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Public Stigma of Mental Illness in the United States: A Systematic Literature Review

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Parcesepe, Angela M., Cabassa, Leopoldo J.·2013·Administration and Policy in Mental Health and Mental Health Services Research

DOI 10.1007/s10488-012-0430-zPMC PMC3835659

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Abstract

Public stigma is a pervasive barrier that prevents many individuals in the U.S. from engaging in mental health care. This systematic literature review aims to: (1) evaluate methods used to study the public's stigma toward mental disorders, (2) summarize stigma findings focused on the public's stigmatizing beliefs and actions and attitudes toward mental health treatment for children and adults with mental illness, and (3) draw recommendations for reducing stigma towards individuals with mental disorders and advance research in this area. Public stigma of mental illness in the U.S. was widespread. Findings can inform interventions to reduce the public's stigma of mental illness.

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Untitled work
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“Keywords Public stigma; Mental illness; Systematic literature review Introduction Public stigma refers to a set of negative attitudes and beliefs that motivate individuals to fear, reject, avoid, and discriminate against people with mental illness (Corrigan and Penn 1999).”
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“This idea that people with anxiety and depression are ‘ weak-not-sick ’ serves to deny and minimise their experiences and is often linked to idea that they are to blame for their symptoms (Curcio & Cor-boy, 2019; Parcesepe & Cabassa, 2013; Wright et al., 2011).”
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“Mental health care still faces stigmatization from much of the public, ranging from hesitancy to distrust (Parcesepe and Cabassa, 2012).”
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“Although narrative portrayals of mental illness are shown to strengthen stigmatizing attitudes (Gerbner, 1998; Smith, 2007), entertainment narrative, in particular, have been promoted as a means to attenuate stigmatizing attitudes toward mental illness (Ma, 2017; Parcesepe & Cabassa, 2013).”
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“13,16,17 Notably, help-seeking stigma seems to be a stronger predictor of help-seeking attitudes and intentions compared to mental illness stigma.”
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“Endorsement of biologically-based treatments such as medication and hospitalization tend to be highest for schizophrenia and depression, but are less supported for substance use disorders.(11) Perceptions of dangerousness are consistently associated with increased mental illness stigma, while positive contact with som…”
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“Because the stigmatization of mental health in the U.S. has only slightly decreased in the past few decades [124–126], we hypothesized that instructors may be concealing depression and anxiety due to valenced content [57] including anticipated stigma or negative consequences [49, 50].”
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“Since mental illness remains poorly understood and stigmatized by much of the American public [10], many have”
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“Furthermore, such research largely continues to employ vignette methodology (Link et al., 2004; Parcesepe & Cabassa, 2013).”
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Authors: Parcesepe, A. M., & Cabassa, L. J.
Affiliations: University of North Carolina at Chapel Hill (US)
New York State Psychiatric Institute (US)
Corresponding author: Parcesepe, Angela M.
ORCID: Parcesepe, Angela M.
Cabassa, Leopoldo J.
Venue: Administration and Policy in Mental Health and Mental Health Services Research
Publisher: Springer Science and Business Media LLC
Published: 2012-07-26
Volume: 40
Issue: 5
Pages: 384-399
ISSN: 0894-587X (ISSN-L)
1573-3289
DOI: 10.1007/s10488-012-0430-z
PMC: PMC3835659
OpenAlex: W2056883717
Cited by: 554
References: 69
Citations by year: 2026: 25 · 2025: 32 · 2024: 66 · 2023: 64 · 2022: 60 · 2021: 68 · 2020: 51 · 2019: 34 · 2018: 38 · 2017: 48 · 2016: 30 · 2015: 18 · 2014: 6 · 2013: 11 · 2012: 2
FWCI: 1.65
Type: journal article
Language: en
Open access: green
www.ncbi.nlm.nih.gov
Licence: www.springer.com/tdm (tdm)
Locations: Administration and Policy in Mental Health and Mental Health Services Research (publishedVersion)
PubMed (publishedVersion)
Europe PMC (PubMed Central) (acceptedVersion)
PubMed Central (acceptedVersion)
Funders: National Institute of Mental Health (K01 MH09118, K01MH091118, R25MH080916)
National Institute on Minority Health and Health Disparities (L60 MD001850)
Topics: Health Sciences › Medicine › Psychiatry and Mental health › Mental Health Treatment and Access
Social Sciences › Psychology › Clinical Psychology › Psychology and Mental Health
Social Sciences › Gender Studies › Gender Roles and Identity Studies
Keywords: public stigma, mental illness, stigma reduction, mental health service utilization, child psychopathology, adults with mental illness, United States
MeSH terms: Attitude to Health, Mental Disorders, Humans, Mental Health Services, Prejudice, United States, Social Stigma

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Public Stigma of Mental Illness in the United States: A Systematic Literature Review

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