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The effectiveness of mental illness stigma-reduction interventions: A systematic meta-review of meta-analyses
Clinical Psychology Review ( IF 13.7 ) Pub Date : 2022-12-16 , DOI: 10.1016/j.cpr.2022.102242
Seth P McCullock 1 , Rachel M Scrivano 2
Affiliation  

The high prevalence of stigma toward mental illnesses contributes to the worsened health and quality of life for people with mental illnesses. Different stigmas (e.g., public, self) lead to social discrimination, social isolation, and reduce the likelihood that people with mental illnesses receive adequate treatment for their conditions. In response to this, numerous social interventions have been developed to help combat the spread of stigma. Subsequently, researchers have conducted meta-analyses to determine the effectiveness of different interventions for reducing stigma toward mental illness. To date, no efforts have been made to synthesize these meta-analyses to identify gaps in the stigma-reduction literature, assess the quality of extant literature, and to identify trends in programming efforts. The present study conducted a systematic meta-review of 19 meta-analyses, drawing from the Health Stigma and Discrimination Framework, to address these gaps. Results showed that the included meta-analyses were of relatively poor quality and that interventions primarily addressed either public or self-stigma, while overlooking other stigmas. Further, meta-analyses primarily assessed the effects of contact-promotion or educational intervention strategies. There was little evidence to suggest that interventions were effective longitudinally. Implications for future research and intervention development are discussed.



中文翻译:

减少精神疾病耻辱感干预措施的有效性:荟萃分析的系统荟萃回顾

对精神疾病的高度歧视导致精神疾病患者的健康和生活质量恶化。不同的耻辱感(例如,公众的、自我的)会导致社会歧视、社会孤立,并降低精神疾病患者获得针对其状况的充分治疗的可能性。为此,已经制定了许多社会干预措施来帮助对抗污名化的蔓延。随后,研究人员进行了荟萃分析,以确定不同干预措施在减少对精神疾病的耻辱感方面的有效性。迄今为止,尚未做出任何努力来综合这些荟萃分析,以确定减少污名化文献中的差距,评估现有文献的质量,并确定规划工作的趋势。本研究根据健康耻辱和歧视框架对 19 项荟萃分析进行了系统的荟萃审查,以解决这些差距。结果表明,纳入的荟萃分析质量相对较差,干预措施主要针对公众或自我污名,而忽略了其他污名。此外,荟萃分析主要评估了接触促进或教育干预策略的影响。几乎没有证据表明干预措施在纵向上是有效的。讨论了对未来研究和干预发展的影响。结果表明,纳入的荟萃分析质量相对较差,干预措施主要针对公众或自我污名,而忽略了其他污名。此外,荟萃分析主要评估了接触促进或教育干预策略的影响。几乎没有证据表明干预措施在纵向上是有效的。讨论了对未来研究和干预发展的影响。结果表明,纳入的荟萃分析质量相对较差,干预措施主要针对公众或自我污名,而忽略了其他污名。此外,荟萃分析主要评估了接触促进或教育干预策略的效果。几乎没有证据表明干预措施在纵向上是有效的。讨论了对未来研究和干预发展的影响。

更新日期:2022-12-16
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