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Stigma towards mental illness in med students: you label me, I label you?

Published online by Cambridge University Press:  01 September 2022

C. Cabacos*
Affiliation:
Faculty of Medicine of University of Coimbra, Institute Of Psychological Medicine, Coimbra, Portugal
A.T. Pereira
Affiliation:
Faculty of Medicine of University of Coimbra, Institute Of Psychological Medicine, Coimbra, Portugal
M. Carneiro
Affiliation:
Faculty of Medicine of University of Coimbra, Institute Of Psychological Medicine, Coimbra, Portugal
F. Carvalho
Affiliation:
Faculty of Medicine of University of Coimbra, Institute Of Psychological Medicine, Coimbra, Portugal
A. Manão
Affiliation:
Faculty of Medicine of University of Coimbra, Institute Of Psychological Medicine, Coimbra, Portugal
A. Araújo
Affiliation:
Faculty of Medicine of University of Coimbra, Institute Of Psychological Medicine, Coimbra, Portugal
D. Pereira
Affiliation:
Faculty of Medicine of University of Coimbra, Institute Of Psychological Medicine, Coimbra, Portugal
A. Macedo
Affiliation:
Faculty of Medicine of University of Coimbra, Institute Of Psychological Medicine, Coimbra, Portugal
*
*Corresponding author.

Abstract

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Introduction

Evidence suggests that besides having stigmatizing misconceptions towards people with mental illness, medical students and doctors often resist seeking help for their own mental issues. This is a vulnerable group for stress and other mental health problems, due not only to professional burden but also high perfectionism and low self-compassion.

Objectives

To analyse the relationship between mental health stigma (MHS) and other variables related to personality and emotional states in a sample of medical students.

Methods

634 medicine and dentistry students (mean age = 21.6±6.9;81.4% female) answered to a survey including sociodemographic data, self-perception of psychological health/SPPH and the Portuguese validated versions of: Link’s Perceived Discrimination and Devaluation (PDD) scale to assess MHS and its two dimensions - social stigma/SocS and self-stigma/SelS; Depression Anxiety Stress Scale (DASS-21); Neff’s Self-Compassion Scale (SCS); and Big Three Perfectionism Scale (BTPS). Correlations, t-student tests and linear regressions were performed with SPSS 27.0.

Results

Stigma correlated negatively to SPPH and positively to DASS, the negative poles of SCS (self-judgement, isolation and over-identification) and BTPS second-order factors (all from p<.05 to p<.01). No gender differences in MHS were observed. Participants with higher mean levels of total and SelS had significantly higher scores in all DASS dimensions and lower SPPH; participants with higher SocS also scored higher in DASS, but didn’t reveal lower SPPH. Isolation was a significant predictor of SocS (R2=2.8%;p<.05); isolation and narcissistic perfectionism were significant predictors of SelS (R2=11%;p<.01).

Conclusions

Our results highlight the importance of including MHS as a main need in the curricula of future doctors.

Disclosure

No significant relationships.

Type
Abstract
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2022. Published by Cambridge University Press on behalf of the European Psychiatric Association
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