Adolescents’ Continuum and Categorical Beliefs, Help-seeking Intentions, and Stigma Towards People Experiencing Depression or Schizophrenia

Fernandez, Dominic K.; Deane, Frank P.; Vella, Stewart A.

doi:10.1007/s11469-022-00766-5

Cited by 5 publications

(3 citation statements)

References 31 publications

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“…The present study explored the effect of continuum beliefs on the public stigma of depressive disorders and found that after emphasizing the continuum view of depressive disorders, the continuum beliefs increased and the public stigma decreased in support of H 1 . This is in line with the ndings of a previous study [23] . However, the small effect size of the results may be because this study used a textual intervention and a weaker experimental intervention, which made it di cult for the subjects to form a common in-group identity.…”

Section: Resultssupporting

confidence: 93%

The Effect of Continuum Beliefs on Public Stigma of Depression: Evidence from Explicit and Implicit Sources

Wang,

Lv,

et al. 2024

Preprint

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Objective The Continuum Belief (CB) intervention approach has the potential to reduce the stigma of depression by suggesting that people with and without depression exist on one mental health-illness continuum. To date, few studies have examined the impact of implicit aspects. Methods Participants were randomly assigned to one of three experimental conditions. Continuum beliefs were induced by texts from a continuum view of depressive disorders, a categorized view, or a neutral text. Study 1 (N = 349) investigated explicit attitudes toward public stigma. Study 2 (N = 269) investigated implicit attitudes. Study 3 (N = 28) re-administered the continuum beliefs at a four-month interval. Results Inducing continuum beliefs significantly reduced the explicit stigma of depression among the public. At the implicit level, inducing continuum beliefs failed to decrease the public’s underlying stigma of depression. However, public stigma was slightly reduced through longitudinal studies. Conclusions This study found that continuum beliefs have a certain potential in reducing the stigma of depression.

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Section: Resultssupporting

confidence: 93%

The Effect of Continuum Beliefs on Public Stigma of Depression: Evidence from Explicit and Implicit Sources

Wang,

Lv,

et al. 2024

Preprint

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“…However, studies rarely mentioned how representativeness was achieved, for instance, via quota sampling or probability sampling; therefore, this information is not included in Table 1 . Seven studies examined (undergraduate) students, seven used Amazon Mechanical Turk (MTurk) samples, and three investigated adolescents [ 51 , 70 ], or mental health professionals [ 52 ].…”

Section: Resultsmentioning

confidence: 99%

Continuum beliefs of mental illness: a systematic review of measures

Tomczyk

Schlick

Gansler

et al. 2022

Soc Psychiatry Psychiatr Epidemiol

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Purpose The continuum of mental health/illness has been subject to scientific debate for decades. While current research indicates that continuum belief interventions can reduce mental health stigma and improve treatment seeking in affected populations, no study has yet systematically examined measures of continuum beliefs. Methods This preregistered systematic review summarizes measures of continuum beliefs. Following the PRISMA statement, three scientific databases (PubMed, PsycInfo and PsycArticles via EBSCOhost, Web of Science) are searched, instruments are described and discussed regarding their scope, and methodological quality. Results Overall, 7351 records were identified, with 35 studies reporting relevant findings on 11 measures. Most studies examined general population samples and used vignette-based measures. Schizophrenia and depression were most commonly examined, few studies focused on dementia, ADHD, OCD, eating disorders, and problematic alcohol use, or compared continuum beliefs across disorders. Validity was very good for most measures, but reliability was rarely tested. Measures mostly assessed beliefs in the normality of mental health symptoms or the normality of persons with such symptoms but rarely nosological aspects (i.e., categorical v continuous conceptualization of mental disorders). Conclusions Current research provides psychometrically sound instruments to examine continuum beliefs for a variety of mental disorders. While studies suggest utility for general population samples and mental health professionals, more research is necessary to corroborate findings, for instance, regarding age (e.g., in adolescents), gender, or type of mental disorder. Future research should also compare self-report ratings, and vignette-based measures, include measures of nosological concepts to fully grasp the continuum concept of mental illness. Preregistration PROSPERO: CRD42019123606.

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“…It should also be noted that all webpages targeting young people presented continuum conceptualisations. This is despite there being limited research examining the link between continuum conceptualisations and stigmatising attitudes among young people aged up to 18 years (Dolphin & Hennessy, 2017 ; Fernandez et al, 2022 ). Research is needed to explore whether adult findings generalise to an adolescent population and by extension whether the widespread presentation of continuum conceptualisations is justified for this demographic.…”

Section: Discussionmentioning

confidence: 99%

Exploring Continuum and Categorical Conceptualisations of Mental Health and Mental Illness on Australian Websites: A Systematic Review and Content Analysis

Fernandez

Singh

Deane

et al. 2022

Community Ment Health J

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It is important to explore the types of conceptualisations and causes presented in online mental health promotion given the implications that these presentations may have on mental health stigma. This study systematically reviewed 92 Australian webpages focused on either mental health, mental illness, depression, or schizophrenia, to explore the types of conceptualisations and aetiologies presented. A minority of mental health and mental illness webpages (n = 8, 8.70%) explicitly presented continuum conceptualisations, with none providing explicit categorical conceptualisations. No depression or schizophrenia webpages presented explicit conceptualisations of any kind. All four webpage foci had a greater proportion of continuum than categorical conceptualisations. Moreover, both depression and schizophrenia webpages presented many mixed conceptualisations which included both continuum and categorical messaging. Most webpages mentioned biological and social causes equally across webpage foci. These findings suggest that Australian mental health websites predominantly present continuum conceptualisations of mental health and mental illness.

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Adolescents’ Continuum and Categorical Beliefs, Help-seeking Intentions, and Stigma Towards People Experiencing Depression or Schizophrenia

Cited by 5 publications

References 31 publications

The Effect of Continuum Beliefs on Public Stigma of Depression: Evidence from Explicit and Implicit Sources

The Effect of Continuum Beliefs on Public Stigma of Depression: Evidence from Explicit and Implicit Sources

Continuum beliefs of mental illness: a systematic review of measures

Exploring Continuum and Categorical Conceptualisations of Mental Health and Mental Illness on Australian Websites: A Systematic Review and Content Analysis

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