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Undergraduate Medical Education Addressing Stigmatizing Language Surrounding Mental Health and Addiction: A
Rakesha L Butler1, Elizabeth P Darga1, Sadie A Ellenson1
1College of Medicine, Central Michigan University, Mount Pleasant, MI, USA.
Substance Use & Addiction Journal
|August 12, 2025
Summary
Undergraduate medical education can reduce stigma in healthcare professionals towards patients with mental health conditions and substance use disorders (SUD). Further research is needed to identify effective interventions for medical students.
Area of Science:
- Medical Education
- Public Health
- Psychiatry
Background:
- Stigma surrounding mental health and substance use disorder (SUD) creates barriers to quality patient care.
- Undergraduate medical education (UME) may play a role in mitigating this stigma.
Purpose of the Study:
- To evaluate the impact of UME on reducing stigmatizing language.
- To assess the potential of UME in mitigating care barriers for patients with mental health conditions and SUD.
Main Methods:
- A systematic review of 2017 articles across 7 databases was conducted.
- Search terms focused on stigma, mental health, addiction, and suicide in medical education.
- Three studies, including a case series, a language stigma survey, and a qualitative review, met the inclusion criteria.
Main Results:
- Statistically significant changes were observed in characteristic associations and attitudes influenced by language.
- An educational intervention demonstrated positive effects on reducing stigma.
- Qualitative data revealed common themes in medical students' experiences with patients with SUD.
Conclusions:
- Language and educational exposure are crucial for addressing stigma in patients with mental health diagnoses.
- Limited consensus exists on effective methods to reduce stigma in UME.
- Further rigorous research, including randomized controlled trials, is needed to understand effective interventions for persistent mental health stigma among medical students.
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