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Stigma associated with mental health problems among young people in India: a systematic review of magnitude, manifestations and recommendations
BMC Psychiatry ( IF 4.4 ) Pub Date : 2020-11-16 , DOI: 10.1186/s12888-020-02937-x
Shivani Mathur Gaiha , Tatiana Taylor Salisbury , Mirja Koschorke , Usha Raman , Mark Petticrew

Globally, 20% of young people experience mental disorders. In India, only 7.3% of its 365 million youth report such problems. Although public stigma associated with mental health problems particularly affects help-seeking among young people, the extent of stigma among young people in India is unknown. Describing and characterizing public stigma among young people will inform targeted interventions to address such stigma in India, and globally. Thus, we examined the magnitude and manifestations of public stigma, and synthesised evidence of recommendations to reduce mental-health-related stigma among young people in India. A systematic review and meta-analysis of observational studies was conducted. Nine electronic databases were searched and 30 studies (n = 6767) met inclusion criteria. Most studies (66%) focused on youth training to become health professionals. One-third of young people display poor knowledge of mental health problems and negative attitudes towards people with mental health problems and one in five had actual/intended stigmatizing behavior (I2>=95%). Young people are unable to recognize causes and symptoms of mental health problems and believe that recovery is unlikely. People with mental health problems are perceived as dangerous and irresponsible, likely due to misinformation and misunderstanding of mental health problems as being solely comprised of severe mental disorders (e.g. schizophrenia). However, psychiatric labels are not commonly used/understood. Public education may use symptomatic vignettes (through relatable language and visuals) instead of psychiatric labels to improve young people’s understanding of the range of mental health problems. Recommended strategies to reduce public stigma include awareness campaigns integrated with educational institutions and content relevant to culture and age-appropriate social roles.

中文翻译:

与印度年轻人心理健康问题相关的污名:对病情,表现和建议的系统评价

全球有20%的年轻人患有精神疾病。在印度,3.65亿青年中只有7.3%报告了此类问题。尽管与心理健康问题相关的公众污名特别影响年轻人的寻求帮助,但印度年轻人的污名程度尚不清楚。在年轻人中描述和描述公众的污名化将有助于针对性的干预措施,以解决印度乃至全球的这种污名化。因此,我们研究了公众耻辱的程度和表现,并综合了减少印度年轻人心理健康相关污名的建议。对观察性研究进行了系统的回顾和荟萃分析。搜索了9个电子数据库,并符合纳入标准的30项研究(n = 6767)。大多数研究(66%)集中于青年培训以成为卫生专业人员。三分之一的年轻人对心理健康问题知之甚少,对有心理健康问题的人持消极态度,五分之一的年轻人有实际/预期的污名化行为(I2> = 95%)。年轻人无法识别精神健康问题的原因和症状,并认为康复的可能性很小。有精神健康问题的人们被认为是危险和不负责任的,很可能是由于对精神健康问题的误解和误解完全由严重的精神障碍(例如精神分裂症)组成。然而,精神病标签不是普遍使用/理解的。公共教育可以使用有症状的小插曲(通过相关的语言和视觉手段)代替精神病标签,以提高年轻人对心理健康问题范围的理解。建议的减少公众污名的策略包括与教育机构结合起来的意识运动以及与文化和年龄相关的社会角色有关的内容。
更新日期:2020-11-16
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