Challenging the Public Stigma of Mental Illness: A Meta-Analysis of Outcome Studies
Challenging the Public Stigma of Mental Illness: A Meta-Analysis of Outcome Studies
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DOI：
10.1176/appi.ps.201100529
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发表时间：
2012-10-01
影响因子：
3.8
通讯作者：
Ruesch, Nicolas
中科院分区：
文献类型：
--
作者：
Corrigan, Patrick W.;Morris, Scott B.;Ruesch, Nicolas
目的：公众污名化和歧视对严重精神病患者的生活产生有害影响。鉴于大量关于改变精神疾病污名的研究，本文报告了一项荟萃分析，该分析研究了反污名方法的影响，包括抗议或社会活动，公众教育以及与精神疾病患者接触。方法：研究人员注意到已发表的卫生保健系统文献综述指南。这项全面系统的综述包括英语以外语言的文章、学位论文和人口研究。检索包括从数据库建立到2010年10月的所有文章。搜索词分为三类：耻辱，精神疾病（如精神分裂症和抑郁症）和改变计划（包括接触和教育）。检索获得了72篇符合纳入标准的文章和报告，这些文章和报告与改变公众污名有关，并且有足够的数据和统计数据来完成分析。研究涉及来自14个国家的38，364名研究参与者。计算所有研究和研究中每种治疗条件的效应量。采用加权单因素方差分析进行效应量之间的比较。结果：总体而言，教育和接触对减少患有精神疾病的成年人和青少年的耻辱感有积极的影响。然而，接触比教育更能减少成年人的耻辱感。对于青少年，则发现了相反的模式：教育更有效。总的来说，面对面的接触比视频接触更有效。结论：未来的研究是必要的，以确定调解人的教育和接触的影响。（Psychiatric Services 63：963-973，2012; doi：10.1176/appi.ps.005292011）
Objective: Public stigma and discrimination have pernicious effects on the lives of people with serious mental illnesses. Given a plethora of research on changing the stigma of mental illness, this article reports on a meta-analysis that examined the effects of antistigma approaches that included protest or social activism, education of the public, and contact with persons with mental illness. Methods: The investigators heeded published guidelines for systematic literature reviews in health care. This comprehensive and systematic review included articles in languages other than English, dissertations, and population studies. The search included all articles from the inception of the databases until October 2010. Search terms fell into three categories: stigma, mental illness (such as schizophrenia and depression), and change program (including contact and education). The search yielded 72 articles and reports meeting the inclusion criteria of relevance to changing public stigma and sufficient data and statistics to complete analyses. Studies represented 38,364 research participants from 14 countries. Effect sizes were computed for all studies and for each treatment condition within studies. Comparisons between effect sizes were conducted with a weighted one-way analysis of variance. Results: Overall, both education and contact had positive effects on reducing stigma for adults and adolescents with a mental illness. However, contact was better than education at reducing stigma for adults. For adolescents, the opposite pattern was found: education was more effective. Overall, face-to-face contact was more effective than contact by video. Conclusions: Future research is needed to identify moderators of the effects of both education and contact. (Psychiatric Services 63:963-973, 2012; doi: 10.1176/appi.ps.005292011)