Effects of online continuum and categorical belief manipulations on schizophrenia stigma, help-seeking, and help-provision

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

doi:10.1016/j.psychres.2021.114293

Cited by 6 publications

(5 citation statements)

References 40 publications

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“…To our knowledge, this is an addition to previous findings, which were rather focused on enhancing problem recognition for at-risk drinking through continuum beliefs [ 27 ]. The direct link between continuum beliefs and self-identification of having a mental illness should be investigated further (e.g., [ 74 ]).…”

Section: Discussionmentioning

confidence: 99%

The Seeking Mental Health Care model: prediction of help-seeking for depressive symptoms by stigma and mental illness representations

et al. 2023

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Background Only about half the people with depression seek professional health care services. To constitute the different predictors and associating variables of health care utilisation, we model the process and aim to test our hypothesised Seeking Mental Health Care Model. The model includes empirical influences on the help-seeking process to predict actual behaviour and incorporates superordinate (stigma, treatment experiences) as well as intermediate attitudinal variables (continuum and causal beliefs, depression literacy and self-efficacy). Method All variables are examined in an online study (baseline, three- and six-month follow-up). The sample consisted of adults with depressive symptoms (PHQ-9 sum score ≥ 8), currently not receiving mental health care treatment. To examine the prediction of variables explaining help-seeking behaviour, a path model analysis was carried out (lavaan package, software R). Results Altogether, 1368 participants (Mage = 42.38, SDage = 15.22, 65.6% female) were included, 983 participating in at least one follow-up. Model fit was excellent (i.e., RMSEA = 0.059, CFI = 0.989), and the model confirmed most of the hypothesised predictions. Intermediary variables were significantly associated with stigma and experiences. Depression literacy (ß = .28), continuum beliefs (ß = .11) and openness to a balanced biopsychosocial causal model (ß = .21) significantly influenced self-identification (R2 = .35), which among the causal beliefs and self-efficacy influenced help-seeking intention (R2 = .10). Intention (ß = .40) prospectively predicted help-seeking behaviour (R2 = .16). Conclusion The Seeking Mental Health Care Model provides an empirically validated conceptualisation of the help-seeking process of people with untreated depressive symptoms as a comprehensive approach considering internal influences. Implications and open questions are discussed, e.g., regarding differentiated assessment of self-efficacy, usefulness of continuum beliefs and causal beliefs in anti-stigma work, and replication of the model for other mental illnesses. Trial registration German Clinical Trials Register: DRKS00023557. Registered 11 December 2020. World Health Organization, Universal Trial Number: U1111–1264-9954. Registered 16 February 2021.

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Section: Discussionmentioning

confidence: 99%

The Seeking Mental Health Care model: prediction of help-seeking for depressive symptoms by stigma and mental illness representations

et al. 2023

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“…This raises the question of whether the inverse relationship between continuum beliefs and lower stigma means that continuum beliefs are also associated with greater help-seeking or helping intentions. One study has found that inducing continuum or categorical beliefs does not impact one's help-seeking or helping intentions (Fernandez et al, 2022). However, this study did not differentiate between intentions to seek help from informal and formal sources.…”

mentioning

confidence: 64%

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

Fernandez

Deane

Vella

2022

Int J Ment Health Addiction

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The present study investigated the relationships between continuum and categorical beliefs, stigma, and help-seeking in response to vignettes depicting depression and schizophrenia. Participants were 193 adolescents aged 13-18 years. Results showed no relationships between continuum beliefs and stigma or help-seeking intentions for the depression vignette when controlling for other predictors. Stronger categorical beliefs were associated with greater social distance, and endorsement of dangerousness, avoidance, and fear. For the schizophrenia vignette, higher continuum beliefs predicted lower prognostic pessimism, social distance, and stigmatising attitudes. Surprisingly, continuum beliefs predicted greater intentions to not seek help. Categorical beliefs were associated with greater prognostic pessimism, social distance, and stigmatising attitudes. Future research is needed to explore the effect of continuum belief interventions on adolescent mental health stigma.

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“…Additionally, other longitudinal results are lacking until now. Notably, the effect only occurred for the video intervention group, speaking in favor of the effectiveness of using video as a presentation format for continuum beliefs (Fernandez et al, 2022). That said, all other stigma scores did not change significantly regardless of which form of presentation was used, which in turn is consistent with other findings on video interventions (Corrigan et al, 2017; Violeau et al, 2020).…”

Section: Discussionmentioning

confidence: 99%

“…In addition, it should be noted that many existing continuum-belief intervention studies often explore a combination of text and video as presentation methods (Fernandez et al, 2022) or use videos augmented with face-to-face contact (Dolphin & Hennessy, 2017). As a result, it is not always possible to draw a clear conclusion as to possible differences in effects due to the complexity and differences in the modes of presentation.…”

Section: Gaps In Continuum-belief Researchmentioning

confidence: 99%

Active psychoeducational components of antistigma interventions for untreated depressive symptoms: Specific effects of continuum beliefs?

Peter,

McLaren,

Muehlan

et al. 2024

Stigma and Health

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Effects of online continuum and categorical belief manipulations on schizophrenia stigma, help-seeking, and help-provision

Cited by 6 publications

References 40 publications

The Seeking Mental Health Care model: prediction of help-seeking for depressive symptoms by stigma and mental illness representations

The Seeking Mental Health Care model: prediction of help-seeking for depressive symptoms by stigma and mental illness representations

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

Active psychoeducational components of antistigma interventions for untreated depressive symptoms: Specific effects of continuum beliefs?

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