Results suggest that internalized stigma was prevalent and problematic among individuals with serious mental illness. There may be multiple pathways through which stigma and discrimination lead to negative outcomes, suggesting that interventions to reduce internalized stigma need to target multiple points along these pathways in order to be effective.
Objective
With growing awareness of the impact of mental illness self-stigma, interest has arisen in the development of interventions to combat it. The present article briefly reviews and compares interventions targeting self-stigma to clarify the similarities and important differences between the interventions.
Methods
We conducted a narrative review of published literature on interventions targeting self-stigma.
Results
Six intervention approaches (Healthy Self-Concept, Self-Stigma Reduction Program, Ending Self-Stigma, Narrative Enhancement and Cognitive Therapy, Coming Out Proud, and Anti-Stigma Photo-Voice Intervention) were identified and are discussed, and data is reviewed on format, group-leader backgrounds, languages, number of sessions, primary mechanisms of action, and the current state of data on their efficacy.
Conclusions and Implications for Practice
We conclude with a discussion of common elements and important distinctions between the interventions and a consideration of which interventions might be best suited to particular populations or settings.
"Ending Self-Stigma" is the first of its kind and may be a valuable intervention for reducing internalized stigma among people with serious mental illnesses, suitable for both professionally-delivered psychiatric rehabilitation programs and consumer-led programs and services.
Female jail inmates are especially in need of mental health services. Effective interventions for post-traumatic stress disorder and borderline personality disorder are needed in jail settings for both male and female inmates during incarceration and upon release.
Undergraduates (N = 189) rated their test anxiety and emotions immediately before a midterm examination and recalled those feelings 1 week later. Students who learned they had done well on the exam underestimated, and those who learned they had done poorly overestimated, pre-exam test anxiety. Personality traits and emotional states together predicted memory distortion. Specifically, traits predicted the intensity of pre-exam states, such as test anxiety, which in turn predicted later distortion in recalling pre-exam negative and positive emotions. Also, students with positive personality traits were particularly likely to be influenced by current feelings when recalling test anxiety. Overestimating pre-midterm test anxiety predicted intentions to study more as well as feelings of unpleasantness just prior to the final exam.
The present study examined interest in family involvement in treatment and preferences concerning the focus of family oriented treatment for veterans (N Ď 114) participating in an outpatient Veterans Affairs outpatient posttraumatic stress disorder (PTSD) program. Most veterans viewed PTSD as a source of family stress (86%) and expressed interest in greater family involvement in their treatment (79%). These results suggest the need to consider increasing family participation in the clinical care of individuals with PTSD and to develop specialized family educational and support services for this population.
Results indicate that ESS was useful in helping to reduce key aspects of internalized stigma among individuals with mental illnesses and that advances in the delivery, targeting, and content of the intervention in the field may be warranted to increase its potency.
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