Psychological interventions for personal stigma of patients with schizophrenia: A systematic review and network meta-analysis

Hong, Luo; Li, Yu Ling; Yang, Bing Xiang; Chen, Jie; Zhao, Pan

doi:10.1016/j.jpsychires.2022.02.010

Cited by 12 publications

(6 citation statements)

References 55 publications

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“…Consequently, psychological and social support for IPV survivors should focus on this issue [ 53 ]. Previous literature shows the benefits of targeting internalized stigma in the clinical setting [ 76 , 77 , 78 ]. In fact, psychological interventions focused specifically on this aspect appear to improve patients’ levels of empowerment, self-esteem, self-efficacy, and functioning in post hoc analyses [ 76 , 77 , 78 , 79 ].…”

Section: Discussionmentioning

confidence: 99%

“…Previous literature shows the benefits of targeting internalized stigma in the clinical setting [ 76 , 77 , 78 ]. In fact, psychological interventions focused specifically on this aspect appear to improve patients’ levels of empowerment, self-esteem, self-efficacy, and functioning in post hoc analyses [ 76 , 77 , 78 , 79 ]. Consequently, psychological and social support for IPV survivors should also focus on this issue [ 53 ].…”

Section: Discussionmentioning

confidence: 99%

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An Attempt to Conceptualize the Phenomenon of Stigma toward Intimate Partner Violence Survivors: A Systematic Review

Taccini

Mannarini

2023

Behavioral Sciences

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The objectives of the present manuscript were to review the literature on stigma toward survivors of intimate partner violence (IPV) and to identify the most widely used assessment techniques to investigate this issue. The PRISMA guidelines were followed, and the systematic review was registered in PROSPERO, registration number: CRD42022327410. PsycINFO, Scopus, Web of Science, and PubMed were searched. Two authors selected and extracted data from eligible studies. In total, 4220 hits were returned from the database search, and of them, 24 articles met the inclusion criteria. The articles included in the review confirm the presence of stigma toward IPV survivors, which can be divided into public stigma and self-stigma. Specifically, 17 studies were related only to public stigma, 1 study focused only on self-stigma, and 6 articles investigated aspects related to both public and self-stigma. Both qualitative and quantitative studies have been conducted on this topic. The considerations on the methodologies and assessment measures used in the included studies will be discussed in the results section. Based on the research included, it was possible to develop a contribution to the definition of stigma, which will be discussed in the article.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

An Attempt to Conceptualize the Phenomenon of Stigma toward Intimate Partner Violence Survivors: A Systematic Review

Taccini

Mannarini

2023

Behavioral Sciences

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“…It should be noted that we did not nd an obvious decrease in the level of stigma over time despite the implementation of As two recent meta-analyses have con rmed their effectiveness, web-based interventions should be promoted in countries with high internet access [70,71]. The evidence for the effectiveness of interventions aiming to reduce personal stigma was recently synthetized in a meta-analysis of 21 randomized clinical trials [72]. The results were in favour of group self-assertiveness training and psychoeducation programs but with a low level of con dence in the quality of the trials [72].…”

Section: Discussionmentioning

confidence: 71%

“…The evidence for the effectiveness of interventions aiming to reduce personal stigma was recently synthetized in a meta-analysis of 21 randomized clinical trials [72]. The results were in favour of group self-assertiveness training and psychoeducation programs but with a low level of con dence in the quality of the trials [72].…”

Section: Discussionmentioning

confidence: 99%

Self-stigma in schizophrenia: a systematic review and meta-analysis of 40 studies from 25 high- and low-to-middle income countries

Fond

Vidal

Joseph

et al. 2022

Preprint

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In schizophrenia, it is currently thought that stigma experience is increased by psychotic and depressive symptomatology, exposure to stigma at the workplace, and that self-stigma levels vary across countries without knowing the factors explaining these variations. The aim of the present meta-analysis was to synthetize the data of observational studies comprehensively exploring multiple self-stigma dimensions and associated factors. A systematic literature search without language or time restrictions was conducted in Medline, Google Scholar and Web of Science for studies, last 09/2021. Eligible studies that included ≥ 80% of patients diagnosed with schizophrenia-spectrum disorders and used a validated scale measuring self-stigma dimensions were meta-analyzed using random-effects models, followed by subgroup and meta-regression analyses. Study registration: PROSPERO CRD42020185030. Across 40 studies (n = 7,717) from 25 countries (5 continents), with 20 studies conducted in high-income countries, published between 2007 and 2020 using two scales with total scores ranging 1–4. The mean estimate of perceived stigma was 2.76 [95% confidence interval (CI) = 2.60–2.94], experienced stigma 2.29 [95%CI = 2.18,2.41], alienation 2.40 [95%CI = 2.29,2.52], stereotype endorsement 2.06 [95%CI = 1.88,2.26], social withdrawal 2.28 [95%CI = 2.17,2.39] and stigma resistance: 2.53 [95%CI = 2.43,2.63]). Self-stigma levels did not reduce over time. Living outside urban areas, low income, singleness, unemployment, high antipsychotic dose and low functioning were associated with different stigma dimensions. Some stigma dimensions were lower in studies carried out in Europe compared to other regions. Most studies published since 2007 report that self-stigma is a particular concern for a specific subgroup of patients. This subgroup is characterized by singleness, unemployment, repeated psychiatric hospitalizations and is also probably more depressed, but data are imprecise to confirm this point. We identified important other missing factors that should be explored to improve the effectiveness of public policies and personalized interventions to reduce self-stigma. Importantly, classical illness severity indices (psychotic severity, age at illness onset, illness duration) and sociodemographic variables (age, sex and education) were not associated with self-stigma, moderating previous findings.

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“…Psychological interventions aiming to reduce the detrimental effects of internalized stigma on individuals with schizophrenia spectrum disorders have garnered considerable attention in recent years. The results of several systematic reviews and meta-analyses published in the last few years on interventions to diminish internalized stigma are still inconsistent [ 25 , 26 , 27 , 28 ]. This might be due to a lack of prior experimental trials that have been conducted to establish the efficacy of a certain intervention.…”

Section: Introductionmentioning

confidence: 99%

Evidence for the Effectiveness of Psychological Interventions for Internalized Stigma among Adults with Schizophrenia Spectrum Disorders: A Systematic Review and Meta-Analyses

Jagan

Daud

Chia³

et al. 2023

IJERPH

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In recent years, psychological interventions have been used to alleviate internalized stigma in people with schizophrenia spectrum disorders, but outcomes have been inconsistent. The aim of this review was to examine the existing evidence regarding this matter. Four electronic databases (EMBASE, MEDLINE, PsycINFO, and the Cochrane Central Register of Controlled Trials) were searched from inception until 8 September 2022, using appropriate strategies. The eligibility, quality, and strength of evidence of each study were all evaluated against the predetermined standards. Further quantitative analyses were performed using the RevMan software. A total of 27 studies were included in the systematic review. Eighteen studies with extractable data for meta-analysis yielded a statistically significant overall effect (Z = 3.00; p = 0.003; 95% CI: −0.69 [−1.15, −0.24]; n = 1633), although there was considerable heterogeneity (Tau2 = 0.89; Chi2 = 303.62, df = 17; p < 0.00001; I2 = 94%). Subgroup analyses for Narrative Enhancement and Cognitive Therapy (NECT) produced a statistically significant and highly homogenous effect (Z = 3.40; p = 0.0007; 95% CI: −0.44 [−0.70, −0.19]; n = 241; Tau2 = 0.00; Chi2 = 0.14, df = 2 (p = 0.93); I2 = 0%). In conclusion, the majority of the psychological interventions are successful in lowering levels of internalized stigma, especially NECT, and interventions that integrate multiple therapies may be more beneficial.

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Psychological interventions for personal stigma of patients with schizophrenia: A systematic review and network meta-analysis

Cited by 12 publications

References 55 publications

An Attempt to Conceptualize the Phenomenon of Stigma toward Intimate Partner Violence Survivors: A Systematic Review

An Attempt to Conceptualize the Phenomenon of Stigma toward Intimate Partner Violence Survivors: A Systematic Review

Self-stigma in schizophrenia: a systematic review and meta-analysis of 40 studies from 25 high- and low-to-middle income countries

Evidence for the Effectiveness of Psychological Interventions for Internalized Stigma among Adults with Schizophrenia Spectrum Disorders: A Systematic Review and Meta-Analyses

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