Interventions for reducing self-stigma in people with mental illnesses: a systematic review of randomized controlled trials

German Medical Science : GMS E-journal
Roland Brian Büchter, Melanie Messer

Abstract

Background: Self-stigma occurs when people with mental illnesses internalize negative stereotypes and prejudices about their condition. It can reduce help-seeking behaviour and treatment adherence. The effectiveness of interventions aimed at reducing self-stigma in people with mental illness is systematically reviewed. Results are discussed in the context of a logic model of the broader social context of mental illness stigma. Methods: Medline, Embase, PsycINFO, ERIC, and CENTRAL were searched for randomized controlled trials in November 2013. Studies were assessed with the Cochrane risk of bias tool. Results: Five trials were eligible for inclusion, four of which provided data for statistical analyses. Four studies had a high risk of bias. The quality of evidence was very low for each set of interventions and outcomes. The interventions studied included various group based anti-stigma interventions and an anti-stigma booklet. The intensity and fidelity of most interventions was high. Two studies were considered to be sufficiently homogeneous to be pooled for the outcome self-stigma. The meta-analysis did not find a statistically significant effect (SMD [95% CI] at 3 months: -0.26 [-0.64, 0.12], I2=0%, n=108). None of the indiv...Continue Reading

Citations

Aug 3, 2019·Journal of Mental Health·James Marcus ArnaezAndrea K Chomistek
Jan 15, 2020·Cognitive Neuropsychiatry·Louis VioleauAntoinette Prouteau
Sep 15, 2019·European Archives of Psychiatry and Clinical Neuroscience·Wolfgang GaebelMathias Riesbeck

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