Continuum Beliefs and Mental Illness Stigma: A Systematic Review and Meta-Analysis of Correlation and Intervention Studies

Abstract Background Promulgating 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. Methods Following 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. Results Continuum beliefs are consistently associated with lower stigma. Interventions were effective at manipulating continuum beliefs but differ in their effects on stigmatising attitudes. Conclusions We 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.

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Challenging mental illness stigma in healthcare professionals and students: a systematic review and network meta-analysis

Psychology and Health ◽

10.1080/08870446.2020.1828413 ◽

2020 ◽

pp. 1-16

Author(s):

Yin-Yi Lien ◽

Hui-Shin Lin ◽

Yin-Ju Lien ◽

Chi-Hsuan Tsai ◽

Ting-Ting Wu ◽

...

Keyword(s):

Systematic Review ◽

Mental Illness ◽

Healthcare Professionals ◽

Meta Analysis ◽

Mental Illness Stigma

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Stigma for Common Mental Disorders in Racial Minorities and Majorities A Systematic Review and Meta-Analysis

10.21203/rs.3.rs-15675/v1 ◽

2020 ◽

Author(s):

ozlem eylem ◽

Leonore de Wit ◽

Annemieke van straten ◽

Lena Steubl ◽

Zaneta Melissourgaki ◽

...

Keyword(s):

Systematic Review ◽

Mental Illness ◽

Mental Disorders ◽

Common Mental Disorders ◽

Meta Analysis ◽

Risk Of Bias ◽

Racial Minorities ◽

Mental Illness Stigma ◽

Regression Analyses ◽

Meta Regression

Abstract Background There is a strong stigma attached to mental disorders preventing those affected from getting psychological help. The consequences of stigma are worse for racial and/or ethnic minorities who often experience other social adversities such as poverty and discrimination within policies and institutions. This is the first systematic review and meta-analysis summarizing the evidence on the impact of differences in mental illness stigma between racial minorities and majorities. Methods This systematic review and meta-analysis included cross-sectional studies comparing mental illness stigma between racial minorities and majorities. Systematic searches were conducted in the bibliographic databases of PubMed, PsycINFO and EMBASE until 20th December 2018. Outcomes were extracted from published reports, meta-analyses and meta-regression analyses were conducted in CMA software. Results After screening 2,787 abstracts, 29 studies with 193,418 participants (N=35,836 in racial minorities) were eligible for analyses. Racial minorities showed more stigma than racial majorities (g=0.20 (95% CI: 0.12~0.27) for common mental disorders. Sensitivity analyses showed robustness of these results. Multivariate meta-regression analyses pointed to the possible moderating role of the number of studies with high risk of bias on the effect size. Racial minorities have more stigma for common mental disorders when compared with majorities. Limitations included moderate to high risk of bias, high heterogeneity, few studies in most comparisons, and the use of non-standardized outcome measures. Conclusions An important clinical implication of these findings would be to tailor anti-stigma strategies according to specific racial and/or ethnic backgrounds with the intention to improve mental health outreach. These limitations suggest a need for more high quality research on stigma. Key words: stigma; mental illness stigma; common mental disorders; racial minorities

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Can high intensity interval training improve health outcomes among people with mental illness? A systematic review and preliminary meta-analysis of intervention studies across a range of mental illnesses

Journal of Affective Disorders ◽

10.1016/j.jad.2019.11.039 ◽

2020 ◽

Vol 263 ◽

pp. 629-660 ◽

Cited By ~ 1

Author(s):

Rebecca Martland ◽

Valeria Mondelli ◽

Fiona Gaughran ◽

Brendon Stubbs

Keyword(s):

Systematic Review ◽

Mental Illness ◽

Intervention Studies ◽

Meta Analysis ◽

Interval Training ◽

Mental Illnesses ◽

High Intensity Interval Training ◽

People With Mental Illness ◽

High Intensity Interval ◽

Improve Health

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Stigma for Common Mental Disorders in Racial Minorities and Majorities A Systematic Review and Meta-Analysis

10.21203/rs.3.rs-15675/v3 ◽

2020 ◽

Author(s):

Ozlem Eylem ◽

Leonore de Wit ◽

Annemieke van straten ◽

Lena Steubl ◽

Zaneta Melissourgaki ◽

...

Keyword(s):

Systematic Review ◽

Mental Illness ◽

Mental Disorders ◽

Common Mental Disorders ◽

Meta Analysis ◽

Risk Of Bias ◽

Racial Minorities ◽

Mental Illness Stigma ◽

Regression Analyses ◽

Meta Regression

Abstract Background There is a strong stigma attached to mental disorders preventing those affected from getting psychological help. The consequences of stigma are worse for racial and/or ethnic minorities compared to racial and/or ethnic majorities since the former often experience other social adversities such as poverty and discrimination within policies and institutions. This is the first systematic review and meta-analysis summarizing the evidence on the impact of differences in mental illness stigma between racial minorities and majorities. Methods This systematic review and meta-analysis included cross-sectional studies comparing mental illness stigma between racial minorities and majorities. Systematic searches were conducted in the bibliographic databases of PubMed, PsycINFO and EMBASE until 20 th December 2018. Outcomes were extracted from published reports, and meta-analyses, and meta-regression analyses were conducted in CMA software. Results After screening 2,787 abstracts, 29 studies with 193,418 participants (N=35,836 in racial minorities) were eligible for analyses. Racial minorities showed more stigma than racial majorities (g=0.20 (95% CI: 0.12~0.27) for common mental disorders. Sensitivity analyses showed robustness of these results. Multivariate meta-regression analyses pointed to the possible moderating role of the number of studies with high risk of bias on the effect size. Racial minorities have more stigma for common mental disorders when compared with majorities. Limitations included moderate to high risk of bias, high heterogeneity, few studies in most comparisons, and the use of non-standardized outcome measures. Conclusions Mental illness stigma is higher among ethnic minorities than majorities. An important clinical implication of these findings would be to tailor anti-stigma strategies related with mental illnesses according to specific racial and/or ethnic backgrounds with the intention to improve mental health outreach.

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Stigma for Common Mental Disorders in Racial Minorities and Majorities: A Systematic Review and Meta-Analysis

10.21203/rs.3.rs-15675/v2 ◽

2020 ◽

Author(s):

Ozlem Eylem ◽

Leonore de Wit ◽

Annemieke van straten ◽

Lena Steubl ◽

Zaneta Melissourgaki ◽

...

Keyword(s):

Systematic Review ◽

Mental Illness ◽

Mental Disorders ◽

Common Mental Disorders ◽

Meta Analysis ◽

Risk Of Bias ◽

Racial Minorities ◽

Mental Illness Stigma ◽

Regression Analyses ◽

Meta Regression

Abstract Background There is a strong stigma attached to mental disorders preventing those affected from getting psychological help. The consequences of stigma are worse for racial and/or ethnic minorities compared to racial and/or ethnic majorities since the former often experience other social adversities such as poverty and discrimination within policies and institutions. This is the first systematic review and meta-analysis summarizing the evidence on the impact of differences in mental illness stigma between racial minorities and majorities. Methods This systematic review and meta-analysis included cross-sectional studies comparing mental illness stigma between racial minorities and majorities. Systematic searches were conducted in the bibliographic databases of PubMed, PsycINFO and EMBASE until 20 th December 2018. Outcomes were extracted from published reports, and meta-analyses, and meta-regression analyses were conducted in CMA software. Results After screening 2,787 abstracts, 29 studies with 193,418 participants (N=35,836 in racial minorities) were eligible for analyses. Racial minorities showed more stigma than racial majorities (g=0.20 (95% CI: 0.12~0.27) for common mental disorders. Sensitivity analyses showed robustness of these results. Multivariate meta-regression analyses pointed to the possible moderating role of the number of studies with high risk of bias on the effect size. Racial minorities have more stigma for common mental disorders when compared with majorities. Limitations included moderate to high risk of bias, high heterogeneity, few studies in most comparisons, and the use of non-standardized outcome measures. Conclusions Mental illness stigma is higher among ethnic minorities than majorities. An important clinical implication of these findings would be to tailor anti-stigma strategies related with mental illnesses according to specific racial and/or ethnic backgrounds with the intention to improve mental health outreach.

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