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Cited by 352Mental Health Treatment and AccessPsychology and Mental HealthPsychological Treatments and Assessments

Interventions targeting mental health self-stigma: A review and comparison.

Open access
Yanos, Philip T., Lucksted, Alicia, Drapalski, Amy L., Roe, David, Lysaker, Paul·2015·Psychiatric Rehabilitation Journal
DOI 10.1037/prj0000100PMC PMC4395502
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Abstract

OBJECTIVE: With growing awareness of the impact of mental illness self-stigma, interest has arisen in the development of interventions to combat it. The present article briefly reviews and compares interventions targeting self-stigma to clarify the similarities and important differences between the interventions. METHOD: We conducted a narrative review of published literature on interventions targeting self-stigma. RESULTS: Six intervention approaches (Healthy Self-Concept, Self-Stigma Reduction Program, Ending Self-Stigma, Narrative Enhancement and Cognitive Therapy, Coming Out Proud, and Anti-Stigma Photo-Voice Intervention) were identified and are discussed, and data is reviewed on format, group-leader backgrounds, languages, number of sessions, primary mechanisms of action, and the current state of data on their efficacy. CONCLUSIONS AND IMPLICATIONS FOR PRACTICE: We conclude with a discussion of common elements and important distinctions between the interventions and a consideration of which interventions might be best suited to particular populations or settings.

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Crossref · 10.1037/prj0000100

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  • All of the interventions in the Yanos et al. review had a significant impact on self-stigma.

    “All of the interventions had a significant impact on self-stigma.”

    From Self-help interventions to reduce self-stigma in people with mental health problems: A systematic literature review (2020) · cites this paper as Yanos et al., 2015

    The Results section on Coming Out Proud reports that its study did not find a reduction in self-stigma, directly contradicting the claim that all reviewed interventions had a significant impact on it. The review reports positive findings for some interventions, but not for every one. (LLM, conf=0.93)

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  • In the Yanos et al. review, sessions were led by a professional or a peer, with five interventions focused on psychoeducation and one on discussion of the pros and cons of disclosure.

    “These sessions were either led by a professional or a peer, with five of the interventions focused on psychoeducation as the primary mechanism and one on discussion of the pros and cons of disclosure.”

    From Self-help interventions to reduce self-stigma in people with mental health problems: A systematic literature review (2020) · cites this paper as Yanos et al., 2015

    The Results and Discussion describe professional and peer facilitators, and the Coming Out Proud section describes discussion of the pros and cons of disclosure. But the Results identify psychoeducation and cognitive restructuring as major mechanisms for three approaches, while Healthy Self-Concept is described as essentially psychoeducational and Photovoice as combining psychoeducation with photo-based narratives. The review does not support the claim that psychoeducation was the primary mechanism of five interventions. (LLM, conf=0.86)

    Experimental — accuracy not yet measured

  • The majority of available interventions that address self-stigma are group interventions that rely on peer support and mutual aid.

    “While there are a number of interventions available that address self-stigma, the majority are group interventions that rely on peer support and mutual aid”

    From Self-help interventions to reduce self-stigma in people with mental health problems: A systematic literature review (2020) · cites this paper as Yanos et al., 2015

    The Results section says all six interventions reviewed are group-based, supporting the claim that most use a group format. The Discussion identifies only Coming Out Proud and Anti-Stigma Photovoice as designed for peer facilitators; it does not establish that most interventions rely on peer support and mutual aid. Page numbers are unavailable in our copy. (LLM, conf=0.86)

    Experimental — accuracy not yet measured

  • Previous reviews of interventions aimed at reducing self-stigma reported that the majority of such interventions are group or peer interventions, with a small number being therapist-guided individualised interventions.

    “Previous reviews of interventions aimed at reducing self-stigma reported that the majority of such interventions are group or peer interventions, with a small number being therapist-guided individualised interventions (Mittal et al., 2012; Yanos et al., 2015).”

    From Self-help interventions to reduce self-stigma in people with mental health problems: A systematic literature review (2020) · cites this paper as Yanos et al., 2015

    The Results section says all six approaches reviewed are group-based, with one combining group and individual sessions. The Discussion identifies two approaches designed for peer facilitators. The paper does not characterize the individual sessions as therapist-guided or describe a separate small set of individualized interventions. (LLM, conf=0.87)

    Experimental — accuracy not yet measured

  • Specific strategies to reduce stigma, particularly self-stigma, by enhancing coping skills through improvements in self-esteem, empowerment, and help-seeking behaviour can improve outcomes in BD.

    “Specific strategies to reduce stigma, particularly self‐stigma, by enhancing coping skills through improvements in self‐esteem, empowerment, and help‐seeking behaviour can improve outcomes in this population.71”

    From Canadian Network for Mood and Anxiety Treatments ( <scp>CANMAT</scp> ) and International Society for Bipolar Disorders ( <scp>ISBD</scp> ) 2018 guidelines for the management of patients with bipolar disorder (2018) · cites this paper as [71]

    The Introduction says self-stigma interventions aim to increase self-esteem, and the Discussion describes strategies intended to foster empowerment and action. The Results (Ending Self-stigma) report reduced internalized stigma and improved empowerment and recovery orientation in a small pilot. The review does not establish improved help-seeking or outcomes specifically for people with bipolar disorder (BD). (LLM, conf=0.85)

    Experimental — accuracy not yet measured

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Related

Authors
Yanos, P. T., Lucksted, A., Drapalski, A. L., Roe, D., & Lysaker, P.
Affiliations
  • City University of New York (US)
  • VA Capitol Health Care Network (US)
  • University of Haifa (IL)
  • Richard L. Roudebush VA Medical Center (US)
ORCID
Venue
Psychiatric Rehabilitation Journal
Publisher
American Psychological Association (APA)
Published
2015-06
Volume
38
Issue
2
Pages
171-178
ISSN
  • 1095-158X (ISSN-L)
  • 1559-3126
DOI
10.1037/prj0000100
PMC
PMC4395502
OpenAlex
W2138011063
Cited by
351
References
24
Citations by year
2026: 30 · 2025: 38 · 2024: 31 · 2023: 47 · 2022: 42 · 2021: 32 · 2020: 35 · 2019: 22 · 2018: 28 · 2017: 23 · 2016: 16 · 2015: 7
FWCI
22.75
Type
journal article
Language
en
Open access
Locations
  • Psychiatric Rehabilitation Journal (publishedVersion)
  • PubMed (publishedVersion)
  • Europe PMC (PubMed Central) (acceptedVersion)
  • PubMed Central (acceptedVersion)
  • IUScholarWorks (Indiana University) (submittedVersion)
  • Purdue University Indianapolis (Indiana University) (submittedVersion)
Funders
National Institute of Mental Health (R01MH0094310, R01MH090036-01)
Topics
  • Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
  • Social Sciences › Psychology › Clinical Psychology › Psychology and Mental Health
  • Social Sciences › Psychology › Clinical Psychology › Psychological Treatments and Assessments
Keywords
stigma reduction interventions, intervention efficacy, mechanism of action
MeSH terms
Mental Disorders, Humans, Patient Education as Topic, Peer Group, Psychotherapy, Group, Self Concept, Stereotyping, Cognitive Behavioral Therapy, Social Stigma

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