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Does stigma impair prevention of mental disorders?

  • Nicolas Rüsch (a1) and Graham Thornicroft (a2)
Summary

Prevention of mental disorders can be effective, but is rarely implemented in routine settings. Here we propose a matrix to show how different aspects of stigma, discrimination and lack of knowledge can hinder different types of prevention, including early intervention. Programmes to reduce stigma's impact and so to facilitate prevention are needed.

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Copyright
Corresponding author
Nicolas Rüsch, Section Public Mental Health, Department of Psychiatry II, University of Ulm, Parkstrasse 11, D-89073 Ulm, Germany. Email: nicolas.ruesch@uni-ulm.de
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Declaration of interest

None.

Footnotes
References
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1 Mihalopoulos, C Vos, T Pirkis, J Carter, R The economic analysis of prevention in mental health programs. Annu Rev Clin Psychol 2011; 7: 169201.
2 Compton, MT Clinical Manual of Prevention in Mental Health. American Psychiatric Publishing, 2010.
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6 Schomerus, G Matschinger, H Angermeyer, MC Preferences of the public regarding cutbacks in expenditure for patient care: are there indications of discrimination against those with mental disorders? Social Psychiatry Psychiatr Epidemiol 2006; 41: 369–77.
7 Clement, S Schauman, O Graham, T Maggioni, F, Evans-Lacko, S Bezborodovs, N et al. What is the impact of mental-health related stigma on help-seeking? A systematic review of quantitative and qualitative studies. Psychol Med. 2014; in press.
8 Rüsch, N Heekeren, K Theodoridou, A Dvorsky, D Müller, M Paust, T et al. Attitudes towards help-seeking and stigma among young people at risk for psychosis. Psychiatry Res 2013; 210: 1313–5.
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10 Rüsch, N Corrigan, PW Heekeren, K Theodoridou, A Dvorsky, D Metzler, S et al. Well-being among persons at risk of psychosis: the role of self-labelling, shame, and stigma-stress. Psychiatr Serv 2014; doi: 10.1176/appi.ps.201300169.
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The British Journal of Psychiatry
  • ISSN: 0007-1250
  • EISSN: 1472-1465
  • URL: /core/journals/the-british-journal-of-psychiatry
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Does stigma impair prevention of mental disorders?

  • Nicolas Rüsch (a1) and Graham Thornicroft (a2)
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