careers.
AIM: This study aims to assess attitude toward psychiatry and mental illness among undergraduate
medical students.
METHODOLOGY: The responses of 67 medical students from the 6th semester (third professional
year) batch who completed their 2‑week clinical posting of psychiatry in 4th semester (i.e., second
professional year) were collected using validated questionnaires, attitude towards mental illness (AMI),
and attitude towards psychiatry (ATP) that assessed their attitudes to psychiatry and mental illness.
Double data entry and validation were done using EpiData and analysis using Epi Info software.
RESULTS: Median AMI score was 54 (out of maximum 100) showing a neutral AMI. Median ATP
score was 82 (out of maximum 150) also showing a neutral ATP. The theme‑wise analysis showed
that the attitude of students toward psychiatrist and psychiatry branch was relatively better compared
to their AMI.
CONCLUSION: Undergraduate students have a neutral attitude to psychiatry and mental illness.
More efforts are needed to change the attitude to favorable side.

Keywords

1. The World Health Report 2001. Mental Health: New
Understanding; New Hope. Geneva: WHO; 2001.
2. Gururaj G, Varghese M, Benegal V, Rao GN, Pathak K, Singh LK,
et al. National Mental Health Survey of India, 2015‑16: Summary.
National Institute of Mental Health and Neurosciences.
NIMHANS Publication No. 128; 2016.
3. Rezler AG. Methods of attitude assessment for medical teachers.
Med Educ 1976;10:43‑51.
4. Khan SA, Yousafzai AU, Mehir RK, Inam‑ul‑Haq. Attitude of
medical students towards psychiatry in NWFP. J Ayub Med Coll
Abbottabad 2008;20:44‑6.
5. Malhi GS, Parker GB, Parker K, Carr VJ, Kirkby KC, Yellowlees P,
et al. Attitudes toward psychiatry among students entering
medical school. Acta Psychiatr Scand 2003;107:424‑9.
6. Prabhakaran RR, Murugappan M, Devar JV. Undergraduate
psychiatric education and attitude of medical students towards
psychiatry. Indian J Psychol Med 1989;12:37‑48.
7. Singer P, Dornbush RL, Brownstein EJ, Freedman AM.
Undergraduate psychiatric education and attitudes of medical
students towards psychiatry. Compr Psychiatry 1986;27:14‑20.
8. Smith JK, Weaver DB. Capturing medical students’ idealism. Ann
Fam Med 2006;4 Suppl 1:S32‑7.
9. Rajagopalan M, Kuruvilla K. Medical students’ attitudes towards
psychiatry: Effect of a two week posting. Indian J Psychiatry
1994;36:177‑82.
10. Burra P, Kalin R, Leichner P, Waldron JJ, Handforth JR, Jarrett FJ,
et al. The ATP 30‑a scale for measuring medical students’ attitudes
to psychiatry. Med Educ 1982;16:31‑8.
11. Singh SP, Baxter H, Standen P, Duggan C. Changing the attitudes
of ‘tomorrow’s doctors’ towards mental illness and psychiatry:
A comparison of two teaching methods. Med Educ 1998;32:115‑20.
12. Risal A, Sharma PP, Sanjel S. Attitude toward mental illness and
psychiatry among the medical students and interns in a medical
college. JNMA J Nepal Med Assoc 2013;52:322‑31.
13. Tharyan P, John T, Tharyan A, Braganza D. Attitudes of
‘tomorrow’s doctors’ towards psychiatry and mental illness. Natl
Med J India 2001;14:355‑9.
14. Gulati P, Das S, Chavan BS. Impact of psychiatry training on
attitude of medical students toward mental illness and psychiatry.
Indian J Psychiatry 2014;56:271‑7.
15. Tan SM, Azmi MT, Reddy JP, Shaharom MH, Rosdinom R,
Maniam T, et al. Does clinical exposure to patients in medical
school affect trainee doctors’ attitudes towards mental
disorders and patients? – A pilot study. Med J Malaysia
2005;60:328‑37.
16. KonwarR, Pardal PK, Prakash J, Rythem. Does psychiatry rotation
in undergraduate curriculum bring about a change in the attitude
of medical student toward concept and practice of psychiatry:
A comparative analysis. Ind Psychiatry J 2012;21:144‑7.
17. Baxter H, Singh SP, Standen P, Duggan C. The attitudes of
‘tomorrow’s doctors’ towards mental illness and psychiatry:
Changes during the final undergraduate year. Med Educ
2001;35:381‑3.
18. Poreddi V, Thimmaiah R, Math SB. Attitudes toward people with
mental illness among medical students. J Neurosci Rural Pract
2015;6:349‑54.
19. Nayak A. Changing medical students’ attitudes to psychiatry
through newer teaching techniques. Mens Sana Monogr
2015;13:180‑6.