Outcomes of a Psychoeducational Intervention to Reduce Internalized Stigma Among Psychosocial Rehabilitation Clients

Lucksted, Alicia; Drapalski, Amy L.; Brown, Clayton H.; Wilson, Camille; Charlotte, Melanie; Mullane, Audrina; Fang, Li

doi:10.1176/appi.ps.201600037

Cited by 46 publications

(60 citation statements)

References 69 publications

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“…In a meta-analysis, Wood et al reported that the interventions had negligible effects on internalized stigma due to the small sample size 31. However, the results of two studies conducted by Luckestead et al and Wood et al on patients with mental disorders are consistent with our findings 32. Overall, ECT is shrouded in myths and misconception.…”

Section: Discussionsupporting

confidence: 89%

<p>The Effect of Counseling on Stigma in Psychiatric Patients Receiving Electroconvulsive Therapy: A Clinical Trial Study</p>

Sadeghian¹,

Rostami²,

Shamsaei³

et al. 2019

NDT

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PurposeDespite its efficacy and safety, electroconvulsive therapy (ECT) is underutilized, in part, due to the stigma associated with the treatment. This study aimed to evaluate the effect of counseling on stigma in patients with psychiatric disorders receiving ECT.Patients and methodsA total of 114 patients with psychiatric disorders undergoing ECT were randomly divided into two groups. Both the groups received routine care and treatment, but the intervention group (n=57) received four counseling sessions. At the beginning and end of the study (6 weeks, post-treatment), patients completed the Internalized Stigma of Mental Illness scale. The data were analyzed using independent and paired sample t-tests.ResultsThere was no significant difference in the mean stigma scores of participants in the control and intervention groups before counseling (P>0.08). However, post-intervention, there was a significant difference in the mean stigma scores between both the groups (P<0.001).ConclusionThe findings demonstrate that the counseling intervention is effective in decreasing stigma in patients undergoing ECT. Therefore, it is recommended to use this therapeutic method in such patients.

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Section: Discussionsupporting

confidence: 89%

<p>The Effect of Counseling on Stigma in Psychiatric Patients Receiving Electroconvulsive Therapy: A Clinical Trial Study</p>

Sadeghian¹,

Rostami²,

Shamsaei³

et al. 2019

NDT

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“…Another concern is that a focus on common mental disorder such as that taken by the anti-stigma programme BeyondBlue in Australia [ 18 ] may not have any impact on attitudes toward people with schizophrenia; it might even exacerbate stigma against this group. At the level of self or internalised stigma, interventions taking a therapeutic approach such as psychoeducation [ 19 ], narrative enhancement and cognitive therapy [ 20 ], and cognitive therapy [ 21 ] have shown positive effects on at least some outcomes, if not always on internalised stigma measures [ 22 ]. However, they have been criticised for pathologising internalised stigma as something requiring treatment instead of it being a predictable consequence of public stigma and experienced discrimination [ 23 ].…”

Section: Stigma As a Wicked Problemmentioning

confidence: 99%

Mental Health Related Stigma as a ‘Wicked Problem’: The Need to Address Stigma and Consider the Consequences

Henderson

Gronholm

2018

IJERPH

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Recent reviews on the evidence base for mental health related stigma reduction show that under certain conditions interpersonal contact is effective in promoting more positive attitudes, reduced desire for social distance, and increased stigma related knowledge (knowledge which disconfirms beliefs based on stereotypes). Short-term interventions may have effects that are attenuated over time; longer term programmes may support sustained improvements, but research following up long-term interventions is scarce. However, the effectiveness of these interventions should not obscure the nature of stigma as a social problem. In this article we describe stigma as a ‘wicked problem’ to highlight some implications for intervening against stigma and evaluating these efforts. These include the risks of unintended consequences and the need to continually reformulate the concept of stigma, to ensure that tackling stigma at the structural, interpersonal, and intrapersonal levels become part of the core business of stakeholder organisations. We compare the main targets of anti-stigma programmes with what is known about the sources of stigma and discrimination and their impacts to identify targets for future intervention. In some cases, interventions have been directed at the interpersonal level when structural level intervention is also needed; in others, systematic reviews have not so far identified any interventions.

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“…Eine Metaanalyse überwiegend kleinerer, kontrollierter Studien zeigte positive Wirkungen von Psychoedukation auf Selbststigma [12]. Ein jüngerer RCT in den USA fand, dass Ending Self-Stigma, eine psychoedukative Intervention, Selbststigma bei Programmende verringerte, allerdings nicht mehr in der Nachbefragung 6 Monate später [33]. Es gibt außerdem vorläufige Daten, dass Teilnahme an Selbsthilfeprogrammen (peer support services) Selbststigma abbaut [34].…”

Section: Wirksamkeit Von Iwsunclassified

In Würde zu sich stehen – Konzept und Wirksamkeit eines peer-geleiteten Programms zu Offenlegung und Stigmabewältigung

et al. 2018

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Zusammenfassung Hintergrund Menschen mit psychischen Erkrankungen stehen aufgrund verbreiteter Stigmatisierung oft vor der schwierigen Entscheidung, ob sie ihre Erkrankung anderen gegenüber offenlegen sollen. Methode Konzept und Inhalte von ‚In Würde zu sich stehen‘ (IWS), einem kompakten peer-geleiteten Gruppenprogramm, werden beschrieben. Ergebnisse IWS unterstützt Teilnehmer mit psychischen Erkrankungen bei Offenlegungsentscheidungen und Stigmabewältigung. Drei RCTs zeigen positive Effekte von IWS. Schlussfolgerungen Fragen der Wirksamkeit, Implementierung und Weiterentwicklung von IWS werden diskutiert.

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Outcomes of a Psychoeducational Intervention to Reduce Internalized Stigma Among Psychosocial Rehabilitation Clients

Abstract: 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.

Cited by 46 publications

References 69 publications

<p>The Effect of Counseling on Stigma in Psychiatric Patients Receiving Electroconvulsive Therapy: A Clinical Trial Study</p>

<p>The Effect of Counseling on Stigma in Psychiatric Patients Receiving Electroconvulsive Therapy: A Clinical Trial Study</p>

Mental Health Related Stigma as a ‘Wicked Problem’: The Need to Address Stigma and Consider the Consequences

In Würde zu sich stehen – Konzept und Wirksamkeit eines peer-geleiteten Programms zu Offenlegung und Stigmabewältigung

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