目的:探討以臨床實際照顧精神病患為主的精神科實習能否影響實習醫師對於精神 疾病的態度，以及影響態度之其它因子。方法:在60位實習醫師開始和結束精神科實習時，以 包括五大因素的「對精神疾病之態度量表」評估實習前後對精神疾病之態度，另設計問卷調 查基本資料。結果:對精神疾病態度量表之第一因素「對精神病患之態度慈善與否」在實習前 後有達統計顯著意義之正向改變;性別間對於第二因素「精神疾病的民俗醫療觀」有所差異; 對於精神醫學是否比其它學科有興趣會影響第一因素和第五因素「精神疾病的生活事件致病 原因」;畢業後是否願意從事精神醫療工作會影響態度的第一因素。結論:以臨床實際照顧病 患為主的精神科實習的確會改善實習醫師對精神疾病部份的態度，宜再加彊社區復健之學習 和疾病成因之分析訓練，以利實習醫師建立對精神疾病更正向之態度。

　　　　　Objective: This study assessed medical students' changes in attitude towards psychiatric illnesses during psychiatric internship. Methods: A total of 60 medical students undergoing psychiatric internship in a teaching hospital were selected for study. The attitudes of the interns towards psychiatric illness before and after their psychiatric internship were assessed using a questionnaire. The questionnaire focused on five major factors thought to be related to attitude toward psychiatric illness: 1) attitude toward psychiatric patients; 2) concept of folk therapy; 3) significance of environmental factors in the development of psychiatric illnesses; 4) acceptability of psychiatric programs in the community and 5) significance of life events in the development of psychiatric illnesses. Results: A significant change of attitude towards psychiatric patients was found after psychiatric internship (t=-2.323, p=0.024). Increased interest in psychiatry play a significant role in the change in attitude (F(2,57)=3,79, p<0.05) and concept of psychosocial factors in the explanatory model of the etiology of psychiatric illness (F(2,57)=3,45, p<0.05). There was a sex difference in opinion regarding the concept of folk therapy in psychiatry. Interest in psychiatry was significantly related to the choice of psychiatry as a career. Conclusion: This study confirmed the effectiveness of psychiatric internship in changing attitudes toward psychiatric illnesses. The details of the internship program are also discussed with suggestions for further modification to improve attitudes towards psychiatric illnesses. (Full Text in Chinese)