Academic Psychiatry

, Volume 40, Issue 2, pp 224–228 | Cite as

Changes of Explicit and Implicit Stigma in Medical Students during Psychiatric Clerkship

  • Peng-Wei Wang
  • Chih-Hung Ko
  • Cheng-Sheng Chen
  • Yi-Hsin Connine Yang
  • Huang-Chi Lin
  • Cheng-Chung Cheng
  • Hin-Yeung Tsang
  • Ching-Kuan Wu
  • Cheng-Fang YenEmail author
Empirical Report



This study examines the differences in explicit and implicit stigma between medical and non-medical undergraduate students at baseline; the changes of explicit and implicit stigma in medical undergraduate and non-medical undergraduate students after a 1-month psychiatric clerkship and 1-month follow-up period; and the differences in the changes of explicit and implicit stigma between medical and non-medical undergraduate students.


Seventy-two medical undergraduate students and 64 non-medical undergraduate students were enrolled. All participants were interviewed at intake and after 1 month. The Taiwanese version of the Stigma Assessment Scale and the Implicit Association Test were used to measure the participants’ explicit and implicit stigma.


Neither explicit nor implicit stigma differed between two groups at baseline. The medical, but not the non-medical, undergraduate students had a significant decrease in explicit stigma during the 1-month period of follow-up. Neither the medical nor the non-medical undergraduate students exhibited a significant change in implicit stigma during the one-month of follow-up, however. There was an interactive effect between group and time on explicit stigma but not on implicit stigma.


Explicit but not implicit stigma toward mental illness decreased in the medical undergraduate students after a psychiatric clerkship. Further study is needed to examine how to improve implicit stigma toward mental illness.


Stigma Explicit attitude Implicit attitude Medical undergraduate student and clerkship 



This study was supported by grant NSC102-2314-B-037-008-MY2 awarded by the National Science Council, Taiwan (ROC) and the grant KMUH102-2R52 and KMUH103-3R60.


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Copyright information

© Academic Psychiatry 2015

Authors and Affiliations

  • Peng-Wei Wang
    • 1
  • Chih-Hung Ko
    • 1
  • Cheng-Sheng Chen
    • 1
  • Yi-Hsin Connine Yang
    • 1
  • Huang-Chi Lin
    • 1
  • Cheng-Chung Cheng
    • 2
  • Hin-Yeung Tsang
    • 2
  • Ching-Kuan Wu
    • 3
  • Cheng-Fang Yen
    • 4
    Email author
  1. 1.Kaohsiung Medical UniversityKaohsiungTaiwan
  2. 2.Kaohsiung Municipal Kai-Syuan Psychiatric HospitalKaohsiungTaiwan
  3. 3.Tsyr-Huey Mental HospitalKaohsiungTaiwan
  4. 4.Kaohsiung Medical University HospitalKaohsiungTaiwan

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