The effects of education in psychiatry on attitudes towards antidepressants in nursing students: A cross-sectional study

Nurse Educ Pract. 2020 May:45:102781. doi: 10.1016/j.nepr.2020.102781. Epub 2020 Apr 7.

Abstract

Background: Stigma associated with depression and antidepressants is strong among the general population but also among patients and health professionals.

Objectives: This cross-sectional study is aimed at: 1) evaluating the knowledge and attitude towards antidepressant by nursing student; 2) exploring the association between instruction in psychiatry and representation of depression and antidepressants.

Participants: 2037 undergraduate students from 10 French nursing schools were invited to participate in 2017, 1475 (73%) completed the questionnaire.

Methods: The self-report questionnaire included the Drug Attitude Inventory (DAI) and questions about representation on depression and antidepressant. Four groups of students were built: 1) pre-teaching group (PT) as a reference group, 2) clinical training in psychiatry (CT), 3) receiving mental health theoretical education (TE), 4) receiving both (CT + TE).

Results: The mean (standard deviation) DAI score was negative: -1.9 (±4.4) with only 40% of the nursing students conveying a positive attitude towards antidepressant. A combination of CT and TE was associated with a more positive attitude towards antidepressant in comparison with the PT condition. The CT + TE group was more prone to view antidepressants as effective and safe.

Conclusion: There is strong stigma against depression/antidepressants among nursing student. Education combined with clinical experiences in psychiatry improved these representations.

Keywords: Antidepressant; Belief; Depression; Nurse; Psychiatry; Stigma; Student.

MeSH terms

  • Adult
  • Antidepressive Agents / therapeutic use*
  • Attitude*
  • Cross-Sectional Studies
  • Depression / drug therapy*
  • Female
  • France
  • Humans
  • Male
  • Psychiatry / education*
  • Schools, Nursing
  • Self Report
  • Social Stigma*
  • Students, Nursing / psychology*
  • Surveys and Questionnaires

Substances

  • Antidepressive Agents