Interventions for reducing self-stigma in people with mental illnesses: a systematic review of randomized controlled trials

Büchter, Roland Brian; Messer, Melanie

doi:10.3205/000248

Cited by 21 publications

(9 citation statements)

References 40 publications

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“…As the number of past studies is limited and ACT is a growing intervention in the field of self-stigma intervention for people with mental illness, it is critical to pilot and examine whether ACT could potentially benefit people with mental illness who are experiencing self-stigma (Mittal et al, 2012). Since the evidence of existing interventions, namely psychoeducation, CBT, and other multimodal strategies, was also mixed and inconclusive, exploring new intervention modalities could potentially provide additional avenues for people with mental illness to reduce their self-stigma (Alonso et al, 2019; Büchter & Messer, 2017; Tsang et al, 2016; Wood et al, 2016).…”

Section: Discussionmentioning

confidence: 99%

“…Another narrative synthesis and meta-analysis showed that for people with schizophrenia, CBT, psychoeducation, and social skill training did not have significant effects in reducing self-stigma (Wood et al, 2016). Nonsignificant effects were also found for psychoeducation, CBT, and multimodal intervention according to a systematic review of randomized controlled trials (Büchter & Messer, 2017). Last but not least, a systematic review showed that psychoeducation and multimodal interventions had the strongest effects in reducing self-stigma; however, the effects of CBT and revelation interventions were inconclusive (Alonso et al, 2019).…”

Section: Intervention For Self-stigmamentioning

confidence: 99%

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The efficacy of acceptance and commitment therapy on self-stigma reduction among people with mental illness: A quasi-experimental design.

Kao,

Li,

Mak

et al. 2024

Stigma and Health

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Self-stigma is prevalent and has adverse impact on people with mental illness, including negative effects on self-esteem, help-seeking, quality of life, and personal recovery. This study investigated the efficacy of acceptance and commitment therapy (ACT) in reducing the self-stigma of people with mental illness in a 5-week group intervention. Thirty-six individuals with mental illness were recruited and completed the ACT intervention. The participants from the intervention group were matched by propensity scores on preintervention outcome variables with another 36 individuals with mental illness from the control group. Levels of self-stigma, believability of stigmatizing thoughts, psychological flexibility, and mindfulness were assessed before the intervention, immediately after the intervention, and 1 month after the intervention. Significant interaction effects were found in psychological flexibility and mindfulness, but not self-stigma and believability of stigmatizing thoughts. For the intervention group, time effects were found in self-stigma, believability of stigmatizing thoughts, psychological flexibility, and mindfulness at post- and follow-up assessments. These findings suggested that ACT is potentially effective in improving psychological flexibility and mindfulness. Mediation analyses suggested that psychological flexibility and mindfulness did not mediate changes in self-stigma or the believability of stigmatizing thoughts. Randomized controlled trials are necessary to further determine its effect on self-stigma and self-stigmatizing thought processes.

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Section: Discussionmentioning

confidence: 99%

Section: Intervention For Self-stigmamentioning

confidence: 99%

The efficacy of acceptance and commitment therapy on self-stigma reduction among people with mental illness: A quasi-experimental design.

Kao,

Li,

Mak

et al. 2024

Stigma and Health

View full text Add to dashboard Cite

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“…Even though evidence of the efficacy of these anti-stigma interventions is still emerging (Büchter & Messer, 2017), future studies may use discourse analysis to critically dissect language and meanings in discourse as tools of resilience and resistance among victimized and vulnerable groups. This kind of stigma scholarship must reflect on the etiologies of victim stigma, its implication on health, wealth, and overall well-being of historically stigmatized groups (Clair et al, 2016).…”

Section: Discussionmentioning

confidence: 99%

Authentic Empathy and the Role of Victim Service Providers in (De)stigmatizing Male Sexual Victimization

Emezue

Udmuangpia

2020

J Interpers Violence

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Male victims of rape and sexual violence (SV) constitute a highly stigmatized group who doubly suffer the trauma of SV and hegemonic notions of real masculinity that punishes weakness and vulnerability in men. This double exposure produces a stigmatizing identity (i.e., male victim stigma) that is embedded in grand narratives about male SV. However, helping professionals have been implicated in this (de)stigmatizing process. Few studies describe the role victim service providers (VSPs) play as (de)stigmatizing agents. This study is among the first to explore VSP narratives on their stigma awareness and stigma management practices. Story-focused interview methods elicited responses from 11 VSPs (nine females and two males, age: 29–65 years) across the United States representing diverse victim-serving professions. Interviews were face-to-face or by phone, lasting between 45 and 90 minutes. Interviews were transcribed verbatim and analyzed using power-sensitive Foucauldian discourse analysis (or FDA, suitable for analyzing language and meanings linked to power dynamics). Our analysis was guided by a meaning-forming social constructionist approach. With some narrative convergence and disconvergence, three strings of narratives with supporting excerpts were identified, namely (a) stigma awareness shaped by discursive and material forces, (b) labeling as a (de)stigmatizing tool, and (c) connecting through authentic empathy (AE). The concept of AE is recommended as a possible model of care and stigma management approach in therapeutic spaces. We define AE as an aptitude to credibly provide nonjudgmental, stigma-free care, based on personal histories with trauma, membership in a stigmatized group, or an earned involvement with members of the same group. Findings bear implications for stigma-informed practices and future research to address the unique unmet needs of stigmatized male victims.

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“…Even though there are multiple systematic reviews and/ or meta-analyses on IS/SS and its relationship with other variables (Carrara et al, 2019;Del Rosal et al, 2021;Gerlinger et al, 2013;J. D. Livingston & Boyd, 2010), on the interventions designed for its reduction (Alonso et al, 2019;Büchter & Messer, 2017;Mittal et al, 2012;Tsang et al, 2016;Wood et al, 2016;Yanos et al, 2015), as well as that referring to explanatory models (Fernández et al, 2022), there are no studies focused on the lack of conceptual clarity between IS and SS.…”

Section: Introductionmentioning

confidence: 99%

Internalized stigma and self-stigma in people diagnosed with a mental disorder. One concept or two? A scoping review

Fernández,

Grandón,

López-Angulo

et al. 2023

Int J Soc Psychiatry

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Background: In the literature on stigma, authors often use self-stigma or internalized stigma interchangeably to refer to this type of stigma. This results in a lack of conceptual clarity with negative repercussions for measurement and intervention. Aims: To identify how internalized stigma and self-stigma are conceptualized in people diagnosed with a mental disorder and establish similarities and differences between both concepts. Method: A scoping review was conducted. Thirty-five studies that conceptualized internalized stigma or self-stigma were selected. Results: It was identified that the concepts are defined from nine components, and there are more conceptualizations that have points in common than those that consider some component of their own. To gain conceptual clarity, the use of the term internalized stigma is recommended, being a process made up of stages: acceptance of stereotypes and prejudices by people with mental disorders and their subsequent internalization. The latter leads to negative consequences for those affected, which can be understood as the personal impact of this process, which has a crucial socio-cultural component. Lines of research are proposed to provide solidity to studies on this type of stigma. Conclusions: The term internalized stigma should be used when referring to the type of stigma that includes acceptance, internalization and personal impact for the subjects of the stigma. In contrast, self-stigma should be reserved to refer to stigma that is directed toward the ‘self’ and includes subtypes of stigma.

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Interventions for reducing self-stigma in people with mental illnesses: a systematic review of randomized controlled trials

Cited by 21 publications

References 40 publications

The efficacy of acceptance and commitment therapy on self-stigma reduction among people with mental illness: A quasi-experimental design.

The efficacy of acceptance and commitment therapy on self-stigma reduction among people with mental illness: A quasi-experimental design.

Authentic Empathy and the Role of Victim Service Providers in (De)stigmatizing Male Sexual Victimization

Internalized stigma and self-stigma in people diagnosed with a mental disorder. One concept or two? A scoping review

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