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Attitudes and Views on Psychiatry: A Comparison Between Spanish and U.S. Medical Students

Dr. Pailhez is with the Centres Assistencials Dr. Emili Mira i López, Departament de Salut Mental, Santa Coloma de Gramenet, Barcelona, Spain; Dr. Bulbena is with the Institut Atenció Psiquiàtrica. Dr. Coll is with the Hospital del Mar (IMAS), Salut Mental i Toxicomanies, Barcelona, Spain; Dr. Ros is with the Universitat Autònoma de Barcelona, Unitat Docent Institut Municipal Assistència Sanitària (UDIMAS), Hospital del Mar (IMAS), Barcelona, Spain; and Dr. Balon is with Wayne State University, Detroit, Mich. Address correspondence to Dr. Pailhez, Department of Mental Health, Centres Assistencials Dr. Emili Mira i López, Av. Prat de la Riba, 171, Santa Coloma de Gramenet, 08921 Barcelona, Spain; pailhezvg{at}diba.es (e-mail).

OBJECTIVE: In order to gain a broader view about the process of recruitment, we decided to compare and analyze the differences between the attitudes and views of Spanish and U.S. medical students towards psychiatry. METHODS: The opinions of 151 students who had completed psychiatry at the end of their fourth year were sought on the basis of their responses to a 33-item questionnaire, using a cross sectional design. RESULTS: Although in general, Spanish students showed a positive attitude towards psychiatry, the opinion about certain aspects like the biopsychosocial concept of illness, salary, social pressure and respect from nonpsychiatry staff were different from U.S. students’ opinions. CONCLUSION: These opinions may have influenced the 6% of Spanish students who chose psychiatry as a possible specialty, somewhat higher than the 4.5% of U.S. students.

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