Social distance and stigma towards persons with serious mental illness among medical students in five European Central Asia countries


Munir K. Oner O. Kerala C. Rustamov I. Boztas H. Juszkiewicz K. Wloszczak-Szubzda A. Kalmatayeva Z. Iskandarova A. Zeynalli S. Cibrev D. Kosherbayeva L. Miriyeva N. Jarosz M.J. Kurakbayev K. Soroka E. Mancevska S. Novruzova N. Emin M. Olajossy M. Bajraktarov S. Raleva M. Roy A. Waqar Azeem M. Bertelli M. Salvador-Carulla L. Javed A.
March 2022Elsevier Ireland Ltd

Psychiatry Research
2022#309

The study investigated behavioral measures of social distance (i.e., desired proximity between self and others in social contexts) as an index of stigma against those with mental illness among medical students in Republic of North Macedonia, Turkey, Azerbaijan, Kazakhstan, and Poland, using the Reported and Intended Behavior Scale (RIBS), a standardized, self-administered behavioral measure based on the Star Social Distance Scale. The students’ responses to standardized clinical vignettes on schizophrenia, and depression with suicidal ideation, were also assessed. A total of 257 North Macedonian (females, 31.5%; 1–4 grades, 189; 5–6 grades, 68); 268 Turkish (females, 43.3%; 1–4 grades, 90; 5–6 grades, 178); 450 Kazakh (females, 28.4%, 71.6%; 1–4 grades, 312; 5–6 grades, 138); 512 Azerbaijani (females, 24%; 1–4 grades, 468; 5–6 grades, 44; females, 24%), and 317 Polish (females, 59.0%; 1–4 grades, 208; 5–6 grades, 109) students were surveyed. The responses on the RIBS social distance behavior measures did not improve with advancing medical school grade, but students across all sites viewed schizophrenia and depression as real medical illnesses. The results support the development of enhanced range of integrated training opportunities for medical student to socially interact with persons with mental illness sharing their experiences with them.

Azerbaijan , Desired social distance , Europe and Central Asia , Kazakhstan , Medical students , North Macedonia , Poland , Psychiatry , Serious mental illness , Stigma , Turkey

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Boston Childrens Hospital, Harvard Medical School, Boston, Massachusetts, United States
World Psychiatric Association, Geneva, Switzerland
Bahcesehir University School of Medicine, Istanbul, Turkey
Faculty of Medicine, Ss. Cyril and Methodius University, Skopje, North Macedonia
Azerbaijan Medical University, Baku, Azerbaijan
Abant Izzet Baysal Medical School, Bolu, Turkey
Asfendiyarov Kazakh National Medical University, Almaty, Kazakhstan
Al-Farabi Kazakh National Medical University, Almaty, Kazakhstan
Faculty of Human Sciences, University of Economics and Innovation, Lublin, Poland
Kazakhstan Medical University, Almaty, Kazakhstan
Medical University of Lublin, Lublin, Poland
Coventry and Warwickshire Partnership NHS Trust, Birmingham, United Kingdom
Department of Psychiatry, Sidra Medicine, Weill Cornell Medicine, Doha, Qatar
CREA (Centro Ricerca E Ambulatori), Fondazione San Sebastiano, Florence, Italy
Research School of Population Health, Australian National University, Australia
Warwick Medical School, University of Warwick, United Kingdom

Boston Childrens Hospital
World Psychiatric Association
Bahcesehir University School of Medicine
Faculty of Medicine
Azerbaijan Medical University
Abant Izzet Baysal Medical School
Asfendiyarov Kazakh National Medical University
Al-Farabi Kazakh National Medical University
Faculty of Human Sciences
Kazakhstan Medical University
Medical University of Lublin
Coventry and Warwickshire Partnership NHS Trust
Department of Psychiatry
CREA (Centro Ricerca E Ambulatori)
Research School of Population Health
Warwick Medical School

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