The impact of psychiatric education and clinical practice on students' beliefs toward people with mental illnesses


      It is common knowledge that people with psychiatric illnesses are stigmatized by a broad spectrum of society. The purpose of this study was to assess the beliefs of undergraduate students toward people with mental illnesses, and determine the impact of psychiatric education and clinical practice on their beliefs. A Quasi-Experimental, single-group pre-test post-test design was used. The study was performed at a private school of health sciences in Saudi Arabia. The study sample consisted of 42 students. For data collection, the Beliefs toward Mental Illness Scale was used. Following the psychiatric education and clinical practice, the total BMIS and subscale scores were significantly lower than the scores obtained before the course. There was a statistically significant difference in the BMIS total scores (t = 2.17, p = 0.001) and subscale scores (Poor social and interpersonal skills: t = 0.78, p = 0.001; Dangerousness: t = 1.17, p = 0.001; Incurability: t = 0.42, p = 0.001) between the pre-test and post-test data. This research indicates that psychiatric educational intervention using face-to-face interaction and clinical practice interaction can positively change stigmatizing beliefs of undergraduate students toward people with mental illnesses.


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        • Al-Maraira O.A.
        • Hayajneh F.A.
        Correlates of psychiatric staff's attitude toward coercion and their sociodemographic characteristics.
        Nursing Forum. 2020; 55: 603-610
        • Arslantaş H.
        • Abacıgil F.
        • Adana F.
        • Karadağ Ş.
        • Koyak H.
        Beliefs of nursing students about mental illnesses and social distance: The effects of theoretical and practical psychiatric nursing education.
        Yeni Symposium. 2019; 0: 1
        • Ay P.
        • Save D.
        • Fidanoglu O.
        Does stigma concerning mental disorders differ through medical education? A survey among medical students in Istanbul.
        Social Psychiatry and Psychiatric Epidemiology. 2006; 41: 63-67
        • Bingham H.
        • O'Brien A.J.
        Educational intervention to decrease stigmatizing attitudes of undergraduate nurses towards people with mental illness.
        International Journal of Mental Health Nursing. 2018; 27: 311-319
        • Dessoki H.H.
        • Hifnawy T.M.S.
        Beliefs about mental illness among university students in Egypt.
        Europe'sJournal of Psychology. 2009; 5
        • Doris F.A.
        • Sylvia A.A.
        Perceptions and beliefs about mental illness (Schizophrenia) among adults in Zaare community.
        Developing Country Studies. 2015; 5: 150-158
        • Duman Z.
        • Günüşen N.P.
        • İnan F.
        • Ince S.
        • Sari A.
        Effects of two different psychiatric nursing courses on nursing students' attitudes towards mental illness, perceptions of psychiatric nursing, and career choices.
        Journal of Professional Nursing. 2017; 33: 452-459
        • Hamaideh S.
        • Mudallal R.
        Attitudes of Jordanina nursing students toward mental illnesses: The effect of teaching and contact on attitudes change.
        College Student Journal. 2009; 43: 335-346
        • Hirai M.
        • Clum G.A.
        Development, reliability, and validity of the beliefs toward mental illness scale.
        Journal of Psychopathology and Behavioral Assessment. 2000; 22: 221-236
        • Libsey M.
        Design sensitivity: Statistical power for experimental research.
        Sage Publications, Newbury Park1990
        • Mahsoon A.
        • Sharif L.
        • Banakhar M.
        • Alasmee N.
        • Almowallad E.
        • Jabali R.
        • Bahamil A.
        • Assur S.
        Parental support, beliefs about mental illness, and mental help-seeking among young adults in Saudi Arabia.
        International Journal of Environmental Research and Public Health. 2020; 17: 5615
        • Malla A.
        • Joober R.
        • Garcia A.
        "Mental illness is like any other medical illness": A critical examination of the statement and its impact on patient care and society.
        Journal of Psychiatry & Neuroscience. 2015; 40: 147-150
        • Plichta S.
        • Kelvin E.A.
        Munro’s statistical methods for health care research.
        6th ed. Wolters Kluwer Health/Lippincott Williams & Wilkins, Philadelphia, PA2013
        • Rossler W.
        The stigma of mental disorders: A millennia-long history of social exclusion and prejudices.
        EMBO Reports. 2016; 17: 1250-1253
        • Schafer T.
        • Wood S.
        • Williams R.
        A survey into student nurses' attitudes towards mental illness: Implications for nurse training.
        Nurse Education Today. 2011; 31: 328-332
        • Stuart H.
        Reducing the stigma of mental illness.
        Glob Ment Health (Camb). 2016; 3e17
        • Stuhlmiller C.
        • Tolchard B.
        Understanding the impact of mental health placements on student nurses' attitudes towards mental illness.
        Nurse Education in Practice. 2019; 34: 25-30
        • Tamba H.
        • Kemal M.
        Effects of a psychiatric nursing course on beliefs and attitudes about mental illness.
        • Ünal S.
        • Hisar F.
        • Çelik B.
        • Özgüven Z.
        Beliefs of university students on mental illness.
        Dusunen Adam: The Journal of Psychiatry and Neurological Sciences. 2010; 145–150
        • Upasen R.
        Relational ethics and nurses-client relationship in nursing practice: Literature review.
        • Zolezzi M.
        • Alamri M.
        • Shaar S.
        • Rainkie D.
        Stigma associated with mental illness and its treatment in the Arab culture: A systematic review.
        The International Journal of Social Psychiatry. 2018; 64: 597-609