Pre- and post-pandemic knowledge of psychiatry: an assessment using the mhGAP basic course test

Authors

DOI:

https://doi.org/10.20453/rnp.v89i2.7645

Keywords:

mental health, psychiatry, mental disorders, medical education, knowledge

Abstract

Objective: To determine the level of knowledge about psychiatry among sixth-year medical students before and after the pandemic, using the Mental Health Gap Action Programme basic course test (mhGAP-BCT). Methodology: It was a descriptive, cross-sectional study. Sociodemographic data and responses to mhGAP-BCT were collected. Results: Students who completed an elective rotation in psychiatry scored higher on the mhGAP-BCT (β = 1.90; 95% CI [0.94, 2.87]; p < 0.001). Psychiatry knowledge scores using the mhGAP-BCT were lower in students during the 2022 period (post-pandemic) compared to the 2019 period (pre-pandemic) (14.44 ± 4.25 vs. 15.57 ± 1.89; p = 0.048). Conclusions: Students who completed an elective rotation in psychiatry achieved higher scores on the mhGAP-BCT. Post-pandemic mhGAPBCT scores were lower than pre-pandemic scores. To the best of our knowledge, this is the first attempt in our country to explore knowledge acquired by clerkship students using the mhGAP-BCT.

Downloads

Download data is not yet available.

Author Biographies

Silvana Sarabia, Universidad Peruana Cayetano Heredia, Facultad de Medicina Alberto Hurtado. Lima, Perú.

     

Universidad Peruana Cayetano Heredia, Facultad de Medicina Alberto Hurtado. Lima, Perú.

Horacio Vargas-Murga , Universidad Peruana Cayetano Heredia, Facultad de Medicina Alberto Hurtado. Lima, Perú

Universidad Peruana Cayetano Heredia, Facultad de Medicina Alberto Hurtado. Lima, Perú

References

World Health Organization. World Mental Health Report: Transforming mental health for all [Internet]. Geneva: WHO; 2022. Available from: https://iris.who.int/bitstream/handle/10665/356119/9789240049338-eng.pdf

Patel V, Saxena S, Lund C, et al. The Lancet Commission on global mental health and sustainable development. Lancet. 2018;392(10157):1553–98. doi:10.1016/s0140-6736(18)31612-x

COVID-19 Mental Disorders Collaborators. Global prevalence and burden of depressive and anxiety disorders in 204 countries and territories in 2020 due to the COVID-19 pandemic. Lancet. 2021;398(10312):1700–12. doi:10.1016/S0140-6736(21)02143-7

Errazuriz A, Avello-Vega D, Passi-Solar A, et al. Prevalence of anxiety disorder in Latin America: a systemic review and meta-analysis. Lancet Reg Health Am. 2025;45:101057. doi:10.1016/j.lana.2025.101057

Buedo P, Daly T. A contextual understanding of the high prevalence of depression in Latin America. Lancet Reg Health Am. 2024;32:100717. doi:10.1016/j.lana.2024.100717

Kohn R, Ali AA, Puac-Polanco P, et al. Mental health in the Americas: an overview of the treatment gap. Rev Panam Salud Pública. 2018;42:e165. doi:10.26633/rpsp.2018.165

Chaulagain A, Pacione L, Abdulmalik J, et al. WHO Mental Health Gap Action Programme Intervention Guide (mhGAP-IG): the first preservice training study. Int J Mental Health Sys. 2020;14(1):47. doi:10.1186/s13033-020-00379-2

World Health Organization. [mhGAP intervention guide for mental, neurological and substance use disorders in non-specialized health settings: mental health Gap Action Programme (mhGAP), version 2.0] [Internet]. Geneva: WHO; 2016. Available from: https://apps.who.int/iris/handle/10665/250239 Spanish.

Keynejad R, Spagnolo J, Thornicroft G. WHO mental health gap action programme (mhGAP) intervention guide: updated systematic review on evidence and impact. Evid Based Ment Health. 2021;24:124–30. doi:10.1136/ebmental-2021-300254

Saavedra JE, Aliaga K, Castillo WH, et al. [Epidemiological study on the impacto of the COVID-19 pandemic on the mental health of the population of Metropolitan Lima]. Diagnóstico. 2022;61(3):147–86. doi:10.33734/diagnostico.v61i3.374 Spanish.

World Health Organization. Mental Health and COVID-19: Early evidence of the pandemic’s impact. Scientific brief: 2 March 2022 [Internet]. WHO; 2022. Available from: https://www.who.int/publications/i/item/WHO-2019-nCoV-Sci_Brief-Mental_health-2022.1

Ahmed H, Allaf M, Elghazaly H. COVID-19 and medical education. Lancet Infect Dis. 2020;20(7):777–8. doi:10.1016/S1473-3099(20)30226-7

Darnton R, Lopez T, Anil M, et al. Medical students consulting from home: a qualitative evaluation of a tool for maintaining student exposure to patients during lockdown. Med Teach. 2021;43(2):160–7. doi:10.1080/0142159X.2020.1829576

Byrne MH, Alexander L, Wan JC, et al. Clinical support during COVID-19: an opportunity for service and learning? A cross-sectional survey of UK medical students. Med Teach. 2023;45(8):859–70. doi:10.1080/0142159X.2023.2184235

Wang W, Li G, Lei J. The impact of COVID-19 on medical students. GMS J Med Educ. 2024;41(1):Doc10. doi:10.3205/zma001665

Wilson I, Shankar PR. The COVID-19 pandemic and undergraduate medical student teaching/learning and assessment [version 1]. MedEdPublish. 2021;10:44. doi:10.15694/mep.2021.000044.1

Grant L, Singh L, Fristad MA, et al. Outcomes of medical student elective in child and adolescent psychiatry: a pilot study. Med Sci Educ. 2025;35(4):1861–5. doi:10.1007/s40670-025-02381-0

Zavorotnyy M, Klatte S, Yang Y, et al. The effects of a psychiatric clerkship on stigmatizing attitudes toward mental disorders as held by German medical students. Front Psychiatry. 2023;14:1306403. doi:10.3389/fpsyt.2023.1306403

Lyons Z, Janca A. Impact of a psychiatry clerkship on stigma, attitudes towards psychiatry, and psychiatry as a career choice. BMC Med Educ. 2015;15(1):34. doi:10.1186/s12909-015-0307-4

Economou M, Kontoangelos K, Peppou LE, et al. Medical students’ attitudes to mental illnesses and to psychiatry before and after the psychiatric clerkship: training in a specialty and a general hospital. Psychiatry Res. 2017;258:108–15. doi:10.1016/j.psychres.2017.10.009

Taylor DC, Hamdy H. Adult learning theories: implications for learning and teaching in medical education: AMEE Guide No. 83. Med Teach. 2013;35(11):e1561–72. doi:10.3109/0142159X.2013.828153

Terregino CA, Byerley J, Henderson DD, et al. Cultivating the physician workforce: recruiting, training, and retaining physicians to meet the needs of the population. Med Teach. 2021;43(Suppl 2): S39–48. doi:10.1080/0142159x.2021.1935832

Dost S, Hossain A, Shehab M, et al. Perceptions of medical students towards online teaching during the COVID-19 pandemic: a national crosssectional survey of 2721 UK medical students. BMJ Open. 2020;10(11):e042378. doi:10.1136/bmjopen-2020-042378

Wilkes FA, Looi JC, Maguire PA, et al. Online medical student OSCE examinations during the first three years of the COVID-19 pandemic compared to three years pre-pandemic: an Australian experience in psychiatry and addiction medicine. Med Teach. 2024;46(6):776–81. doi:10.1080/0142159X.2023.2279918

Torda A, Shulruf B. It’s what you do, not the way you do it – online versus face-to-face small group teaching in first year medical school. BMC Med Educ. 2021;21(1):541. doi:10.1186/s12909-021-02981-5

TMS Collaborative. The perceived impact of the Covid-19 pandemic on medical student education and training – an international survey. BMC Med Educ. 2021;21(1):566. doi:10.1186/s12909-021-02983-3

Ahmed H, Allaf M, Elghazaly H. COVID-19 and medical education. Lancet Infect Dis. 2020;20(7):777–8. doi:10.1016/S1473-3099(20)30226-7

Lee IR, Kim HW, Lee Y, et al. Changes in undergraduate medical education due to COVID-19: a systematic review. Eur Rev Med Pharmacol Sci. 2021;25(12):4426–34. doi:10.26355/eurrev_202106_26155

Sarabia SV. Sintomatología depresiva según PHQ-9 y rendimiento académico en estudiantes de primero a quinto año de Medicina [master’s thesis on the Internet]. Lima: Universidad Peruana Cayetano Heredia; 2017. Available from: https://hdl.handle.net/20.500.12866/838

Downloads

Published

2026-05-05

How to Cite

1.
Sarabia S, Vargas-Murga H. Pre- and post-pandemic knowledge of psychiatry: an assessment using the mhGAP basic course test. Rev Neuropsiquiatr [Internet]. 2026 May 5 [cited 2026 May 13];89(2):130-4. Available from: https://revistas.upch.edu.pe/index.php/RNP/article/view/7645

Issue

Section

ORIGINAL ARTICLE

Most read articles by the same author(s)

1 2 > >>