Stigma and its impact on help-seeking for mental disorders: what do we know?

@article{Schomerus2008StigmaAI,
  title={Stigma and its impact on help-seeking for mental disorders: what do we know?},
  author={Georg Schomerus and Matthias C. Angermeyer},
  journal={Epidemiologia e Psichiatria Sociale},
  year={2008},
  volume={17},
  pages={31 - 37}
}
Summary Aims – Many people suffering from serious mental illness do not seek appropriate medical help. The stigma of mental illness has often been considered a potential cause for reluctance in seeking help. We review recent evidence on this topic. Methods – Narrative review of the recent literature on stigma and helpseeking for psychiatric disorders. Results – There is proof of a particular stigma attached to seeking help for a mental problem. Anticipated individual discrimination and… 
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TLDR
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Burdens in mental health recovery: Causal beliefs and their relation to stigma and help seeking recommendations
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The results reveal that causal beliefs significantly associate with stigma, measured by stigmatising attitudes and social distance: personal- or biogenetic beliefs associated with more stigma, where psychosocial beliefs associate with less stigma.
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References

SHOWING 1-10 OF 71 REFERENCES
Stigma about depression and its impact on help-seeking intentions.
TLDR
Self-embarrassment and expectations that others would respond negatively predicted the likelihood of help-seeking from professional sources, and interventions should focus on minimizing expectations of negative responses from others and negative self-responses to help- seeking, and should target younger people.
Role of Stigma and Attitudes Toward Help-Seeking from a General Practitioner for Mental Health Problems in a Rural Town
TLDR
Causal attributions and perceived stigma rather than participants' levels of symptomatology and disability influence attitudes to help-seeking for mental health issues.
The influence of stigma and attitudes on seeking help from a GP for mental health problems
TLDR
Seeking help from a GP for psychological problems was predicted by having a positive attitude towards seeking professional psychological help as well as believing a GP would be helpful in treating psychological problems, and perceived stigma did not influence help-seeking.
Mental disorders--who and what might help? Help-seeking and treatment preferences of the lay public.
TLDR
A ranking approach was used to elucidate preferences of the lay public regarding sources of help and treatment options in case of mental disorder, aiming to reflect the real life decision-making process.
Mental Illness Stereotypes and Clinical Care: Do People Avoid Treatment Because of Stigma?
TLDR
Research in this area is remarkably sparse, especially given assertions about the importance of this point in the Surgeon General's 1999 Report, and possible directions for future research are outlined.
Mental disorders—who and what might help?
TLDR
A ranking approach was used to elucidate preferences of the lay public regarding sources of help and treatment options in case of mental disorder, aiming to reflect the real life decision-making process.
MENTAL ILLNESS STIGMA AND CARE SEEKING
TLDR
Analysis of data from two nationwide epidemiologic studies suggested that 50% to 60% of people who would benefit from treatment do not seek it, but subsequent analyses have shown that respondents with psychiatric diagnoses were more likely to avoid treatment.
Predicting Intentions to Seek Help from Professional Mental Health Services
  • J. Bayer, M. Peay
  • Psychology, Medicine
    The Australian and New Zealand journal of psychiatry
  • 1997
TLDR
The findings indicate that a significant factor influencing people's decisions to utilise professional mental health services in Australia may be the belief that mental health professionals are not actually able to provide a great deal of help or support for people's difficulties.
Stigmatisation of people with mental illnesses.
TLDR
Negative opinions indiscriminately overemphasize social handicaps that can accompany mental disorders, which contribute to social isolation, distress and difficulties in employment faced by sufferers.
Educating Young People about Mental Health and Mental Illness: Evaluating a School - Based Programme
TLDR
An evaluation of the Mental Illness Education programme (MIE) as implemented in the Australian Capital Territory showed that the programme had a strong impact on increasing knowledge and a moderate impact on reducing stigma, but a weak impact on changing help-seeking intentions.
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