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Stigmatizing attitudes and social perception towards mental illness among Moroccan medical students
Affiliation:1. Psychiatry Department, Hassan II University Hospital, 30000 Fez, Morocco;2. Clinical Neurosciences Laboratory, Faculty of Medicine and Pharmacy of Fez (FMPF), Sidi Mohamed Ben Abdellah University (USMBA), 30000 Fez, Morocco;3. Epidemiology Department, Faculty of Medicine and Pharmacy, Sidi Mohammed Ben Abdellah University (USMBA), 30000 Fez, Morocco;4. Laboratory of Epidemiology, Community Health and Clinical Research, Faculty of Medicine and Pharmacy of Fez (FMPF), Sidi Mohammed Ben Abdellah University (USMBA), 30000 Fez, Morocco;5. Regional Pedagogical Center, English section, 30000 Fez, Morocco;6. Psychiatry Department, Agadir University Hospital, Faculty of Medicine and Pharmacy, Ibn Zohr University, 80000 Agadir, Morocco;1. Pole psychiatrie, centre expert depression resistante et schizophrénie FondaMental, CHU La Conception, Marseille, France;2. Aix-Marseille university, CEReSS-health service research and quality of life center, 27, boulevard Jean-Moulin, 13005 Marseille, France;3. Centre hospitalier Montperrin, Aix en Provence, France;1. Faculty of Medicine of Tunis, Tunis El Manar University, Tunis, Tunisia;2. Psychiatry Department “Ibn Omrane”, The Tunisian Center of Early Intervention in Psychosis, 1, rue des Orangers, 2010 Manouba, Tunisia;1. HeSPeR EA 7425, university Lyon, université Saint-Etienne, 42023 Saint-Etienne, France;2. Centre Hygée, public health department of Lucien Neuwirth cancer institute, 42270 Saint Priest en Jarez, France;3. LIP/PC2S, université Grenoble-Alpes, 38400 Grenoble, France;4. Pôle psychiatrie, CHU Clermont-Ferrand, 63001 Clermont-Ferrand, France;5. EA NPsy-Sydo, université Clermont-Auvergne, université d’Auvergne, 63000 Clermont-Ferrand, France;6. LPPL, Université de Nantes, 44312 Nantes, France;1. Department of Psychiatry, Ibn Alhassan Hospital, Hassan II University Hospital, Sidi Mohamed Ben Abdellah University, Fez, Morocco;2. Laboratory of Epidemiology, Clinical Research and Community Health, Faculty of Medicine and Pharmacy, Fez, Morocco;3. Clinical Neurosciences laboratory, Faculty of medicine and pharmacy of Fez, Sidi Mohamed Ben Abdellah University, Morocco;4. Health Sciences Research Laboratory, Ibn Zohr University, Agadir, Morocco;5. TELECOM Bretagne; IMT Atlantique Bretagne-Pays de la Loire, Campus de Brest, France
Abstract:ObjectivesThis study aimed to explore medical students’ attitudes, social perception, and knowledge towards mental illness and identify the associated factors.MethodsA cross-sectional study was conducted in the Medical Faculty of Fez. A representative sample of 420 Moroccan students from the first to the seventh years was selected randomly during the academic year (2018/2019). They completed the Mental Illness Clinicians Attitudes scale (MICA) and a self-questionnaire exploring sociodemographic data, the university course, social perception and knowledge towards mental illness, and the potential consideration of psychiatry as a career.ResultsThe average age of participants was 21.73 years (SD ± 2.60), and 72.4% (n = 304) of respondents were female (M/F gender ratio = 0.39). The participants held stigmatizing attitudes and negative social perceptions towards mental illness, as indicated by the high score of the MICA scale (mean = 57.24; SD ± 9.95). Females (p = 0.02) and married students (p = 0.02) showed significantly more tolerant attitudes. The attitudes of students (p = 0.37) who completed the psychiatry clerkship were slightly more favorable (p = 0.15). There was no significant difference in attitudes according to the level of study (p = 0.06). Students with a lower socioeconomic level tended to be less stigmatizing (p = 0.08). The assessment of knowledge about mental illness among students objectified major gaps. A total of 17.9% (n = 75) considered psychiatry as a career.ConclusionThe attitudes of medical students in this study were stigmatizing, and this should without delay motivate Moroccan research, educational and health authorities to investigate further scientific research in this area to address these attitudes and remedies.
Keywords:Stigma  Attitudes  Social perception  Medical students  Mental illness  Stigmatisation  Attitudes  Représentations sociales  Étudiants en médecine  Maladie mentale
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