Danger appraisal and pathogen-avoidance mechanisms in stigma towards severe mental illness: the mediating role of affective responses

Coneo, Ana María Chamorro; Diazgranados, Edith Aristizabal; Rios, Olga Hoyos De los; Santander, Daniela Aguilar

doi:10.1186/s12888-022-03951-x

Cited by 4 publications

(4 citation statements)

References 39 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Regarding the correlations performed, we find interesting to mention the statistically significant relation between age and work experience compared with "Fear", since it was the only statistically significant negative variable, in contrast with that obtained in the study by Tooby and Cosmides [47], in which "Fear" increased proportionally as age increased. Taking into account the scarce knowledge of the sample regarding psychosis and mental disorder, that all scores of the AQ-27 subscales could be further reduced, we emphasise the importance of actively involving the healthcare and educational sectors in the needs and requests of adolescents regarding mental health [16,[48][49][50][51].…”

Section: Discussionmentioning

confidence: 99%

The Promotion of Mental Health and Prevention of First-Episode Psychosis: A Pilot and Feasibility Non-Randomised Clinical Trial

Santonja Ayuso,

Ruiz-Hontangas,

Cervantes

et al. 2023

IJERPH

View full text Add to dashboard Cite

Background: Mental-health-related stigma prevents active help seeking and therefore early therapeutic approaches and the recovery of functionality. National and international agencies recommend the implementation of prevention and mental health promotion programs that support the elimination of stigma in the classroom, since most mental health problems usually start in the adolescent stage. In view of the evidence that teachers present stigmatizing attitudes towards mental health, it has been considered as convenient to carry out an anti-stigma program with the main objective of evaluating the impact of an intervention based on the education and promotion of mental health, aimed at teachers and counsellors of a secondary school. The specific objectives were to get to know which were the most stigmatising attitudes that prevailed in the sample before and after the intervention; to evaluate the knowledge of the teaching staff and counsellors on psychosis before the intervention; to analyse correlations between clinically relevant variables; and assess whether this programme was beneficial and feasible for alphabetising counsellors/teachers of educational centres on stigma and FEP. Methods: This was a non-randomised clinical trial in which a nursing intervention was performed. Tools: a psychosis test (pre), Stigma Attribution Questionnaire (AQ-27) (pre-post), and satisfaction survey (post) were used. The inferential analysis included the Wilcoxon and the Pearson Correlation Test. Results: In the sample (n = 22), the predominant stigmatising attitude was “Help”. The p-values obtained in the Wilcoxon Test were statistically significant, except for “Responsibility” and “Pity”. The following constructs of interest were faced: “Fear”–“Age” and “Professional experience”; and “Help”–“Psychosis test”. Conclusions: Despite the scores obtained in “Responsibility” and “Pity”, the intervention was useful for reducing stigma in the sample. Implications for the profession: There are adolescents who have suffered stigma from their teachers, and consequently have minimized their symptoms and not asked for help. For this reason, we implemented a nursing intervention based on the education and promotion of mental health, with the aim of expanding knowledge and reducing stigma. In fact, this intervention, which we carried out on high school teachers, managed to reduce the majority of stigmatizing attitudes measured on the stigma attribution scale.

show abstract

Section: Discussionmentioning

confidence: 99%

The Promotion of Mental Health and Prevention of First-Episode Psychosis: A Pilot and Feasibility Non-Randomised Clinical Trial

Santonja Ayuso,

Ruiz-Hontangas,

Cervantes

et al. 2023

IJERPH

View full text Add to dashboard Cite

show abstract

“…Regarding the correlations performed, we find interesting to mention the statistically significant relation between age and work experience compared with "Fear", since it has been the only statistically significant negative variable, in contrast with that obtained in the study by Tooby and Cosmides (Tooby & Cosmides, 2015), in which "Fear" increased proportionally as age increased. Taking into account the scarce knowledge of the sample regarding psychosis and mental disorder, and that all scores of the AQ-27 subscales could be further reduced, we emphasise the importance of actively involving the healthcare and educational sectors in the needs and requests of adolescents regarding mental health (Chamorro et al, 2022;Fernandes et al, 2022;Ruiz et al, 2022;Saguem et al, 2023).…”

Section: Discussionmentioning

confidence: 99%

Promotion of Mental Health and Prevention of First-Episode Psychosis: A Pilot and Feasibility Non-Randomised Clinical Trial

Ayuso,

Carmona-Simarro,

Pejó

2023

Preprint

View full text Add to dashboard Cite

Abstract Psychiatric care in Spain has experienced relevant changes both in the legislative and conceptual frameworks. This new approach advocates for the combination of carrying out mental health promotion, prevention of alterations and early diagnosis and treatment, enhancing actions against stigma and emphasising the attention on the most vulnerable groups, like childhood and youth. For that, it has seen fit to perform a nursing intervention on Education and Promotion of mental health for teachers and counsellors of a secondary school located in Valencia, with the general objective of assessing their impact on stigma. Non-randomised clinical trial in which a nursing intervention on Education and Promotion of mental health was performed. Pre-intervention tools: multiple choice test validated by a group of experts; pre and post-intervention: AQ-27 (stigma attribution); in order to check its acceptance, satisfaction surveys were used. The inferential analysis included the Wilcoxon Test (pre and post AQ-27) and the Pearson Correlation Test for the quantitative variables of interest. Sample (n=22): women aged 47.96 ± 10.12 years with 18.64 ± 10.34 years of work experience. The predominant stigmatising attitude before and after intervention was “Coercion”. The ones with lower score were “Segregation” and “Anger”. The p-values obtained in the Wilcoxon Test were statistically significant (p-value <0.05) except for “pre and post Responsibility” and “pre and post Pity”. The following constructs of interest were faced: “Age” vs “Fear” (r= -0.48, moderate), “Professional experience” and “Fear” (r= -0.46, moderate) and “Help” and “Psychosis test” (r= 0.51, severe). The overall satisfaction score was 9/10. Despite the scores obtained in “Coercion” and “Psychosis”, the intervention was useful for reducing stigma in the sample.

show abstract

“…The danger appraisal hypothesis has been utilized to better understand mechanisms that create stigmatized attitudes. For example, greater levels of danger appraisal toward individuals with mental illness associated with greater levels of stigmatized attitudes toward that population (Coneo et al, 2022).…”

Section: Attribution Theory and Danger Appraisal Hypothesismentioning

confidence: 99%

The stigma of homelessness as a function of mental illness comorbidity.

Snow-Hill,

Reeb,

Bell

2024

Stigma and Health

View full text Add to dashboard Cite

Although research has focused on stigma toward individuals with severe mental illness (SMI) and individuals experiencing homelessness in separate studies, there is a dearth of research examining the extent to which stigmatization is exacerbated when there is a coexistence of SMI and homelessness. The present study examined how self-reported stigmatizing attitudes and discriminatory behavior differ depending on (a) whether there is a coexisting SMI and (b) whether the SMI developed before or during homelessness. Undergraduate students (N = 243) were randomly assigned to one of four homelessness vignette conditions, which varied on presence and onset of SMI. After reading vignettes, participants completed measures of stigma-related reactions (Corrigan et al., 2003) and social desirability bias (Paulhus, 1991). Overall, the findings converged on the following pattern: (a) While people have greater fear of people experiencing homelessness with a coexisting SMI, they are less likely to blame people experiencing homelessness when SMI is documented and (b) people have fewer stigmatizing attitudes and behaviors if the SMI is perceived as causing the homeless condition, as opposed to SMI developing as a reaction to homelessness. Clinical Impact StatementThe study identified two patterns that inform how the intersectionality of identities may impact stigmatizing responses: (a) While people report greater fear of people experiencing homelessness with a co-occurring severe mental illness (SMI), they are less likely to blame people experiencing homelessness when SMI is documented and (b) people report fewer stigmatizing attitudes and behaviors if the SMI is perceived as causing the homeless condition, as opposed to SMI developing as a reaction to homelessness.

show abstract

Danger appraisal and pathogen-avoidance mechanisms in stigma towards severe mental illness: the mediating role of affective responses

Cited by 4 publications

References 39 publications

The Promotion of Mental Health and Prevention of First-Episode Psychosis: A Pilot and Feasibility Non-Randomised Clinical Trial

The Promotion of Mental Health and Prevention of First-Episode Psychosis: A Pilot and Feasibility Non-Randomised Clinical Trial

Promotion of Mental Health and Prevention of First-Episode Psychosis: A Pilot and Feasibility Non-Randomised Clinical Trial

The stigma of homelessness as a function of mental illness comorbidity.

Contact Info

Product

Resources

About