Hostname: page-component-76d6cb85b7-xh428 Total loading time: 0 Render date: 2026-07-11T05:22:34.970Z Has data issue: false hasContentIssue false
  • English
  • Français

The state of the art in European research on reducing social exclusion and stigma related to mental health: A systematic mapping of the literature

Published online by Cambridge University Press:  15 April 2020

S. Evans-Lacko ,
E. Courtin ,
A. Fiorillo ,
M. Knapp ,
M. Luciano ,
A.-L. Park ,
M. Brunn ,
S. Byford ,
K. Chevreul  and
A.K. Forsman
...Show all authors
S. Evans-Lacko*
Affiliation:
Health Service and Population Research Department, King's College London, Institute of Psychiatry, London, United Kingdom
E. Courtin
Affiliation:
London School of Economics, Houghton Street, WC2A 2AELondon, United Kingdom
A. Fiorillo
Affiliation:
Department of Psychiatry, University of Naples SUN, Largo Madonna delle Grazie, 80134Naples, Italy
M. Knapp
Affiliation:
London School of Economics, Houghton Street, WC2A 2AELondon, United Kingdom
M. Luciano
Affiliation:
Department of Psychiatry, University of Naples SUN, Largo Madonna delle Grazie, 80134Naples, Italy
A.-L. Park
Affiliation:
London School of Economics, Houghton Street, WC2A 2AELondon, United Kingdom
M. Brunn
Affiliation:
Fondation Fondamental94000Créteil, France Université Paris Diderot, Sorbonne Paris Cité, ECEVE, 75010Paris, France Inserm, ECEVE, U112375010Paris, France
S. Byford
Affiliation:
Health Service and Population Research Department, King's College London, Institute of Psychiatry, London, United Kingdom
K. Chevreul
Affiliation:
Université Paris Diderot, Sorbonne Paris Cité, ECEVE, 75010Paris, France Inserm, ECEVE, U112375010Paris, France URC Eco Ile-de-France, DRCD, AP–HP75004Paris, France
A.K. Forsman
Affiliation:
National Institute for Health and Welfare (THL), Mental Health Promotion Unit, Hietalahdenkatu 2-4/L-talo, 65130Vaasa, Finland Nordic School of Public Health NHV, Gothenburg, Sweden
L. Gulacsi
Affiliation:
Department of Health Economics, Corvinus University of Budapest, Fovam ter 81098Budapest, Hungary
J.M. Haro
Affiliation:
Parc Sanitari Sant Joan de Déu - CIBERSAM, Research and Development Unit, 42, c/Dr. Antoni Pujades, 08830 Sant Boi de Llobregat, Barcelona, Spain Centro de Investigación Biomédica en Red de Salud Mental, CIBERSAM, Madrid, Spain Universitat de Barcelona, Barcelona, Spain
B. Kennelly
Affiliation:
Cairnes School of Business and Economics, National University of Ireland, Galway, Ireland
S. Knappe
Affiliation:
Institute of Clinical Psychology and Psychotherapy, Technische Universitat Dresden, Chemnitzer Straße 46, 01187Dresden, Germany
T. Lai
Affiliation:
Fourth view consulting PO Box 38, Narva mnt 1, 10502Tallinn, Estonia
A. Lasalvia
Affiliation:
Department of Public Health and Community Medicine, Section of Psychiatry, University of Verona, Verona, Italy
M. Miret
Affiliation:
Instituto de Salud Carlos III, Centro de Investigación Biomédica en Red de Salud Mental, CIBERSAM, Department of Psychiatry, Universidad Autónoma de Madrid Arzobispo Morcillo, 4, 28029Madrid, Spain
C. O'Sullivan
Affiliation:
Mental Health Foundation 18, Walker Street, EH3 7LPEdinburgh, United Kingdom
C. Obradors-Tarragó
Affiliation:
Parc Sanitari Sant Joan de Déu - CIBERSAM, Research and Development Unit, 42, c/Dr. Antoni Pujades, 08830 Sant Boi de Llobregat, Barcelona, Spain Centro de Investigación Biomédica en Red de Salud Mental, CIBERSAM, Madrid, Spain
N. Rüsch
Affiliation:
Department of Psychiatry II, University of Ulm, Parkstrasse 1189073Ulm, Germany
N. Sartorius
Affiliation:
Association for the Improvement of Mental Health Programmes (AMH) 14, chemin Colladon, 1209Geneva, Switzerland
V. Švab
Affiliation:
University Ljubljana, Medical Faculty, Vrazov trg 2, 1000Ljubljana, Slovenia
J. van Weeghel
Affiliation:
Phrenos Center of Expertise, Da Costakade 45, 3521 VSUtrecht, The Netherlands
C. Van Audenhove
Affiliation:
KU Leuven LUCAS, Center for Care Research and Consultancy, Kapucijnenvoer 39, 3000Leuven, Belgium
K. Wahlbeck
Affiliation:
The Finnish Association for Mental Health, Maistraatinportti 4 A, 00240Helsinki, Finland
A. Zlati
Affiliation:
Babes-Bolyai University, Sociology Department &, Open Minds - Center for Mental Health Research Mehedinti St, No 35, Apt 68, 400672Cluj-Napoca, Romania
D. McDaid
Affiliation:
London School of Economics, Houghton Street, WC2A 2AE London, United Kingdom
G. Thornicroft
Affiliation:
Health Services and Population Research Department, King's College London, Institute of Psychiatry, Box P029, De Crespigny Park, SE5 8AF London, United Kingdom
*
*Corresponding author. Tel.: +44 20 7848 5076. E-mail address:Sara.Evans-Lacko@kcl.ac.uk (S. Evans-Lacko).
Get access

Abstract

Stigma and social exclusion related to mental health are of substantial public health importance for Europe. As part of ROAMER (ROAdmap for MEntal health Research in Europe), we used systematic mapping techniques to describe the current state of research on stigma and social exclusion across Europe. Findings demonstrate growing interest in this field between 2007 and 2012. Most studies were descriptive (60%), focused on adults of working age (60%) and were performed in Northwest Europe—primarily in the UK (32%), Finland (8%), Sweden (8%) and Germany (7%). In terms of mental health characteristics, the largest proportion of studies investigated general mental health (20%), common mental disorders (16%), schizophrenia (16%) or depression (14%). There is a paucity of research looking at mechanisms to reduce stigma and promote social inclusion, or at factors that might promote resilience or protect against stigma/social exclusion across the life course. Evidence is also limited in relation to evaluations of interventions. Increasing incentives for cross-country research collaborations, especially with new EU Member States and collaboration across European professional organizations and disciplines, could improve understanding of the range of underpinning social and cultural factors which promote inclusion or contribute toward lower levels of stigma, especially during times of hardship.

Keywords

Mental disordersStigmatizationSocial marginalizationSocial participationCommunity psychiatryReview

Information

Type
Original article
Information
European Psychiatry , Volume 29 , Issue 6 , August 2014 , pp. 381 - 389
Copyright
Copyright © Elsevier Masson SAS 2014

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Article purchase

Temporarily unavailable

Footnotes

1

Tel.: +44 20 7852 3775.

2

Tel.: +39 0815666531.

3

Tel.: +44 20 7955 6225.

4

Tel.: +44 20 7849 4665.

5

Tel.: +33 140 274 575.

6

Tel.: +44 20 7848 0043.

7

Tel.: +33 140 274 148.

8

Tel.: +358 6 323 1734.

9

Tel.: +34 93 600 26 85.

10

Tel.: +353 91 493093.

11

Tel.: +49 351 463 39727.

12

Tel.: +372 5666 3859.

13

Tel.: +34 91 497 27 16.

14

Tel.: +44 131 243 3800.

15

Tel.: +34 93 556 96 77.

16

Tel.: +49 731 500 62301/-00.

17

Tel.: +41 22 788 2331.

18

Tel.: +31 30 2931626.

19

Tel.: +0032 486 618484.

20

Tel.: +358 400 659101.

21

Tel.: +40 752 123 674.

22

Tel.: +44 20 7955 6381.

23

These authors contributed equally to this work.

References

Angermeyer, M.C., Matschinger, H., Schomerus, G.Public attitudes towards people with depression in times of uncertainty: results from three population surveys in Germany. Soc Psychiatry Psychiatr Epidemiol 2013;48(9):1513–1518.CrossRefGoogle ScholarPubMed
Barg, F.K., Huss-Ashmore, R., Wittink, M.N., Murray, G.F., Bogner, H.R., Gallo, J.J.A mixed-methods approach to understanding loneliness and depression in older adults. J Gerontol B Psychol Sci Soc Sci 2006;61(6):S329–S339.CrossRefGoogle ScholarPubMed
Beldie, A., den Boer, J.A., Brain, C., Constant, E., Figueira, M.L., Filipcic, I.et al.Fighting stigma of mental illness in midsize European countries. Soc Psychiatry Psychiatr Epidemiol 2012;47(Suppl. 1):1–38.CrossRefGoogle ScholarPubMed
Brohan, E., Slade, M., Clement, S., Thornicroft, G.Experiences of mental illness stigma, prejudice and discrimination: a review of measures. BMC Health Serv Res 2010;10:80.CrossRefGoogle ScholarPubMed
Cattan, M., White, M., Bond, J., Learmouth, A.Preventing social isolation and loneliness among older people: a systematic review of health promotion interventions. Ageing and Society 2005;25:41–67.CrossRefGoogle Scholar
Chevreul, K., McDaid, D., Farmer, C.M., Prigent, A., Park, A.L., Leboyer, M.et al.Public and nonprofit funding for research on mental disorders in France, the United Kingdom, and the United States. J Clin Psychiatry 2012;73(7):e906–e912.CrossRefGoogle ScholarPubMed
Clapton, J., Rutter, D., Sharif, N.Systematic mapping guidance. London: Social Care Institute for Excellence; 2009.Google Scholar
Clarke, A., Gatineau, M., Grimaud, O., Royer-Devaux, S., Wyn-Roberts, N., Le B., I.et al.A bibliometric overview of public health research in Europe. Eur J Public Health 2007;17(Suppl. 1):43–49.CrossRefGoogle ScholarPubMed
Clement, S., Lassman, F., Barley, E., Evans-Lacko, S., Williams, P., Yamaguchi, S.et al.Mass media interventions for reducing mental health-related stigma. Cochrane Database Syst Rev 2013;7 [CD009453].Google Scholar
Corker, E., Hamilton, S., Henderson, C., Weeks, C., Pinfold, V., Rose, D.et al.Experiences of discrimination among people using mental health services in England 2008-2011. Br J Psychiatry Suppl 2013;55:s58–s63.CrossRefGoogle ScholarPubMed
Corrigan, P.W., Morris, S.B., Michaels, P.J., Rafacz, J.D., Rusch, N.Challenging the public stigma of mental illness: a meta-analysis of outcome studies. Psychiatr Serv 2012.CrossRefGoogle ScholarPubMed
Curran, C., Burchardt, T., Knapp, M., McDaid, D., Li, B.Challenges in multidisciplinary systematic reviewing: a study on social exclusion and mental health policy. Soc Policy Admin 2007;41(3):289–312.CrossRefGoogle Scholar
Evidence for Policy and Practice Information and Co-ordinating Centre EPPI-Centre methods for conducting systematic reviews. University of London; 2010.Google Scholar
Evans-Lacko, S., Brohan, E., Mojtabai, R., Thornicroft, G.Association between public views of mental illness and self-stigma among individuals with mental illness in 14 European countries. Psychol Med 2012;16:1–13.Google Scholar
Evans-Lacko, S., Knapp, M., McCrone, P., Thornicroft, G., Mojtabai, R.The mental health consequences of the recession: economic hardship and employment of people with mental health problems in 27 European countries. PLoS One 2013;8(7):e69792.CrossRefGoogle ScholarPubMed
Fazel, S., Khosla, V., Doll, H., Geddes, J.The prevalence of mental disorders among the homeless in western countries: systematic review and meta-regression analysis. PLoS Med 2008;5(12):e225.CrossRefGoogle ScholarPubMed
Fiorillo, A., Luciano, M., Del Vecchio, V., Sampogna, G., Obradors-Tarragó, C., Maj, M.et al.Priorities for mental health research in Europe: a survey among national stakeholders’ associations within the ROAMER project. World Psychiatry 2013;12(2):165–170.CrossRefGoogle ScholarPubMed
Gili, M., Roca, M., Basu, S., McKee, M., Stuckler, D.The mental health risks of economic crisis in Spain: evidence from primary care centres, 2006 and 2010. Eur J Public Health 2013;23(1):103–108.CrossRefGoogle ScholarPubMed
Goffman, E.Stigma: notes on the management of spoiled identity. Englewood Cliffs, NJ: Prentice-Hall; 1963.Google Scholar
Goodman, A., Joyce, R., Smith, J.P.The long shadow cast by childhood physical and mental problems on adult life. Proc Natl Acad Sci U S A 2011;108(15):6032–6037.CrossRefGoogle Scholar
Health Research Classification System of the UK Clinical Research Collaboration UK Clinical Research Collaboration. http://www.ukcrc.org/researchcoordination/classificationsystem/.Google Scholar
Haro, J., Ayuso-Mateos, J.L., Biter, I., Demotes-Mainard, J., Leboyer, M., Lewis, S.et al.ROAMER: a European Roadmap for mental health research. Int J Methods of Psychiatr Res 2014;23(Suppl 1):1–13.CrossRefGoogle ScholarPubMed
Hong, J., Knapp, M., McGuire, A.Income-related inequalities in the prevalence of depression and suicidal behaviour: a 10-year trend following economic crisis. World Psychiatry 2011;10(1):40–44.CrossRefGoogle ScholarPubMed
Kilian, R., Becker, T.Macro-economic indicators and labour force participation of people with schizophrenia. J Ment Health 2007;16(2):211–222.CrossRefGoogle Scholar
Knapp, M., King, D., Healey, A., Thomas, C.Economic outcomes in adulthood and their associations with antisocial conduct, attention deficit and anxiety problems in childhood. J Ment Health Policy Econ 2011;14(3):137–147.Google ScholarPubMed
Lanfredi, M., Rossi, G., Rossi, R., Van, B.T., Thornicroft, G., Quinn, N.et al.Depression prevention and mental health promotion interventions: is stigma taken into account? An overview of the Italian initiatives. Epidemiol Psychiatr Sci 2013;22(4):363–374.CrossRefGoogle ScholarPubMed
Lasalvia, A., Zoppei, S., Van Bortel, T., Bonetto, C., Cristofalo, D., Wahlbeck, K.et al.Global pattern of experienced and anticipated discrimination reported by people with major depressive disorder: a cross-sectional survey. Lancet 2013;381(9860):55–62. http://www.ncbi.nlm.nih.gov/pubmed/23083627.CrossRefGoogle ScholarPubMed
Lasalvia, A., Zoppei, S., Bonetto, C., Tosato, S., Zanatta, G., Cristofalo, D.et al.The role of experienced and anticipated discrimination in everyday life of people with first-episode psychosis. Psychiatr Serv 2014.CrossRefGoogle Scholar
Leeuwen, T.Publication trends in social psychology journals: A long-term bibliometric analysis. Eur J Soc Psychol 2013;43(1):9–11.CrossRefGoogle Scholar
Leone, T., Coast, E., Narayanan, S., de Graft, A.A.Diabetes and depression comorbidity and socio-economic status in low and middle income countries (LMICs): a mapping of the evidence. Global Health 2012;8:39.CrossRefGoogle Scholar
Link, B.G., Struening, E.L., Neese-Todd, S., Asmussen, S., Phelan, J.C.Stigma as a barrier to recovery: The consequences of stigma for the self-esteem of people with mental illnesses. Psychiatr Serv 2001;52(12):1621–1626.CrossRefGoogle ScholarPubMed
Link, B.G., Yang, L.H., Phelan, J.C., Collins, P.Y.Measuring mental illness stigma. Schizophr Bull 2004;30(3):511–541.CrossRefGoogle ScholarPubMed
McDaid, D., Quaglio, G., Correia de, C.A., Dario, C., Van, W.L., Karapiperis, T.et al.Health protection in times of economic crisis: challenges and opportunities for Europe. J Public Health Policy 2013;34(4):489–501.CrossRefGoogle ScholarPubMed
McLeod, J.D., Fettes, D.L.Trajectories of failure: the educational careers of children with mental health problems. AJS 2007;113(3):653–701.Google ScholarPubMed
Miret, M., Marchena, C., Caballero, F., Obradors-Tarrago, C., Haro, J., Ayuso-Mateos, J.L. A systematic mapping of well-being research in Europe. [submitted]2014.Google Scholar
Mittal, D., Sullivan, G., Chekuri, L., Allee, E., Corrigan, P.W.Empirical Studies of Self-Stigma Reduction Strategies: A Critical Review of the Literature. Psychiatr Serv 2012.CrossRefGoogle ScholarPubMed
OECD Sick on the job: myths and realities about mental health and work. 2012. http://dx.doi.org/10.1787/9789264124523-en..CrossRefGoogle Scholar
Quinn, N., Knifton, L., Goldie, I., Van, B.T., Dowds, J., Lasalvia, A.et al.Nature and impact of European anti-stigma depression programmes. Health Promot Int 2013.Google ScholarPubMed
Rusch, N., Corrigan, P.W., Wassel, A., Michaels, P., Larson, J.E., Olschewski, M.et al.Self-stigma, group identification, perceived legitimacy of discrimination and mental health service use. Br J Psychiatry 2009;195(6):551–552.CrossRefGoogle ScholarPubMed
Rusch, N., Heekeren, K., Theodoridou, A., Dvorsky, D., Muller, M., Paust, T.et al.Attitudes towards help-seeking and stigma among young people at risk for psychosis. Psychiatry Res 2013;210(3):1313–1315.CrossRefGoogle ScholarPubMed
Ten, H.M., de, G.R., van, W.J., van, D.S.The association between common mental disorders and violence: to what extent is it influenced by prior victimization, negative life events and low levels of social support?. Psychol Med 2013;4:1–14.Google Scholar
Thornicroft, G., Shunned:, Discrimination against People with Mental Illness. Oxford: Oxford University Press; 2006.Google Scholar
Thornicroft, G., Brohan, E., Rose, D., Sartorius, N., Leese, M.Global pattern of experienced and anticipated discrimination against people with schizophrenia: a cross-sectional survey. Lancet 2009;373(9661):408–415.CrossRefGoogle ScholarPubMed
Victor, C., Scambler, S., Bowling, A., Bond, J.The prevalence of, and risk factors for, loneliness in later life: a survey of older people in Great Britain. Ageing Soc 2005;25(3):357–375.CrossRefGoogle Scholar
Wahlbeck, K., Awolin, M.The impact of economic crises on the risk of depression and suicide: a literature review. European Commission; 2009.Google Scholar
Wahlbeck, K., Westman, J., Nordentoft, M., Gissler, M., Laursen, T.M.Outcomes of Nordic mental health systems: life expectancy of patients with mental disorders. Br J Psychiatry 2011;199(6):453–458.CrossRefGoogle ScholarPubMed
Yap, M.B., Reavley, N.J., Jorm, A.F.The associations between psychiatric label use and young people's help-seeking preferences: results from an Australian national survey. Epidemiol Psychiatr Sci 2013;25:1–9.Google Scholar
Submit a response

Comments

No Comments have been published for this article.