BackgroundPromulgating a continuum model of mental health and mental illness has been proposed as a way to reduce stigma by decreasing notions of differentness. This systematic review and meta-analysis examines whether continuum beliefs are associated with lower stigma, and whether continuum interventions reduce stigma.MethodsFollowing a pre-defined protocol (PROSPERO: CRD42019123606), we searched three electronic databases (PubMed, Web of Science, and PsycINFO) yielding 6726 studies. After screening, we included 33 studies covering continuum beliefs, mental illness, and stigma. Of these, 13 studies were included in meta-analysis.ResultsContinuum beliefs are consistently associated with lower stigma. Interventions were effective at manipulating continuum beliefs but differ in their effects on stigmatising attitudes.ConclusionsWe discuss whether and to what extent attitudes towards people with mental illness can be improved by providing information on a mental health-mental illness continuum. It appeared to be relevant whether interventions promoted a feeling of ‘us’ and a process of identification with the person with mental illness. We discuss implications for the design of future interventions.

中文翻译：

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连续性信念和精神疾病耻辱：相关性和干预研究的系统回顾和荟萃分析

背景 已经提出了颁布心理健康和精神疾病的连续模型作为通过减少差异性概念来减少耻辱感的一种方式。这项系统评价和荟萃分析检查了连续统一体信念是否与降低污名相关，以及连续统一干预措施是否减少了污名。方法按照预定义的协议（PROSPERO：CRD42019123606），我们搜索了三个电子数据库（PubMed、Web of Science 和 PsycINFO ) 产生 6726 项研究。筛选后，我们纳入了 33 项研究，涵盖连续统一信念、精神疾病和污名。其中，13 项研究被纳入荟萃分析。结果连续统一信念始终与较低的耻辱感相关。干预措施在操纵连续统一信念方面是有效的，但它们对污名化态度的影响不同。结论我们讨论是否可以通过提供有关精神健康-精神疾病连续体的信息来改善对精神疾病患者的态度以及在多大程度上可以改善。干预措施是否促进了“我们”的感觉以及对精神疾病患者的认同过程似乎是相关的。我们讨论了对未来干预措施设计的影响。