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Effectiveness of programs for reducing the stigma associated with mental disorders. A meta-analysis of randomized controlled trials

Griffiths, Kathleen; Carron-Arthur, Brad; Parsons, Alison; Reid, Russell

Description

The stigma associated with mental disorders is a global public health problem. Programs to combat it must be informed by the best available evidence. To this end, a meta-analysis was undertaken to investigate the effectiveness of existing programs. A systematic search of PubMed, PsycINFO and Cochrane databases yielded 34 relevant papers, comprising 33 randomized controlled trials. Twenty-seven papers (26 trials) contained data that could be incorporated into a quantitative analysis. Of these...[Show more]

dc.contributor.authorGriffiths, Kathleen
dc.contributor.authorCarron-Arthur, Brad
dc.contributor.authorParsons, Alison
dc.contributor.authorReid, Russell
dc.date.accessioned2015-12-13T22:16:32Z
dc.identifier.issn1723-8617
dc.identifier.urihttp://hdl.handle.net/1885/70914
dc.description.abstractThe stigma associated with mental disorders is a global public health problem. Programs to combat it must be informed by the best available evidence. To this end, a meta-analysis was undertaken to investigate the effectiveness of existing programs. A systematic search of PubMed, PsycINFO and Cochrane databases yielded 34 relevant papers, comprising 33 randomized controlled trials. Twenty-seven papers (26 trials) contained data that could be incorporated into a quantitative analysis. Of these trials, 19 targeted personal stigma or social distance (6,318 participants), six addressed perceived stigma (3,042 participants) and three self-stigma (238 participants). Interventions targeting personal stigma or social distance yielded small but significant reductions in stigma across all mental disorders combined (d=0.28, 95% CI: 0.17-0.39, p<0.001) as well as for depression (d=0.36, 95% CI: 0.10-0.60, p<0.01), psychosis (d=0.20, 95% CI: 0.06-0.34, p<0.01) and generic mental illness (d=0.30, 95% CI: 0.10-0.50, p<0.01). Educational interventions were effective in reducing personal stigma (d=0.33, 95% CI: 0.19-0.42, p<0.001) as were interventions incorporating consumer contact (d=0.47, 95% CI: 0.17-0.78, p<0.001), although there were insufficient studies to demonstrate an effect for consumer contact alone. Internet programs were at least as effective in reducing personal stigma as face-to-face delivery. There was no evidence that stigma interventions were effective in reducing perceived or self-stigma. In conclusion, there is an evidence base to inform the roll out of programs for improving personal stigma among members of the community. However, there is a need to investigate methods for improving the effectiveness of these programs and to develop interventions that are effective in reducing perceived and internalized stigma.
dc.publisherMasson Italia Periodici
dc.rightsAuthor/s retain copyright
dc.sourceWorld Psychiatry
dc.titleEffectiveness of programs for reducing the stigma associated with mental disorders. A meta-analysis of randomized controlled trials
dc.typeJournal article
local.description.notesImported from ARIES
local.identifier.citationvolume13
dc.date.issued2014
local.identifier.absfor111714 - Mental Health
local.identifier.ariespublicationU3488905xPUB2468
local.type.statusPublished Version
local.contributor.affiliationGriffiths, Kathleen, College of Medicine, Biology and Environment, ANU
local.contributor.affiliationCarron-Arthur, Brad, College of Medicine, Biology and Environment, ANU
local.contributor.affiliationParsons, Alison, College of Arts and Social Sciences, ANU
local.contributor.affiliationReid, Russell, Commonwealth Department of Defence
local.bibliographicCitation.issue2
local.bibliographicCitation.startpage161
local.bibliographicCitation.lastpage175
local.identifier.doi10.1002/wps.20129
local.identifier.absseo920410 - Mental Health
dc.date.updated2015-12-11T07:27:08Z
local.identifier.scopusID2-s2.0-84901755631
local.identifier.thomsonID000337588300018
dcterms.accessRightsOpen Access
CollectionsANU Research Publications

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