Discrimination reported by people with major depressive disorder – Authors' reply

Lasalvia, Antonio; Weeghel, Jaap van; Reneses, Blanca; Bacle, Simon Vasseur; Thornicroft, Graham; Bonetto, Chiara

doi:10.1016/s0140-6736(13)60796-5

Cited by 20 publications

(2 citation statements)

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“…16 From a global health viewpoint there is a distinct lack of interventional research in LMICs, despite emerging evidence of the scale and severity of the challenges posed by stigma and discrimination, and despite the fact that 85% of the world's population live in such countries. 39,40 Finally, there is a need for more studies using high-quality research designs. Only a third of studies included in this paper used an RCT or other robust study design, and many of these had a high risk of bias.…”

Section: Discussionmentioning

confidence: 99%

Evidence for effective interventions to reduce mental health-related stigma and discrimination in the medium and long term: Systematic review

et al. 2015

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BackgroundMost research on interventions to counter stigma and discrimination has focused on short-term outcomes and has been conducted in high-income settings.AimsTo synthesise what is known globally about effective interventions to reduce mental illness-based stigma and discrimination, in relation first to effectiveness in the medium and long term (minimum 4 weeks), and second to interventions in low- and middle-income countries (LMICs).MethodWe searched six databases from 1980 to 2013 and conducted a multi-language Google search for quantitative studies addressing the research questions. Effect sizes were calculated from eligible studies where possible, and narrative syntheses conducted. Subgroup analysis compared interventions with and without social contact.ResultsEighty studies (n = 422 653) were included in the review. For studies with medium or long-term follow-up (72, of which 21 had calculable effect sizes) median standardised mean differences were 0.54 for knowledge and −0.26 for stigmatising attitudes. Those containing social contact (direct or indirect) were not more effective than those without. The 11 LMIC studies were all from middle-income countries. Effect sizes were rarely calculable for behavioural outcomes or in LMIC studies.ConclusionsThere is modest evidence for the effectiveness of anti-stigma interventions beyond 4 weeks follow-up in terms of increasing knowledge and reducing stigmatising attitudes. Evidence does not support the view that social contact is the more effective type of intervention for improving attitudes in the medium to long term. Methodologically strong research is needed on which to base decisions on investment in stigma-reducing interventions.

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Section: Discussionmentioning

confidence: 99%

Evidence for effective interventions to reduce mental health-related stigma and discrimination in the medium and long term: Systematic review

et al. 2015

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“…An unclear perception of the term ‘depression’ might indicate more underlying concepts and different understandings in patients with incurable cancer. Resistance against reporting on psychiatric disorders is a general finding 60 and may influence scorings. 59 Selby et al 61 found a floor effect with discrepancy between low ratings of ESAS-Depression and ESAS-Anxiety and high emotional impact and burden.…”

Section: Discussionmentioning

confidence: 99%

The Edmonton Symptom Assessment System: Poor performance as screener for major depression in patients with incurable cancer

et al. 2016

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Paradigms Lost, Paradigms Found

Stuart

Sartorius

2022

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This book draws on more than 25 years of experience developing and evaluating anti-stigma programs to reduce negative and unfair treatment experienced by people with a mental or substance use disorder. It builds on a previous edition, Paradigms Lost: Fighting Stigma and the Lessons Learned, that identified new approaches to stigma reduction. This volume examines the newest approaches to stigma reduction with respect to structural stigma, public stigma, and internalized stigma. The goals of anti-stigma work must be to eliminate the social inequities that people with mental and substance use disorders and their families face to promote their full and effective social participation. Awareness raising and mental health literacy are important, but they do little to change the accumulated practices of social groups and social structures that systematically disadvantage those with mental and substance use problems. The book is written with one eye to the past (what we have done well) and one to the future (what we must still do). It goes into depth in targeted areas such as healthcare, workplaces, schools, and the media. We expect that this edition will be a useful sequel to Paradigms Lost, chronicling what we have learned as a global community regarding stigma related to mental illness and substance use and stigma-reduction approaches.

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Discrimination reported by people with major depressive disorder – Authors' reply

Cited by 20 publications

References 6 publications

Evidence for effective interventions to reduce mental health-related stigma and discrimination in the medium and long term: Systematic review

Evidence for effective interventions to reduce mental health-related stigma and discrimination in the medium and long term: Systematic review

The Edmonton Symptom Assessment System: Poor performance as screener for major depression in patients with incurable cancer

Paradigms Lost, Paradigms Found

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