Long-term effects of filmed social contact or internet-based self-study on mental health-related stigma: a 2-year follow-up of a randomised controlled trial

Yamaguchi, Sosei; Ojio, Yasutaka; Ando, Shuntaro; Bernick, Peter; Ohta, Katsutoshi; Watanabe, Kei; Thornicroft, Graham; Shiozawa, Takuma; Koike, Shinsuke

doi:10.1007/s00127-018-1609-8

Cited by 48 publications

(42 citation statements)

References 40 publications

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“…These results might emphasize the enormous importance of actions focused on social contact carried out by the campaign, such as "ask twice" and giving practical advice, which seem to be a key to generate changes in reducing stigma towards mental illness. The importance of social contact in anti-stigma initiatives has been also demonstrated in previous studies [24,25] which show the usefulness of these actions.…”

Section: Discussionsupporting

confidence: 54%

Time to Change’s social marketing campaign for a new target population: results from 2017-2019.

González-Sanguino

Potts

Milenova

et al. 2019

Preprint

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Background. Since 2009 Time to Change has included among its strategies a social marketing campaign to tackle the stigma surrounding mental health problems. At the start of its third phase (2016-2021) the target group of the campaign was kept as people aged between mid-twenties and mid-forties but changed to middle-low income groups and the content was focused on men. Methods. Participants (n = 3700) were recruited through an online market research panel, before and after each burst of the campaign. They completed an online questionnaire evaluating knowledge [Mental Health Knowledge Schedule (MAKS)]; attitudes [Community Attitudes toward Mental Illness (CAMI)]; and desire for social distance [Intended Behaviour subscale of the Reported and Intended Behaviour Scale (RIBS)]. Socio-demographic data and awareness of the campaign were also collected. Results. For each of the 3 bursts, significant pre-post awareness differences were found (OR=2.83, CI=1.90 to 4.20, p<0.001; OR=1.72, CI=1.22 to 2.42, p=0.002; OR=1.41, CI=1.01 to 1.97, p=0.043), and awareness at the end of the third burst was 33%. Demographic factors associated with awareness for one or more bursts included having children, familiarity with mental illness, male sex, being Black, Asian or other ethnic minorities and living in London or the East Midlands regions. An improvement across bursts in the “living with” subscale item of the RIBS, and in the “recover” and “advice to a friend” MAKS items were found. Familiarity with mental illness had the strongest association with all outcome measures, while the awareness of the campaign was also related with higher scores in MAKS and RIBS. Conclusions. These interim results suggest that the campaign is reaching and having an impact on its target audience. While over the course of Time to Change we have found no evidence that demographic differences in stigma have widened, and indeed those by age group and region of England have narrowed, those for socioeconomic status, ethnicity and sex have so far remained unchanged. By targeting a lower socioeconomic group and creating relatively greater awareness among men and in Black and ethnic minority groups, the campaign is showing the potential to address these persistent differences in stigma.

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Section: Discussionsupporting

confidence: 54%

Time to Change’s social marketing campaign for a new target population: results from 2017-2019.

González-Sanguino

Potts

Milenova

et al. 2019

Preprint

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“…The annual number of suicides in Japan exceeded 30,000 between 1998 and 2011, calling for an urgent need to establish effective suicide prevention strategies [82]. Increasing research has gone into programs targeted at reducing stigma surrounding mental illness, with findings that educational programs [86,87] and social contact [88] are effective interventions with social contact appearing to have more long-term benefits. Moving forward, there is a need to make psychiatric services more easily accessible to adolescents [89] and to address problems regarding institutionalism and societal homogeneity in Japan-which may account for the stronger stigmatizing attitudes as compared to countries like Australia and the US [90].…”

Section: Stigma Related To Psychiatric Illnesses and Advancement Of Amentioning

confidence: 99%

Overview of Stigma against Psychiatric Illnesses and Advancements of Anti-Stigma Activities in Six Asian Societies

Zhang

Sun

Jatchavala

et al. 2019

IJERPH

143

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Background: In psychiatry, stigma is an attitude of disapproval towards people with mental illnesses. Psychiatric disorders are common in Asia but some Asians receive inadequate treatment. Previous review found that Asians with mental illness were perceived to be dangerous and aggressive. There is a need for renewed efforts to understand stigma and strategies which can effectively reduce stigma in specific Asian societies. The objective of this systematic review was to provide an up-to-date overview of existing research and status on stigma experienced by psychiatric patients and anti-stigma campaigns in China, Hong Kong, Japan, Singapore, Korea, and Thailand. Methods: A systematic literature search was conducted in the following databases, including PubMed, PsycINFO, Embase, Web of Science, and local databases. Studies published in English and the official language of included countries/territories were considered for inclusion in the systematic review. Any article on stigma related to any form of psychiatric illness in the six Asian societies was included. Results: One hundred and twenty-three articles were included for this systematic review. This review has six major findings. Firstly, Asians with mental illnesses were considered as dangerous and aggressive, especially patients suffering from schizophrenia and bipolar disorder; second, psychiatric illnesses in Asian societies were less socially-acceptable and were viewed as being personal weaknesses; third, stigma experienced by family members was pervasive and this is known as family stigma; fourth, this systemic review reported more initiatives to handle stigma in Asian societies than a decade ago; fifth, there have been initiatives to treat psychiatric patients in the community; and sixth, the role of supernatural and religious approaches to psychiatric illness was not prevailing. Conclusion: This systematic review provides an overview of the available scientific evidence that points to areas of needed intervention to reduce and ultimately eliminate inequities in mental health in Asia.

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“…We have previously shown the effect of filmed social contact interventions on reducing mental illness-related stigma over a 24 month period in an RCT (Koike et al, 2018b;Yamaguchi et al, 2019). In the secondary analysis, the effect may arise from changing emotional attitudes toward people with schizophrenia, followed by other components of stigma (Koike et al, 2018a), suggesting that amygdala-related functions may contribute to the change in stigma.…”

Section: Introductionmentioning

confidence: 95%

“…This study is a subsample measurement of brain imaging from a parallel-group RCT that examined the effect of social contact interventions on reducing mental illness-related stigma (Koike et al, 2018b;Yamaguchi et al, 2019) (UMIN-CTR Trial Number: UMIN000012239). Originally, 259 participants were registered and assigned to one of three groups [Control, Internet self-learning (INS), filmed-social contact (FSC); Figure 2 and Supplementary Table 1].…”

Section: Participantsmentioning

confidence: 99%

“…Following completion of the baseline survey, participants received individual laptop computers containing a 30 min intervention at a room in the University of Tokyo (Koike et al, 2018b;Yamaguchi et al, 2019). Briefly, the participant in the FSC group viewed a film including interviews with two men with schizophrenia, a portrayal of a woman with obsessive-compulsive disorder, general mental illness-related knowledge consistent with the interviews and portrayal and contact information for help-seeking.…”

Section: Interventionmentioning

confidence: 99%

See 1 more Smart Citation

The Association Between Amygdala Subfield-Related Functional Connectivity and Stigma Reduction 12 Months After Social Contacts: A Functional Neuroimaging Study in a Subgroup of a Randomized Controlled Trial

Nakamura

Okada

Ando

et al. 2020

Front. Hum. Neurosci.

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Nakamura et al. Amygdala Connectivity and Stigma Change post hoc analysis showed that the SF-intracalcarine cortex connectivity was negatively correlated with the change in stigma only in the FSC group. The current results indicate that greater SF-intracalcarine cortex connectivity is associated with a better response to the FSC interventions, suggesting that biological variability could underlie the long-term effect of anti-stigma interventions on stigma in the real world.

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Long-term effects of filmed social contact or internet-based self-study on mental health-related stigma: a 2-year follow-up of a randomised controlled trial

Cited by 48 publications

References 40 publications

Time to Change’s social marketing campaign for a new target population: results from 2017-2019.

Time to Change’s social marketing campaign for a new target population: results from 2017-2019.

Overview of Stigma against Psychiatric Illnesses and Advancements of Anti-Stigma Activities in Six Asian Societies

The Association Between Amygdala Subfield-Related Functional Connectivity and Stigma Reduction 12 Months After Social Contacts: A Functional Neuroimaging Study in a Subgroup of a Randomized Controlled Trial

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