{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,10]],"date-time":"2026-09-10T07:52:52Z","timestamp":1789026772762,"version":"build-2803163510"},"reference-count":40,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2019,12,27]],"date-time":"2019-12-27T00:00:00Z","timestamp":1577404800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000025","name":"National Institute of Mental Health","doi-asserted-by":"publisher","award":["5R25 MH077823"],"award-info":[{"award-number":["5R25 MH077823"]}],"id":[{"id":"10.13039\/100000025","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Psychiatric Ment Health Nurs"],"published-print":{"date-parts":[[2020,6]]},"abstract":"<jats:title>Accessible Summary<\/jats:title><jats:sec><jats:title>What is known on the subject<\/jats:title><jats:p>\n<jats:list list-type=\"bullet\">\n\n<jats:list-item><jats:p>Stigma towards psychiatry and people with serious mental illness (SMI) is prevalent among healthcare providers and can adversely affect patient care.<\/jats:p><\/jats:list-item>\n\n<jats:list-item><jats:p>Internalized stigma among nurses can affect personal self\u2010care and limit help\u2010seeking behaviours.<\/jats:p><\/jats:list-item>\n\n<jats:list-item><jats:p>Stigma around mental health nursing can adversely affect recruitment into this already underserved field.<\/jats:p><\/jats:list-item>\n<\/jats:list>\n<\/jats:p><\/jats:sec><jats:sec><jats:title>What the paper adds to existing knowledge<\/jats:title><jats:p>\n<jats:list list-type=\"bullet\">\n\n<jats:list-item><jats:p>This is the first report on the adaptation and use in a nursing student sample of two widely used stigma\u2010related instruments that have been normed among medical students.<\/jats:p><\/jats:list-item>\n\n<jats:list-item><jats:p>The attitudes to psychiatry (ATP\u201030) and the attitudes to mental illness (AMI) instruments proved sensitive to change and can be useful in tracking specific anti\u2010stigma curricular interventions.<\/jats:p><\/jats:list-item>\n\n<jats:list-item><jats:p>Interactive and participatory student activities in courses such as ours (that include simulation with standardized patients, clinical placements and patient interaction) need to be complemented by exposure to individuals with lived experience with mental illness in order to address stigmatized views of SMI.<\/jats:p><\/jats:list-item>\n\n<jats:list-item><jats:p>Nursing educators and fellow nurses willing to share their own experiences with mental illness\u2014including diagnosis, health\u2013seeking, treatment and recovery\u2014may prove especially powerful and germane during nursing school.<\/jats:p><\/jats:list-item>\n<\/jats:list>\n<\/jats:p><\/jats:sec><jats:sec><jats:title>What are the implications for practice<\/jats:title><jats:p>\n<jats:list list-type=\"bullet\">\n\n<jats:list-item><jats:p>Even a strong academic curriculum is not sufficient to change stigmatized perceptions about mental illness, psychiatric care and mental health nursing as a profession.<\/jats:p><\/jats:list-item>\n\n<jats:list-item><jats:p>Comparison and potential synergy between ATP\u201030, AMI and OMS\u2010HC (Opening Minds Scale for Health Care Providers) could prove fruitful in identifying a more comprehensive approach to stigma assessment over time.<\/jats:p><\/jats:list-item>\n\n<jats:list-item><jats:p>The addition of validated instruments, such as the Self\u2010Compassion Scale\u2013Short Form (SCS\u2013SF) and the Self\u2010Stigma of Seeking Help (SSOSH), which tap into internalized stigma and into health\u2010seeking behaviours and intervening barriers could prove particularly useful in evaluating innovative interventions for stigma\u2010decreasing initiatives in nursing education.<\/jats:p><\/jats:list-item>\n\n<jats:list-item><jats:p>Interactive and participatory didactic offerings need to be complemented by exposure to individuals with lived experience with mental illness and ideally to nursing educators and practicing nurses willing to share their histories of diagnosis, help\u2010seeking, treatment and recovery.<\/jats:p><\/jats:list-item>\n<\/jats:list>\n<\/jats:p><\/jats:sec><jats:sec><jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>Stigma towards psychiatry and to people with serious mental illness (SMI) is prevalent among healthcare providers and can adversely affect patient care. Such stigmatized views can adversely affect recruitment into the already underserved field of mental health nursing.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aim\/question<\/jats:title><jats:p>We adapted two stigma\u2010related instruments in a sample of nursing students and examined change in scores after participation in an eight\u2010week preclinical psychiatry curriculum. Our goal was to identify stigma\u2010malleable opportunities that would inform refinements in future iterations of a preclinical psychiatry curriculum in nursing.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>We made minor adaptations to the attitudes to psychiatry (ATP\u201030) and the attitudes to mental illness (AMI) instruments. We invited first\u2010year nursing students to complete assessments at two time points: before and after completion of an eight\u2010week core course in preclinical psychiatry.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Seventy\u2010one students completed the assessment at both time points. ATP\u201030 and three of its eight subscale scores improved by course's endpoint. By contrast, AMI scores did not change. Compared with medical student published norms, nursing students in our sample had higher (less stigmatized) average scores.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>The ATP\u201030 and the AMI can be easily adapted to a nursing student population and may prove useful in tracking specific anti\u2010stigma educational interventions.<\/jats:p><\/jats:sec><jats:sec><jats:title>Implications for practice<\/jats:title><jats:p>A general psychiatry course during nursing school is, it and of itself, unlikely to change biased views about SMI and should be enhanced with exposure to, and interaction with individuals with lived experiences of mental illness, ideally by nurse educators and practicing nurses.<\/jats:p><\/jats:sec><\/jats:sec>","DOI":"10.1111\/jpm.12580","type":"journal-article","created":{"date-parts":[[2019,12,2]],"date-time":"2019-12-02T22:46:33Z","timestamp":1575326793000},"page":"308-317","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":33,"title":["Attitudes to psychiatry and to mental illness among nursing students: Adaptation and use of two validated instruments in preclinical education"],"prefix":"10.1111","volume":"27","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6425-5158","authenticated-orcid":false,"given":"Andr\u00e9s","family":"Martin","sequence":"first","affiliation":[{"name":"Child Study Center Yale School of Medicine New Haven CT USA"},{"name":"Standardized Patient Program Yale School of Medicine New Haven CT USA"},{"name":"Faculty of Medicine Tel\u2010Aviv University Ramat Aviv 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