Evidence map›Paper›PMID 37493961›Full record

ArticleAcademic psychiatry : the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry2023

Evaluation of US Medical Student Bias Toward Mental Health Before and After First-Year Pre-clinical Psychiatry Education.

Alyssa C Smith, Michael J Opperman, Joseph P McCann, Morgan P Jivens, Julianne Giust, Leah Wetherill, Martin H Plawecki

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Article in Academic psychiatry : the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
  2. Stigma Toward Bipolar Disorder Among Psychiatry Residents: A Pilot Study Utilizing Narrative Medicine and a Video Vignette.Academic psychiatry : the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry · 2025
    Article
  3. Impact of Brief Patient Exposure on Pre-Clinical U.S. Medical Student Bias Towards Mental Health.Academic psychiatry : the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry · 2025
    Article
  4. Stigma Toward Severe Mental Illness Among Healthcare Students: A Qualitative Study.International journal of environmental research and public health · 2025
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Alyssa C SmithIndiana University School of Medicine, Indianapolis, IN, USA.
Michael J OppermanCentral Michigan University College of Medicine, Saginaw, MI, USA.
Joseph P McCannIndiana University School of Medicine, Indianapolis, IN, USA.
Morgan P JivensIndiana University School of Medicine, Indianapolis, IN, USA.
Julianne GiustIndiana University School of Medicine, Indianapolis, IN, USA.
Leah WetherillIndiana University School of Medicine, Indianapolis, IN, USA.
Martin H PlaweckiIndiana University School of Medicine, Indianapolis, IN, USA. mplaweck@iupui.edu.ORCID http://orcid.org/0000-0003-0708-9514

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveMuch of mental health care is provided by non-psychiatric providers, and unfortunately, bias toward patients with mental health conditions leads to worsened outcomes. The authors endeavored to determine if pre-clinical medical student psychiatry education had an impact on these perceptions.

methodsAll 366 first-year medical students at Indiana University were invited to participate in a survey that consisted of the Mental Illness: Clinician's Attitudes version 2 (MICA-2) and six supplemental questions, pre- and post-course.

resultsOne hundred seventeen students completed both surveys. The pre- and post-course means were 36.6 and 33.6, a change of - 2.9 (paired t-test p-value < 0.001), indicating a reduction in bias.

conclusionsThese results suggest that pre-clinical education can lead to a measurable decrease in bias in medical students early in training. Unfortunately, individual question results and free responses continue to highlight significant bias in US medical students against mental illness and the field of psychiatry. Health care educators should be aware of these biases and their potential impact on patient outcomes so that these harmful perceptions can be targeted.

Indexed as

Mental DisordersPsychiatryStudents, MedicalAttitude of Health PersonnelHumansMental HealthSocial StigmaSurveys and QuestionnairesBiasMedical studentsMental healthPsychiatry

Identifiers

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.