Self-help interventions to reduce self-stigma in people with mental health problems: A systematic literature review

Mills, Harriet; Mulfinger, Nadine; Raeder, Sophie; Rüsch, Nicolas; Clements, Henry; Scior, Katrina

doi:10.1016/j.psychres.2019.112702

Cited by 45 publications

(29 citation statements)

References 57 publications

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“…No evidence (i.e., systematic reviews or primary intervention studies) was identified for stigma-reduction directly in relation to COVID-19, SARS/MERS, influenza or Ebola. Most reviews included evidence from studies using a broad range of quantitative designs (generally this included randomised-control trials or RCTs) (Clement et al, 2013;Mehta et al, 2015;Hanisch et al, 2016;Feyissa et al, 2019;Ma et al, 2019;Pantelic et al, 2019), one focused on RCTs specifically (Büchter and Messer, 2017), and some included evidence from quantitative, qualitative and/or mixed methods studies (Sermrittirong et al, 2014;Sommerland et al, 2017;Heim et al, 2018;Andersson et al, 2019;Mills et al, 2020).…”

Section: Resultsmentioning

confidence: 99%

“…The characteristics of the systematic reviews providing evidence for this review are presented in Table 1 (added details in online Supplementary Materials). These reviews reported on the effectiveness of anti-stigma interventions in relation to leprosy (Sermrittirong et al 2014), tuberculosis (Sommerland et al 2017), HIV/AIDS (Andersson et al 2019;Feyissa et al 2019;Ma et al 2019;Pantelic et al 2019), and mental illness (Büchter & Messer 2017;Clement et al 2013;7 Hanisch et al 2016;Heim et al 2018;Mehta et al 2015;Mills et al 2020). In terms of stigma, most reviews focused on general stigma in relation to the condition (Clement et al 2013;Feyissa et al 2019;Hanisch et al 2016;Heim et al 2018;Ma et al 2019;Mehta et al 2015;Pantelic et al 2019;Sermrittirong et al 2014;Sommerland et al 2017), but self-stigma (Büchter & Messer 2017;Mills et al 2020), and enacted, anticipated or internalised stigma (Andersson et al 2019) were also considered.…”

Section: Resultsmentioning

confidence: 99%

“…These reviews reported on the effectiveness of anti-stigma interventions in relation to leprosy (Sermrittirong et al 2014), tuberculosis (Sommerland et al 2017), HIV/AIDS (Andersson et al 2019;Feyissa et al 2019;Ma et al 2019;Pantelic et al 2019), and mental illness (Büchter & Messer 2017;Clement et al 2013;7 Hanisch et al 2016;Heim et al 2018;Mehta et al 2015;Mills et al 2020). In terms of stigma, most reviews focused on general stigma in relation to the condition (Clement et al 2013;Feyissa et al 2019;Hanisch et al 2016;Heim et al 2018;Ma et al 2019;Mehta et al 2015;Pantelic et al 2019;Sermrittirong et al 2014;Sommerland et al 2017), but self-stigma (Büchter & Messer 2017;Mills et al 2020), and enacted, anticipated or internalised stigma (Andersson et al 2019) were also considered. Some reviews focused on stigma in specific target groups or settings; namely affected persons and their families (Andersson et al 2019;Büchter & Messer 2017;Ma et al 2019), healthcare workers (Feyissa et al 2019;Heim et al 2018), or low-and middle-income countries (Heim et al 2018;Mehta et al 2015;Pantelic et al 2019).…”

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

Reducing stigma and discrimination associated with COVID-19: early stage pandemic rapid review and practical recommendations

Gronholm

Nosè

Brakel

et al. 2021

Epidemiol Psychiatr Sci

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Aims To develop recommendations for strategies and interventions to reduce stigma and discrimination related to coronavirus disease 2019 (COVID-19), through reviewing and synthesising evidence in relation to COVID-19 and other disease outbreaks and infectious/stigmatised conditions from systematic reviews and primary studies and recommendations from additional materials. Methods Rapid review, drawing on the World Health Organization's (WHO) methodology for developing interim guidelines during health emergencies. PubMed/MEDLINE, PsycINFO, Cochrane Central and Campbell Collaboration searched up to mid-April 2020. Searches were supplemented by reference-searching and expert recommendations. Searches were designed to identify: (1) systematic reviews (<10 years), or (2) primary intervention studies (no date limit) reporting evidence on anti-stigma interventions (in relation to COVID-19 or other infectious/stigmatised conditions) or (3) additional relevant materials. Data were extracted on population, intervention, outcome and results. These data were compiled into evidence summary tables and narrative overviews. Recommendations on strategies for COVID-19 stigma-reduction were developed using the WHO ‘Evidence to Decision’ framework approach. The review protocol was registered with PROSPERO (registration ID: CRD42020177677). Results The searches identified a total of 4150 potentially relevant records, from which 12 systematic reviews and 29 additional articles were included. Overarching considerations and specific recommendations focus on: (1) language/words used in relation to COVID-19 and affected people; (2) media/journalistic practices; (3) public health interventions; (4) targeted public health interventions for key groups and (5) involving communities and key stakeholders. Conclusions These recommendations represent the first consolidated evidence-based guidance on stigma and discrimination reduction in relation to COVID-19. Mitigating the impact of stigma is critical in reducing distress and negative experiences, and strengthening communities' resolve to work together during exceptional circumstances. Ultimately, reducing stigma helps addressing structural inequalities that drive marginalisation and exacerbate both health risks and the impact of stigma. Administrations and decision makers are urged to consider integrating these recommendations into the ongoing COVID-19 response.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Reducing stigma and discrimination associated with COVID-19: early stage pandemic rapid review and practical recommendations

Gronholm

Nosè

Brakel

et al. 2021

Epidemiol Psychiatr Sci

View full text Add to dashboard Cite

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“…Research suggests that dance may also offer a way for some people with mental health difficulties to experience a sense of freeing up their minds and an opportunity to escape their immediate concerns for a period (Frogitt and Little 2012). Many people with mental health difficulties experience selfstigma (Mills et al 2020). Dance, as a socially prescribed intervention may help reduce this, by offering an activity that is not immediately associated with an illness or pathology model of mental health, however further research is needed to confirm if this is the case.…”

Section: Implications For Mental Health Nursing Practicementioning

confidence: 99%

Effects of dance on mood and potential of dance as a mental health intervention

McKenzie¹,

Bowes²,

Murray³

2021

Mental Health Practice

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Aims: Research has suggested that dance can have psychological benefits. We explore whether dance has a greater impact on mood than being in a control group and whether the impact of dance on mood differs depending on the type of dance engaged in.Methods: 82 participants (4 males, 78 females), recruited from dance schools in England, completed a mood questionnaire before and after an intervention of ballet, tap or a period of waiting (control).Results: Dance group status and age significantly predicted change in positive mood after the intervention, with older age and being in the dance group predicting increased scores. There was no significant difference in positive mood change scores between those attending ballet compared to tap. Conclusion:The results suggest that engaging in tap or ballet, in combination with older age predicts greater psychological wellbeing.

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“…Stigma may negatively influence mental wellbeing. A substantial body of literature exists about the ways in which the stigma of conditions such as schizophrenia, mood disorders, substance disorders or HIV-AIDS and self-stigma combine to create depression, demoralization on one hand and lower self-esteem on the other ( Livingston and Boyd 2010 ; Mills, et al 2019 ; Pellet, et al 2019 ). Furthermore, it has been shown that depression and self-esteem are directly connected ( Mruk 2006 ).…”

Section: Introductionmentioning

confidence: 99%

Stigma of persons with disabilities in South Africa: Uncovering pathways from discrimination to depression and low self-esteem

Trani

Moodley

Anand

et al. 2020

Social Science & Medicine

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Despite the fact that universal inclusion is a basic principle of the Sustainable Development Goals, the inclusion of persons with disabilities in humanitarian interventions and development policies remains elusive. Persons with disabilities face high risks of poverty, poor nutrition, limited inclusion in labor markets and poor mental health as a result. Stigma is likely to play a negative role in this regard and yet, no study has investigated the impact of stigma on depression and self-esteem of persons with disabilities. To address this gap in the literature, we conducted in June 2017 a random sample disability case control household study in Soweto, a township in Johannesburg, South Africa. Using propensity score analysis and structural equation modeling, we investigated the relationship between disability, stigma, depression and self-esteem controlling for socioeconomic covariates. Our main empirical results showed that stigma significantly mediates the association between disability and higher depression on the one hand and between disability and lower self-esteem on the other. This mediating effect exists even after controlling for age, gender, marital status, education, employment and wealth. We also found strong direct associations between disability and depressive mood, somatic indicators and negative feelings such as unhappiness and low self-esteem. Unemployment aggravates depression and low self-esteem while low education worsens self-esteem only. In addition, depression exacerbates low self-esteem. Both unemployment and low education are more common among persons with disabilities aggravating the disability, depression, poor self-esteem nexus. Similarly, persons with disabilities who are more likely to be depressed are also at higher risk of low self-esteem.These results point to a vicious reinforcing circle of exclusion from society, despair and self-deprecation, which could prove difficult to break. Substantial psycho-social support and anti-stigma policies anchored in local cultural values, engaging persons with disabilities and their communities, are required to break this vicious circle.

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Self-help interventions to reduce self-stigma in people with mental health problems: A systematic literature review

Cited by 45 publications

References 57 publications

Reducing stigma and discrimination associated with COVID-19: early stage pandemic rapid review and practical recommendations

Reducing stigma and discrimination associated with COVID-19: early stage pandemic rapid review and practical recommendations

Effects of dance on mood and potential of dance as a mental health intervention

Stigma of persons with disabilities in South Africa: Uncovering pathways from discrimination to depression and low self-esteem

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