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Article : Tackling mental-health-related stigma : a narrative review of anti-stigma interventions

le 22 avril 2016

[The Mental Elf] Mental-health-related stigma has devastating consequences for people with mental illness. It makes people less likely to engage in mental health treatment (Corrigan 2004, Nikki Newhouse’s Mental Elf Blog), contributes to a shorter life expectancy through poorer physical health care (Thornicroft, 2011), and is implicated in suicide (Eagles et al, 2003). Reducing stigma has the potential to dramatically improve the lives of people with mental illness. In a narrative review published in the Lancet earlier this year, Graham Thornicroft and colleagues try to bring together what we know about effective interventions to reduce mental-health-related stigma and discrimination, and what we still need to find out (Thornicroft et al, 2016).

 

This was a narrative review, meaning that it is a descriptive overview of anti-stigma interventions. It differs from a systematic review in that it lacks a systematic and explicit methodology for finding relevant research. The authors searched six electronic databases for articles published between 1970 and 2012. They had three search interests:

  1. Anti-stigma interventions with evidence for short-term effectiveness in high-income countries (up to 4-week follow-up)
  2. Studies that examined medium-term to long-term effectiveness (more than 4-week follow-up)
  3. Studies conducted in low-income and middle-income countries

Papers that weren’t written in English were read by fluent native speakers, and the reference lists of review papers were manually-checked to find any other relevant papers.

The authors report in the text that they found 8 systematic reviews and 8,143 quantitative studies to consider – although, it’s not entirely clear from the figure in the paper where the number 8,143 originates from.

Source The Mental Elf