Stigma about depression and its impact on help-seeking intentions

Barney, Lisa J.; Griffiths, Kathleen M; Jorm, Anthony F; Christensen, Helen

doi:10.1111/j.1440-1614.2006.01741.x

Cited by 335 publications

(181 citation statements)

References 22 publications

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“…Self-help interventions overcome many of the practical barriers that are associated with face-to-face therapies including the costs of therapy, transportation difficulties and issues with childcare or caring for sick or disabled loved ones (Mohr, Hart, & Howard, 2006;Mohr et al, 2010). However, P r e P u b l i c a t i o n C o p y one potential barrier to the uptake of interventions (likely including self-help interventions for psychosis) is the stigma associated with mental health (Barney, Griffiths, Jorm, & Christensen, 2006;Corrigan, Larson, & Rusch, 2009;Schomerus & Angermeyer, 2008;Tanskanen et al, 2011;Vogel, Wade, & Hackler, 2007). There is; however, evidence to suggest that interventions that are explicitly designed to tackle such concerns can increase uptake (e.g., Sheeran, Aubrey, & Kellett, 2007) and such ideas might usefully be incorporated into self-help interventions (for an illustrative example, see Varley, Webb, & Sheeran, 2010).…”

Section: Directions For Future Researchmentioning

confidence: 99%

Self-help interventions for psychosis: A meta-analysis

Webb

Rowse

2015

Clinical Psychology Review

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Self-help has been shown to be an effective intervention for a wide range of mental health problems. However, there is less evidence on the efficacy of self-help for psychosis and, to date, there has been no systematic review. A search of bibliographic databases identified 24 relevant studies with a total sample size of N = 1816. Ten studies adopted a repeated measures design and 14 an independent group design (including RCTs and quasiexperimental studies). Self-help interventions had, on average, a small-to-medium-sized effect on overall symptoms (d + = 0.33, 95% CI: 0.17 to 0.48). Sub-analyses revealed that selfhelp interventions had a small-to-medium-sized effect on positive symptoms (d + = 0.42, 95% CI: 0.13 to 0.72), a small-to-medium-sized effect on negative symptoms (d + = 0.37, 95% CI: 0.07 to 0.66), and a small-sized effect on outcomes associated with the symptoms of psychosis such as quality of life (d + = 0.13, 95% CI: 0.02 to 0.24). Moderation analysis identified a number of factors that influenced treatment effects including the complexity of the intervention and amount of contact time. Self-help interventions for psychosis have a lot of potential and recommendations for further research are discussed. Word count: 190Key words: Self-help, psychosis, meta-analysis P r e P u b l i c a t i o n C o p y Self-help interventions for psychosis 3 Self-help interventions for psychosis: A meta-analysis "A massive, systematic, and yet largely silent revolution is occurring in mental health today and is gathering steam for tomorrow" (Norcross, 2000, p. 370) In the quote above, Norcross (2000) refers to the proliferation of self-help approaches for mental health conditions, an approach that has gathered momentum with practitioners, researchers, and policy makers placing an increasing emphasis on self-help for treating mental health problems (Lewis et al., 2003). Self-help interventions are defined as those that are "designed to be conducted predominantly independently of professional contact" (Bower, Richards, & Lovell, 2001, p. 839). Self-help interventions can be administered through a variety of mediums such as face-to-face or group meetings, through computers, mobile, and online platforms. Self-help typically involves working independently through a guide that describes the steps to be taken in order to apply a psychological treatment. A slight variation is guided self-help, which is distinguished "by the support that is given by a professional therapist or coach to the patient when working through the standardized treatment" (Cuijpers, Donker, van Straten, & Andersson, 2010, p. 1934. The support offered can range from assisting the person to work through the self-help program to emotional support and can be provided in a range of ways (e.g., face-to-face, telephone, or email). Most self-help interventions are based on standardized psychological treatments, with the most common interventions being those based on cognitive behavioral therapy (CBT: Cuijpers & Schuurmans, 2007). Self-help inter...

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Section: Directions For Future Researchmentioning

confidence: 99%

Self-help interventions for psychosis: A meta-analysis

Webb

Rowse

2015

Clinical Psychology Review

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“…Shame about one's mental illness is strongly related to self-stigma and can therefore be considered self-stigma's emotional side (Rüsch et al 2006(Rüsch et al , 2007b. Shame and embarrassment were identified as barriers to help-seeking in a number of recent studies (Edlund et al 2002;Barney et al 2006;Jorm et al 2007a, b;Jagdeo et al 2009;Schomerus et al 2009).…”

Section: Introductionmentioning

confidence: 99%

Shame, perceived knowledge and satisfaction associated with mental health as predictors of attitude patterns towards help-seeking

Rüsch

Müller

Ajdacic-Gross

et al. 2013

Epidemiol Psychiatr Sci

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Aims.To examine stigma- and knowledge-related barriers to help-seeking among members of the general population.Methods.In a representative survey of young to middle-aged Swiss adults (n = 8875), shame about a potential own mental illness, perceived knowledge about and satisfaction with one's mental health, psychiatric symptoms and attitudes towards help-seeking were assessed.Results.A latent profile analysis of all participants yielded two groups with different attitudes towards help-seeking. Relative to the majority, a one-in-four subgroup endorsed more negative attitudes towards seeking professional help, including psychiatric medication, and was characterized by more shame, less perceived knowledge, higher satisfaction with their mental health, younger age, male gender and lower education. Among participants with high symptom levels (n = 855), a third subgroup was reluctant to seek help in their private environment and characterized by high symptoms as well as low satisfaction with their mental health.Conclusions.Shame as an emotional proxy of self-stigma as well as poor subjective mental health literacy may be independent barriers to help-seeking. Interventions to increase mental health service use could focus on both variables and on those individuals with more negative views about professional help, in the general public as well as among people with a current mental illness.

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“…It has been argued that help seeking will improve with better recognition and labelling of mental disorders, increased understanding of the causes and treatments for mental health problems [1], reductions in stigma [2] and confidence and belief in the rationale for treatment approaches [3]. The advantages of early help seeking have been clearly articulated, with early help seeking providing the opportunity for early intervention and improved long-term outcomes for mental disorders [4].…”

Section: Introductionmentioning

confidence: 99%