­Barriers faced by medical students in seeking mental healthcare: A scoping review [version 1; peer review: 2 approved]

Background: Medical students commonly exhibit mental health issues. Despite the availability of professionals on medical campuses, seeking help continues to be a challenge for some students. Our review aimed to identify the barriers medical students face when seeking professional mental healthcare....

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Main Authors: Maria Berliant, Christopher Mattice, Kay-Anne Haykal, Nabiha Rahman, Chirayu Bhatt
Format: Article
Language:English
Published: F1000 Research Ltd 2022-11-01
Series:MedEdPublish
Subjects:
Online Access:https://mededpublish.org/articles/12-70/v1
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author Maria Berliant
Christopher Mattice
Kay-Anne Haykal
Nabiha Rahman
Chirayu Bhatt
author_facet Maria Berliant
Christopher Mattice
Kay-Anne Haykal
Nabiha Rahman
Chirayu Bhatt
author_sort Maria Berliant
collection DOAJ
description Background: Medical students commonly exhibit mental health issues. Despite the availability of professionals on medical campuses, seeking help continues to be a challenge for some students. Our review aimed to identify the barriers medical students face when seeking professional mental healthcare. Methods: A Medical Subject Headings (MeSH) search was created for articles using PubMed, Embase, and PsychINFO databases to identify articles specifically about medical students and their barriers to professional mental healthcare. Inclusion criteria included articles in which barriers to mental healthcare were either the primary variable or one of multiple study results. No date limits were imposed. Reviews, pilot projects, or articles that did not address barriers to mental healthcare faced by medical students or focused on veterinary or dental students were excluded. A total of 454 articles were identified and screened by title/abstract and then full text. Data were extracted from 33 articles using an independent framework. Barriers identified were compiled and reported.  Results: From a total of 33 articles, the most identified barriers were fear of negative effect on residency/career opportunities, fear of confidentiality breach, stigma and fear of shaming from peers, lack of perceived seriousness/normalization of symptoms, lack of time, and fear of documentation on academic record. Students also preferred to seek care outside of their institution from fear of their provider being an academic preceptor.  Conclusions: Many of the barriers to mental healthcare faced by medical students relate to a fear of academic and career reprisal, and fear of confidentiality breach. It appears that despite recent efforts to decrease stigma surrounding mental illness, many medical students struggle to seek appropriate support. Access to mental healthcare can be improved by increasing transparency regarding what information will be displayed on academic records, dispelling common myths about mental healthcare, and increasing awareness about resources available for medical students.
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spelling doaj.art-6df88a3ebe6e40afbfc070e6d84207492023-07-06T00:00:00ZengF1000 Research LtdMedEdPublish2312-79962022-11-011220473­Barriers faced by medical students in seeking mental healthcare: A scoping review [version 1; peer review: 2 approved]Maria Berliant0Christopher Mattice1Kay-Anne Haykal2https://orcid.org/0000-0002-5192-7688Nabiha Rahman3Chirayu Bhatt4The Ottawa Hospital, University of Ottawa, Ottawa, Ontario, K1H 8M5, CanadaThe Ottawa Hospital, University of Ottawa, Ottawa, Ontario, K1H 8M5, CanadaFamily Medicine, University of Ottawa, Ottawa, Ontario, K1H 8M5, CanadaThe Ottawa Hospital, University of Ottawa, Ottawa, Ontario, K1H 8M5, CanadaThe Ottawa Hospital, University of Ottawa, Ottawa, Ontario, K1H 8M5, CanadaBackground: Medical students commonly exhibit mental health issues. Despite the availability of professionals on medical campuses, seeking help continues to be a challenge for some students. Our review aimed to identify the barriers medical students face when seeking professional mental healthcare. Methods: A Medical Subject Headings (MeSH) search was created for articles using PubMed, Embase, and PsychINFO databases to identify articles specifically about medical students and their barriers to professional mental healthcare. Inclusion criteria included articles in which barriers to mental healthcare were either the primary variable or one of multiple study results. No date limits were imposed. Reviews, pilot projects, or articles that did not address barriers to mental healthcare faced by medical students or focused on veterinary or dental students were excluded. A total of 454 articles were identified and screened by title/abstract and then full text. Data were extracted from 33 articles using an independent framework. Barriers identified were compiled and reported.  Results: From a total of 33 articles, the most identified barriers were fear of negative effect on residency/career opportunities, fear of confidentiality breach, stigma and fear of shaming from peers, lack of perceived seriousness/normalization of symptoms, lack of time, and fear of documentation on academic record. Students also preferred to seek care outside of their institution from fear of their provider being an academic preceptor.  Conclusions: Many of the barriers to mental healthcare faced by medical students relate to a fear of academic and career reprisal, and fear of confidentiality breach. It appears that despite recent efforts to decrease stigma surrounding mental illness, many medical students struggle to seek appropriate support. Access to mental healthcare can be improved by increasing transparency regarding what information will be displayed on academic records, dispelling common myths about mental healthcare, and increasing awareness about resources available for medical students.https://mededpublish.org/articles/12-70/v1Medical student medical education mental health burnout access barrierseng
spellingShingle Maria Berliant
Christopher Mattice
Kay-Anne Haykal
Nabiha Rahman
Chirayu Bhatt
­Barriers faced by medical students in seeking mental healthcare: A scoping review [version 1; peer review: 2 approved]
MedEdPublish
Medical student
medical education
mental health
burnout
access
barriers
eng
title ­Barriers faced by medical students in seeking mental healthcare: A scoping review [version 1; peer review: 2 approved]
title_full ­Barriers faced by medical students in seeking mental healthcare: A scoping review [version 1; peer review: 2 approved]
title_fullStr ­Barriers faced by medical students in seeking mental healthcare: A scoping review [version 1; peer review: 2 approved]
title_full_unstemmed ­Barriers faced by medical students in seeking mental healthcare: A scoping review [version 1; peer review: 2 approved]
title_short ­Barriers faced by medical students in seeking mental healthcare: A scoping review [version 1; peer review: 2 approved]
title_sort barriers faced by medical students in seeking mental healthcare a scoping review version 1 peer review 2 approved
topic Medical student
medical education
mental health
burnout
access
barriers
eng
url https://mededpublish.org/articles/12-70/v1
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AT nabiharahman barriersfacedbymedicalstudentsinseekingmentalhealthcareascopingreviewversion1peerreview2approved
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