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Attitudinal change toward psychiatry during undergraduate medical training in Ireland

Published online by Cambridge University Press:  13 June 2014

Shauna Glynn
Affiliation:
Mayo General Hospital, Castlebar, Co Mayo, Ireland
Michael Reilly
Affiliation:
Sligo/Leitrim Mental Health Services, Sligo, Co Sligo, Ireland
Gloria Avalos
Affiliation:
Faculty of Medicine & Health Sciences, National University of Ireland, Galway, Co Galway, Ireland
Laura Mannion
Affiliation:
Department of Psychiatry
PA Carney
Affiliation:
University College Hospital Galway, Co Galway, Ireland

Abstract

Objectives: This study examined the impact of psychiatric teaching on attitudes toward psychiatry of a cohort of medical students by means of a questionnaire survey. The impact of social desirability bias on questionnaire responses was also explored. Gender and nationality subgroups in the cohort were examined in more detail to determine whether these variables had any bearing on attitude change.

Methods: Fifth year medical students at NUI Galway completed the Attitudes to Psychiatry-30 questionnaire at the beginning and end of the psychiatric curriculum.

This was coupled to the Marlowe-Crowne Social Desirability Scale (13 items) to determine the effect of this potential bias on responses to the attitudinal scale.

Anonymity was ensured by using unique identification codes on the questionnaires, which facilitated individual comparisons of pre- and post-teaching responses.

Results: Attitudes toward psychiatry were positive prior to training but significantly improved following the teaching programme.

There was no difference in attitudinal change between male and female subgroups.

While students from outside the EU did show an improvement in mean scores on the ATP-30 this increase failed to reach significance. This finding was in contrast to the results for students from EU states whose mean increase on the ATP-30 was highly significant.

Social desirability questionnaire scores fell significantly between the first and second administration, lending support to the findings being a true reflection of the students' attitudes toward psychiatry.

Conclusions: These findings suggest that a teaching programme has the ability to influence students' attitudes. This is encouraging for recruitment into psychiatry and overall patient care.

Type
Original Papers
Copyright
Copyright © Cambridge University Press 2006

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References

1.Lambert, TW, Goldacre, M, Turner, G. Career choices of United Kingdom medical graduates of 1999 and 2000: questionnaire surveys. Br Med J 2003; 326: 194195.CrossRefGoogle ScholarPubMed
2.Sierles, FS & Taylor, MA. Decline of U.S. medical student career choice of psychiatry and what to do about it. Am J Psychiatry 1995; 152: 14161426.Google Scholar
3.Finucane, P & O'Dowd, T. The career plans of Irish interns: Results of a national survey. Ir Med J 2004; 97(5): 149.Google ScholarPubMed
4.Department Of Health And Children. Report ofthe National Task Force on Medical Staffing. Dublin, 2003.Google Scholar
5.Mc Parland, M, Noble, L, Livingstone, G, et al.The effect of a psychiatric attachment on students' attitudes to and intention to pursue psychiatry as a career. Med Educ 2003; 37: 447454.CrossRefGoogle ScholarPubMed
6.Nielsen, AC & Eaton, J. Medical students' attitudes about psychiatry. Arch Gen Psychiatry 1981; 38: 11441154.CrossRefGoogle ScholarPubMed
7.Weissman, SH, Haynes, RA, Killian, CD. A model to determine the influence of medical school on students' career choices: psychiatry, a case study. Acad Med 1994; 69(1): 5859.CrossRefGoogle Scholar
8.Singh, SP, Baxter, H, Standen, P, et al.Changing the attitudes of “tomorrow's doctors' toward mental illness and psychiatry: a comparison of two teaching methods. Med Educ 1998; 32: 115120.CrossRefGoogle Scholar
9.Burra, P, Kalin, R, Leichner, P, et al.The ATP 30 – a scale for measuring medical students' attitudes to psychiatry. Med Educ 1982; 16: 3138.CrossRefGoogle ScholarPubMed
10.Reynolds, WM. Development of reliable and valid short forms of the Marlowe-Crowne social desirability scale. J Clin Psychol 1982; 38: 1.3.0.CO;2-I>CrossRefGoogle Scholar
11.Barger, SD. The Marlowe-Crowne Affair: short forms, psychometric structure, and social desirability. J Pers Assess 2002; 79(2): 286305.CrossRefGoogle ScholarPubMed
12.Creed, F, Goldberg, D. Students' attitudes toward psychiatry. Med Educ 1987; 21: 227234.CrossRefGoogle Scholar
13.Augostinos, M, Schrader, G, Chynoweth, R, et al.Medical students' attitudes towards psychiatry: a conceptual shift. Psychol Med 1985; 15: 671678.CrossRefGoogle Scholar
14.Alexander, DA, Eagles, JM. Attitudes of men and women medical students to psychiatry. Med Educ 1986; 20: 449455.CrossRefGoogle ScholarPubMed
15.Galletly, CA, Schrader, GD, Chesterman, HM, et al.Medical student attitudes to psychiatry: lack of effect of psychiatric hospital experience. Med Educ 1995; 29: 449451.CrossRefGoogle ScholarPubMed
16.Eagle, PF, Marcos, MD. Factors in medical students' choice of psychiatry. Am J Psychiatry 1980; 137: 423427.Google ScholarPubMed
17.Brockington, I, Mumford, D. Recruitment into psychiatry. Br J Psychiatry 2002; 180: 307312.CrossRefGoogle ScholarPubMed
18.Baxter, H, Singh, SP, Standen, P, et al.The attitudes of “tomorrow's doctors” towards mental illness and psychiatry: changes during the final undergraduate year. Med Educ 2001; 35: 381383.CrossRefGoogle ScholarPubMed
19.Wilkinson, DG, Toone, BK, Greer, S. Medical students' attitudes to psychiatry at the end of the clinical curriculum. Psychol Med 1983; 13: 655658.CrossRefGoogle ScholarPubMed