Medical Education and the Stigmatization of Mental Illness in the Philippines.

Journal: Culture, medicine and psychiatry

Volume: 45

Issue: 2

Year of Publication: 2021

Affiliated Institutions:  Yale School of Public Health, College Street, New Haven, CT, , USA. Yale School of Public Health, College Street, New Haven, CT, , USA. Robert.Rosenheck@Yale.edu.

Abstract summary 

A mixed-methods study assessed mental illness stigma within the Philippine medical community. A 43-item survey was completed by three groups: (1) medical students with no prior mental health training (N = 76, 31%), (2) medical students with psychiatric classroom and/or clerkship experience (N = 43, 18%), and (3) graduate physicians (N = 125, 51%). Exploratory factor analysis identified three de-stigmatized factors for comparisons between the three Filipino groups and with medical students from 5 other countries. Surveys were followed by in-depth qualitative interviews (N = 15). The three de-stigmatized factors were as follows: (1) acceptance of social integration of mental health patients, (2) positive personal interactions with people experiencing mental illness, and (3) rejection of supernatural explanations for mental illness. While overall scores among the sample showed highly de-stigmatized attitudes, graduate physicians reported more stigmatized scores than students on social integration and personal socialization (F = 3.45, p = 0.033, F = 4.11, p = 0.018, respectively). Filipino medical students also had less stigmatizing mental health attitudes compared to students from the USA, Brazil, Ghana, Nigeria, and China. Qualitative interviews confirmed low levels of mental health stigma among the Philippine medical community, while acknowledging the persistence of stigma in the general Philippine populace.

Authors & Co-authors:  Taguibao Candice C Rosenheck Robert R

Study Outcome 

Source Link: Visit source

Statistics
Citations :  Abcede, Dante, Michelene Buot, Lerelei Elma-Chua, Evangeline B. De La Fuente, and June Pagaduan-Lopez 2014 The Prevalence of Psychiatric Disorders Among the Chronically-ill Medical Patients in Selected Tertiary Hospitals in the Philippines. The Philippine Journal of Psychiatry 28(1), 17-24.
Authors :  2
Identifiers
Doi : 10.1007/s11013-020-09688-0
SSN : 1573-076X
Study Population
Male,Female
Mesh Terms
Attitude of Health Personnel
Other Terms
Global health;Global mental health;Medical education;Mental health stigma
Study Design
Exploratory Study,Cross Sectional Study
Study Approach
Qualitative
Country of Study
Niger
Publication Country
Netherlands