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Cited by 24Mental Health Treatment and AccessPsychological Treatments and AssessmentsAnxiety, Depression, Psychometrics, Treatment, Cognitive Processes

Modifying mental health help-seeking stigma among undergraduates with untreated psychiatric disorders: A pilot randomized trial of a novel cognitive bias modification intervention

Stanley, Ian H., Hom, Melanie A., Joiner, Thomas E.·2018·Behaviour Research and Therapy
DOI 10.1016/j.brat.2018.01.008
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Abstract

Help-seeking stigma is a potent barrier to the utilization of mental health services. This study aimed to determine if, compared to a psychoeducation condition, individuals randomized to a novel cognitive bias modification intervention for help-seeking stigma (CBM-HS) demonstrate greater reductions in help-seeking stigma, as well as increases in readiness to change and help-seeking behaviors. Participants included 32 undergraduates with a DSM-5 psychiatric disorder who denied past-year mental health treatment. Post-randomization, three intervention sessions were delivered in one-week intervals (45 min total). Participants were assessed at baseline, mid-intervention, one-week post-intervention, and two-month follow-up. RM-ANOVAs were utilized among the intent-to-treat sample. There were no significant differences across time points between the intervention groups for help-seeking stigma and readiness to change. At two-month follow-up, 25% of participants initiated mental health treatment (29.4% CBM-HS, 20.0% psychoeducation). Strikingly, across groups, there was a statistically significant reduction in help-seeking self-stigma (F[2.214,66.418] = 5.057, p = 0.007, η p2 = 0.144) and perceived public stigma (F[3,90] = 6.614, p < 0.001, η p2 = 0.181) from baseline to two-month follow-up, indicating large effects; 18.8% achieved clinically significant change, among whom two-thirds were in the CBM-HS condition. Two brief, scalable interventions appear to reduce help-seeking stigma among undergraduates with untreated psychiatric disorders. Studies are needed to evaluate these interventions against an inactive control.

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Authors
Stanley, I. H., Hom, M. A., & Joiner, T. E.
Affiliations
Florida State University (US)
Corresponding author
Stanley, Ian H.
ORCID
Venue
Behaviour Research and Therapy
Publisher
Elsevier BV
Published
2018-04
Volume
103
Pages
33-42
ISSN
0005-7967 (ISSN-L)
DOI
10.1016/j.brat.2018.01.008
OpenAlex
W2794198219
Semantic Scholar
21f2a5ffcde367832d7dd632a7a865c5daffcfe2
Cited by
24
References
51
Citations by year
2026: 1 · 2025: 5 · 2024: 6 · 2022: 1 · 2021: 5 · 2020: 2 · 2019: 3 · 2018: 1
FWCI
3.73
Type
journal article
Language
en
Open access
closed
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations
  • Behaviour Research and Therapy (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
  • Social Sciences › Psychology › Clinical Psychology › Psychological Treatments and Assessments
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
Keywords
help-seeking stigma, cognitive bias modification, undergraduate students, help-seeking, readiness to change, self-stigma, public stigma, psychoeducation, brief intervention, mental health service utilization
MeSH terms
Adolescent, Behavior Therapy, Mental Disorders, Female, Humans, Male, Mental Health, Mental Health Services, Patient Acceptance of Health Care, Pilot Projects, Students, Intention, Young Adult, Social Stigma

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