Cited by 268Mental Health Treatment and AccessChild and Adolescent Psychosocial and Emotional DevelopmentPsychology and Mental Health

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Public Knowledge and Assessment of Child Mental Health Problems: Findings From the National Stigma Study-Children

PESCOSOLIDO, BERNICE A., JENSEN, PETER S., MARTIN, JACK K., PERRY, BREA L., OLAFSDOTTIR, SIGRUN, FETTES, DANIELLE·2008·Journal of the American Academy of Child & Adolescent Psychiatry

DOI 10.1097/chi.0b013e318160e3a0

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Abstract

Objective Child and adolescent psychiatry confronts help-seeking delays and low treatment use and adherence. Although lack of knowledge has been cited as an underlying reason, we aim to provide data on public recognition of, and beliefs about, problems and sources of help.Method The National Stigma Study-Children is the first nationally representative study of public response to child mental health problems. A face-to-face survey of 1,393 adults (response rate 70.1%, margin of error +/-3.5%) used vignettes consistent with diagnoses of attention-deficit/hyperactivity disorder (ADHD) and depression. Descriptive and multivariate analyses provide estimates of the levels and correlates of recognition, labeling, and treatment recommendations.Results Respondents do differentiate "daily troubles" from mental health problems. For the cases that meet diagnostic criteria, 58.5% correctly identify depression and 41.9% correctly identify ADHD. However, respondents are less likely to see ADHD as serious, as a mental illness, or needing treatment compared with depression. Moreover, a substantial group who correctly identifies each disorder rejects its mental illness label (ADHD 19.1%, depression 12.8%). Although women are more knowledgeable, the influence of other sociodemographic characteristics, particularly race, is complex and inconsistent. More respondents see general practitioners, mental health professionals, and teachers as suitable sources of advice than psychiatrists. Behaviors and perceived severity seem to drive public responses.Conclusions Americans have clear and consistent views of children's mental health problems. Mental health specialists face challenges in gaining family participation. Unless systematically addressed, the public's lack of knowledge, skepticism, and misinformed beliefs signal continuing problems for providers, as well as for caregivers and children seeking treatment.

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Items 101–200 of 268

Critical Issues for Psychiatric Medication Shared Decision Making with Youth and Families
O’Brien, M. S., Crickard, E. L., Rapp, C. A., Holmes, C. L., & McDonald, T. P. (2011) · Families in Society The Journal of Contemporary Social Services · doi:10.1606/1044-3894.4135 · Cited by 30
“Several studies indicate variation by age, gender, and race/ethnicity in the acceptance of psychiatric medication and trust in physicians (Pescosolido, 2007; Pescosolido et al., 2008; Sleath et al., 2010), but very few studies examine patient and provider characteristics related to preferences for involvement in healt…”
Background
Physical Health in Preschool Children Exposed to Intimate Partner Violence
Kuhlman, K. R., Howell, K. H., & Graham‐Bermann, S. A. (2012) · Journal of Family Violence · doi:10.1007/s10896-012-9444-2 · Cited by 30
“More generally, the presence of somatic symptoms in children who are exposed to IPV in the homemay be a product of the stigma of mental illness in society (Pescosolido et al. 2008).”
Background
Evaluation of an educational website for parents of children with ADHD
Ryan, G. S., Haroon, M., & Melvin, G. (2015) · International Journal of Medical Informatics · doi:10.1016/j.ijmedinf.2015.07.008 · Cited by 29
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Burke, D. A., Koot, H. M., de Wilde, A., & Begeer, S. (2016) · Journal of Child and Family Studies · doi:10.1007/s10826-016-0475-9 · Cited by 27
Empathy and Mental Health Literacy
Furnham, A. F., & Sjokvist, P. (2017) · HLRP Health Literacy Research and Practice · doi:10.3928/24748307-20170328-01 · Cited by 27
“…a substantial discrepancy between a layperson’s HLRP: Health Literacy Research and Practice • Vol. 1, No. 2, 2017e32 understanding of mental health and that of a psychiatry professional across different cultures and nationalities (Dahlberg, Waern, & Runeson, 2008; Pescosolido et al., 2008).”
Background
Stigmatization and self-perception of youth with attention deficit/hyperactivity disorder
Bussing, R., & Mehta, A. S. (2013) · Patient Intelligence · doi:10.2147/pi.s18811 · Cited by 30
“53,55,63 The six qualitative/mixed-methods studies were conducted by various independent research groups focused on caregivers’ public stigma experiences, whereas all quantitative studies originated from the 2002 General Social Survey, which contained a nationally representative sample of adults…”
Increasing Awareness of Child Mental Health Issues among Elementary School Staff
Powers, J. D., Wegmann, K. M., Blackman, K. F., & Swick, D. C. (2013) · Families in Society The Journal of Contemporary Social Services · doi:10.1606/1044-3894.2014.95.6 · Cited by 33
“The dearth of accurate mental health knowledge on the part of supporting adults compounds the difficulty of providing quality mental health services to children (Pescosolido et al., 2008).”
Background
Factors Associated with Parental Treatment Attitudes and Information-Seeking Behaviors for Childhood ADHD
Taylor, L. E., & Antshel, K. M. (2019) · Journal of Attention Disorders · doi:10.1177/1087054718821734 · Cited by 28
“A clinical vignette with a precedence in the child stigma literature was used to depict a child with ADHD; detailed description of the validation of this vignette can be viewed in the original manuscript (Pescosolido et al., 2008).”
BackgroundMethod
Cross-Country Differences in Parental Reporting of Symptoms of ADHD
MacDonald, B., Pennington, B. F., Willcutt, E. G., Dmitrieva, J., Samuelsson, S., Byrne, B., & Olson, R. K. (2019) · Journal of Cross-Cultural Psychology · doi:10.1177/0022022119852422 · Cited by 30
“In the National Stigma Study for Children, a significant percentage of adults in the United States who correctly identified the vignettes of children either displaying ADHD or depression symptoms readily rejected the mental health illness label (Pescosolido et al., 2008).”
Background
Child psychotherapy dropout: an empirical research review
Deakin, E. K., Gastaud, M. B., & Nunes, M. L. T. (2012) · Journal of Child Psychotherapy · doi:10.1080/0075417x.2012.684489 · Cited by 25
“A psychiatric evaluation can provide more precise information about the child’s diagnosis and therapeutic interventions, which strengthens the indication for psychotherapy and may contribute to greater adherence (Pescosolido et al., 2008).”
Background
eMental Health Literacy and Knowledge of Common Child Mental Health Disorders among Parents of Preschoolers
Cormier, E., Park, H., & Schluck, G. (2020) · Issues in Mental Health Nursing · doi:10.1080/01612840.2020.1719247 · Cited by 25
“The findings of this study are consistent with previous studies (Frauenholtz, Conrad-Hiebner, & Mendenhall, 2015; Mendenhall & Frauenholtz, 2015; Pescosolido et al., 2008).”
BackgroundResult
Children with mental versus physical health problems: differences in perceived disease severity, health care service utilization and parental health literacy
Dey, M., Wang, J., Jorm, A. F., & Mohler‐Kuo, M. (2014) · Social Psychiatry and Psychiatric Epidemiology · doi:10.1007/s00127-014-0944-7 · Cited by 24
Relationships between an ADHD Diagnosis and Future School Behaviors among Children with Mild Behavioral Problems
Owens, J. (2020) · Sociology of Education · doi:10.1177/0038040720909296 · Cited by 22
Parental Barriers in Seeking Mental Health Services for Attention Deficit Hyperactivity Disorder in Children: Systematic Review
Kappi, A. A., & Martel, M. M. (2021) · Journal of Attention Disorders · doi:10.1177/1087054720986909 · Cited by 30
“The following studies (Bussing, Zima, et al., 2003; Gerdes et al., 2014; Pescosolido et al., 2008; Sayal et al., 2006, 2010) explained that parents recognize the symptoms of ADHD after watching vignettes.”
Background
Social Class, Diagnoses of Attention-Deficit/Hyperactivity Disorder, and Child Well-Being
Owens, J. (2020) · Journal of Health and Social Behavior · doi:10.1177/0022146520924810 · Cited by 22
“Situating ADHD within the broader literature on negative stereotypes surrounding children with disabilities (Pescosolido et al. 2008), diagnosed children may experience negative feelings of being unlike their peers (Hinshaw 2005) and increased scrutiny and lower expectations from teachers (Eisenberg and Schneider 2007…”
BackgroundInfluential
Disproportionality and Acting-Out Behaviors Among African American Children in Special Education
Bean, K. F. (2013) · Child and Adolescent Social Work Journal · doi:10.1007/s10560-013-0304-6 · Cited by 23
Obstacles to mental health care in pediatric epilepsy: Insight from parents
Vona, P., Siddarth, P., Sankar, R., & Caplan, R. (2008) · Epilepsy & Behavior · doi:10.1016/j.yebeh.2008.11.014 · Cited by 22
An audience research study to disseminate evidence about comprehensive state mental health parity legislation to US State policymakers: protocol
Purtle, J., Lê‐Scherban, F., Shattuck, P. T., Proctor, E. K., & Brownson, R. C. (2017) · Implementation Science · doi:10.1186/s13012-017-0613-9 · Cited by 21
“MH/SUD literacy Knowledge about effectiveness of MH/SUD treatments 2 5-point Likert [41, 42, 74, 99]”
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Community Knowledge and Beliefs About ADHD
Gilmore, L. (2010) · The Australian Educational and Developmental Psychologist · doi:10.1375/aedp.27.1.20 · Cited by 23
Children, adolescents and their carers’ expectations of child and adolescent mental health services (CAMHS)
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“This coincides with the work of Dogra (2009) and Dogra et al. (2005, 2007) in the UK, and Pescosolido et al. in the USA (2007), in that generally, there is a lack of clear understanding about the role of specialist CAMHS.”
Background
Early impacts of Communities for Children on children and families: findings from a quasi-experimental cohort study
Edwards, B., Gray, M., Wise, S., Hayes, A. J., Katz, I., Muir, K., & Patulny, R. (2011) · Journal of Epidemiology & Community Health · doi:10.1136/jech.2010.118133 · Cited by 20
Child Mental Health Services and Psychotherapy Attitudes Among Asian Indian Parents: An Exploratory Study
Turner, E. A., & Mohan, S. (2015) · Community Mental Health Journal · doi:10.1007/s10597-015-9976-z · Cited by 20
“According to findings from the National Stigma Study-Children (NSS-C; Pescosolido et al. 2008), there is a need for general public education about childhood mental health disorders and about parents’ perceptions of mental illness.”
Method
Parental mental health literacy and stigmatizing beliefs
Bonanno, R., Sisselman-Borgia, A., & Veselak, K. (2021) · Social Work in Mental Health · doi:10.1080/15332985.2021.1919815 · Cited by 19
“Research suggests several predictors of parental MHL, including higher levels of education and higher income (Mendenhall & Frauenholtz, 2013; Pescosolido et al., 2008; von dem Knesebeck et al., 2013).”
BackgroundResultInfluential
Help-Seeking and Help-Outreach Intentions of Healthcare Workers—The Role of Mental Health Literacy and Stigma in the Workplace
Wulf, I. C. (2022) · Frontiers in Education · doi:10.3389/feduc.2022.856458 · Cited by 24
Child and Adolescent Psychiatry for the Future: Challenges and Opportunities
McCarthy, M., Abenojar, J., & Anders, T. F. (2009) · Psychiatric Clinics of North America · doi:10.1016/j.psc.2008.11.008 · Cited by 19
Public Perceptions and Attitudes Toward Adolescent Marijuana Use
Resko, S. M. (2014) · SAGE Open · doi:10.1177/2158244013518055 · Cited by 18
“Previous research using vignettes and hypothetical situations (Hughes & Huby, 2004; Pescosolido et al., 2008) has shown that willingness to seek help is likely to be lower when faced with a similar situation in real life.”
Method
Public recognition of attention-deficit hyperactivity disorder in Korea: Correct identification, causes, treatments, and social distance
Park, S., Lee, Y. A., Lee, E.-S., & Kim, C. E. (2018) · Asian Journal of Psychiatry · doi:10.1016/j.ajp.2018.10.016 · Cited by 18
“Consistent with previous findings regarding gender (Klineberg et al., 2011; Pescosolido et al., 2008; Wright and Jorm, 2009), age (Fisher and Goldney, 2003; Yoder et al.”
BackgroundMethodResultInfluential
Factors Related to Perceived Stigma in Parents of Children and Adolescents in Outpatient Mental Healthcare
Drent, H. M., van den Hoofdakker, B. J., Buitelaar, J. K., Hoekstra, P. J., & Dietrich, A. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph191912767 · Cited by 18
“A possible explanation for the higher perceived public stigma is that parents may have the feeling that their child’s behavior problems are not considered to be a serious mental health problem by others [61], perhaps blaming the”
Background
Survey of Minnesota Parent Attitudes Regarding School-Based Depression and Suicide Screening and Education
Fox, C. K., Eisenberg, M. E., McMorris, B. J., Pettingell, S. L., & Borowsky, I. W. (2012) · Maternal and Child Health Journal · doi:10.1007/s10995-012-1017-8 · Cited by 17
“Other items were adapted from the National Stigma StudyChildren module of the 2002 General Social Survey, a national survey of societal trends [16–19].”
Method
Attention Deficit Hyperactivity Disorder in Children and Adults: A Population Survey on Public Beliefs
Speerforck, S., Hertel, J., Stolzenburg, S., Grabe, H. J., Carta, M. G., Angermeyer, M. C., & Schomerus, G. (2019) · Journal of Attention Disorders · doi:10.1177/1087054719855691 · Cited by 18
“The overall percentage of how many people identified the depicted symptoms as mental illness after hearing the child vignette is comparable with data from the U.S. general population (United States, 46%; Germany, 44%; Pescosolido et al., 2008).”
Result
Conocimientos, creencias y actitudes en padres mexicanos acerca del trastorno por déficit de atención con hiperactividad (TDAH)
Palacios‐Cruz, L., de la Peña, F., Valderrama, A., Patiño, R., Portugal, S. P. C., & Ulloa, R. E. (2011) · LA Referencia (Red Federada de Repositorios Institucionales de Publicaciones Científicas) · Cited by 17
‘Can they really identify mental health problems at the age of three?’ Parent and practitioner views about screening young children’s social and emotional development
Alexander, K., Brijnath, B., & Mazza, D. (2013) · Australian & New Zealand Journal of Psychiatry · doi:10.1177/0004867413476756 · Cited by 16
“, 2005), but did not always recognise child behavioural or emotional problems as mental illness (Pescosolido et al., 2008) and therefore did not necessarily express concerns when attending their physicians (Sayal and Taylor, 2004; Sayal et al.”
Background
Erving Goffman: The Moral Career of Stigma and Mental Illness
Pescosolido, B. A. (2015) · Palgrave Macmillan UK eBooks · doi:10.1057/9781137355621_18 · Cited by 16
Self-citation
Feasibility of School-Based ADHD Interventions
Bussing, R., Koro‐Ljungberg, M., Gagnon, J. C., Mason, D. M., Ellison, A. T., Noguchi, K., GARVAN, C. W., & Albarracín, D. (2014) · Journal of Attention Disorders · doi:10.1177/1087054713515747 · Cited by 16
The design and user-testing of a question prompt list for attention-deficit/hyperactivity disorder
Ahmed, R. A., Raynor, D. K., McCaffery, K. J., & Aslani, P. (2014) · BMJ Open · doi:10.1136/bmjopen-2014-006585 · Cited by 16
“(5) monitoring ADHD; (6) managing ADHD; (7) future expectations: (i) approaching adolescence, (ii) health”
Stigmatization in teachers towards adults with attention deficit hyperactivity disorder
Fuermaier, A. B. M., Tucha, L., Mueller, A. K., Koerts, J., Hauser, J., Lange, K. W., & Tucha, O. M. (2014) · SpringerPlus · doi:10.1186/2193-1801-3-26 · Cited by 15
“…of small size which is not surprising considering that both groups had a comparable igma scores as well as between frequency of contact with high level of education and considering that higher levels of education protect against stigmatizing attitudes (McLeod et al. 2007; Pescosolido et al. 2008).”
Background
Mental health literacy in South Korea
Jeon, M., & Furnham, A. F. (2017) · International Journal of Culture and Mental Health · doi:10.1080/17542863.2017.1322623 · Cited by 15
“…(adapted from Furnham & Anthony, 2010), substance addiction, depression (adapted from Jorm, Christensen, & Griffiths, 2005a), schizophrenia (adapted from Jorm et al., 2005a), OCD, ADHD (adapted from Pescosolido et al., 2008), anorexia and social phobia (adapted from Jorm, Wright, & Morgan, 2007).”
Beyond recognition: beliefs, attitudes, and help-seeking for depression and schizophrenia in Ghana
Adu, P., Jurcik, T., & Grigoryev, D. (2023) · Mental Health Religion & Culture · doi:10.1080/13674676.2023.2169267 · Cited by 17
“…health literacy studies revealed that diagnostic vignettes fail to include all the components of mental health literacy as vignettes fail to distinguish between simple symptoms and full syndromes of disorders or simple daily distress for individuals (Kutcher et al., 2016; Pescosolido et al., 2008).”
Investigating the factor structure and validity of the family empowerment scale for parents of children with emotional disturbance in middle school
Huscroft-D’Angelo, J. N., Hurley, K. D., Lambert, M. C., & Trout, A. L. (2018) · Children and Youth Services Review · doi:10.1016/j.childyouth.2018.01.013 · Cited by 14
Teachers' perspectives of mental health needs in Nigerian schools
Ibeziako, P. I., Bella, T. T., Omigbodun, O. O., & Belfer, M. L. (2009) · Journal of Child and Adolescent Mental Health · doi:10.2989/jcamh.2009.21.2.6.1014 · Cited by 14
“…health problems in children reported that over 80% of respondents would choose to approach teachers for help on mental health issues in children (Pescosolido et al. 2008) Respondents in this study described the current role of primary school teachers as educators, counsellors, surrogate parents…”
Background
Collaboration with Schools and School-Based Health Centers
Ryst, E., & Joshi, S. V. (2021) · Child and Adolescent Psychiatric Clinics of North America · doi:10.1016/j.chc.2021.07.004 · Cited by 13
The views and opinions of CAMHS professionals on their role and the role of others in attending to children who self-harm
Hay, A. G., Majumder, P., Fosker, H., Karim, K., & O’Reilly, M. J. (2013) · Clinical Child Psychology and Psychiatry · doi:10.1177/1359104513514068 · Cited by 13
“For example, respondent 9 considered the care to be “inhumane” and “shocking”, and respondent 3 suggested that they reinforce the “stigma”, a common problem for children with mental health difficulties (Pescosolido et al., 2008).”
Background
The effect of caregiver key opinion leaders on increasing caregiver demand for evidence-based practices to treat youth anxiety: protocol for a randomized control trial
Crane, M. E., Atkins, M. S., Becker, S. J., Purtle, J., Olino, T. M., & Kendall, P. C. (2021) · Implementation Science Communications · doi:10.1186/s43058-021-00213-x · Cited by 16
Healthcare professionals’ perspectives on a mental health educational campaign for the public
Pawluk, S. A., & Zolezzi, M. (2017) · Health Education Journal · doi:10.1177/0017896917696121 · Cited by 13
“…have suggested that under-recognition of mental health disorders is common and also that labelling patients with a particular disorder could lead them to believe that they are able to deal with the disorder on their own (Jorm et al., 2005, 2006b; Kermode et al., 2009; Pescosolido et al., 2008).”
Background
Reviewing and reframing the influence of relative age on ADHD diagnosis: beyond individual psycho(patho)logy
Koutsoklenis, A., Honkasilta, J., & Brunila, K. (2019) · Pedagogy Culture and Society · doi:10.1080/14681366.2019.1624599 · Cited by 13
“The ADHD label is also intricately related to stigmatisation (Gwernan-Jones et al. 2016; Pescosolido et al. 2008) and its potentially complex negative consequences (Mueller et al. 2012).”
Background
Identifying long-term and imminent suicide predictors in a general population and a clinical sample with machine learning
Balbuena, L., Baetz, M., Sexton, J. A., Harder, D., Feng, C. X., Boctor, K., Lapointe, C., Letwiniuk, E., Shamloo, A., Ishwaran, H., et al. (2022) · BMC Psychiatry · doi:10.1186/s12888-022-03702-y · Cited by 14
“Parents may refuse to seek care for their children for fear of the mental illness label [72].”
Pediatric Medical Home: Foundations, Challenges, and Future Directions
Trivedi, H. K., Pattison, N. A., & Neto, L. B. (2010) · Child and Adolescent Psychiatric Clinics of North America · doi:10.1016/j.chc.2010.02.006 · Cited by 12
“My ADHD Hellbrain”: A Twitter Data Science Perspective on a Behavioural Disorder
Thelwall, M. A., Makita, M., Más-Bleda, A., & Stuart, E. (2020) · Journal of Data and Information Science · doi:10.2478/jdis-2021-0007 · Cited by 13
“Misconceptions regarding ADHD among healthcare professionals (Julivia Murtani et al., 2020) and society (Gilmore, 2010; Pescosolido et al., 2008) have also been reported, although Twitter itself seems to be overall supportive towards mental illness (Budenz et al., 2020).”
Background
The status and stigma consequences of mental illness labels, deviant behavior, and fear
Manago, B. N., & Mize, T. D. (2021) · Social Science Research · doi:10.1016/j.ssresearch.2021.102690 · Cited by 12
Youth’s Help-Seeking Intentions for ADHD and Depression: Findings from a National Survey
Lee, J., Friesen, B. J., Walker, J. S., Colman, D., & Donlan, W. (2012) · Journal of Child and Family Studies · doi:10.1007/s10826-012-9700-3 · Cited by 12
“of what does exist in the literature focusing on help-seeking decisions made by parents/guardians for their children (Pescosolido et al. 2008; Thurston and Vicky 2008).”
Background
Transcription Factor Activating Protein-2β (TFAP-2β) genotype and symptoms of attention deficit hyperactivity disorder in relation to symptoms of depression in two independent samples
Nilsson, K. W., Sonnby, K., Nordquist, N., Comasco, E., Leppert, J., Oreland, L., & Sjöberg, R. L. (2013) · European Child & Adolescent Psychiatry · doi:10.1007/s00787-013-0450-6 · Cited by 11
“genetic risk of ADHD and MDD [9], the present study is free of selection bias due to ADHD symptoms and sex [39, 40].”
Background
Pathways to Care: Need, Attitudes, Barriers
Mojtabai, R., Eaton, W. W., & Maulik, P. K. (2012) · Public Mental Health · doi:10.1093/acprof:oso/9780195390445.003.0015 · Cited by 10
Influence of Caregivers' Experiences on Service Use Among Children With Attention-Deficit Hyperactivity Disorder
Larson, J. J., Yoon, Y., Stewart, M., & dosReis, S. (2011) · Psychiatric Services · doi:10.1176/appi.ps.62.7.734 · Cited by 10
Child ADHD and anxiety: Parent mental health literacy and information preferences
Davidson, D., Reynolds, K., Theule, J., & Feldgaier, S. (2022) · Child & Family Social Work · doi:10.1111/cfs.12915 · Cited by 10
Social Class, Diagnosis of Attention-Deficit/Hyperactivity Disorder, and Child Well-Being
Owens, J. (2020) · Journal of Health and Social Behavior · doi:10.1177/0022146520926100 · Cited by 10
The Self-Stigma of Psychiatric Patients: Implications for Identities, Emotions, and the Life Course
Harkness, S. K., Kroska, A., & Pescosolido, B. A. (2016) · Advances in medical sociology · doi:10.1108/s1057-629020160000017008 · Cited by 10
Self-citation
Mental health literacy, treatment preferences, and barriers in Salvadorian parents
Johnco, C. J., Salloum, A., McBride, N. M., Cepeda, S. L., Guttfreund, D., Novoa, J. C., & Storch, E. A. (2019) · International Journal of Mental Health · doi:10.1080/00207411.2019.1629376 · Cited by 10
“Although the idenitification of social anxiety using prompted responses was similar to an Australian study (9%; Reavley & Jorm, 2011), the proportion of identification was generally lower than those found in studies of mental health literacy in high-income countries (Jorm et al., 1997; Kelly et al., 2007; Pescosolido…”
BackgroundResultInfluential
Mental Health Literacy about Personality Disorders: A Multicultural Study
Altuncu, K. A., Lomoriello, A. S., Buglio, G. L., Martino, L., Yenihayat, A., Belfiore, M. T., & Boldrini, T. (2023) · Behavioral Sciences · doi:10.3390/bs13070605 · Cited by 9
“Second, although the diagnostic vignette approach is widely used as a measure of MHL, a study comparing diagnostic vignettes with non-diagnostic vignettes showed that, in the former approach, participants were unable to discriminate between “normal” and “ill” categories [25].”
BackgroundMethod
Assessing Adolescent Mental Health Service Use: Developing the Adolescent Mental Health Support Scale (AMHSS)
Green, J. G., Oblath, R., Schneider, S. K., & Miller, M. (2021) · School Mental Health · doi:10.1007/s12310-021-09460-8 · Cited by 9
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“For example, compared to schizophrenia, illnesses such as depression and anxiety are less often recognized as a mental illness by the general public (Lauber et al. 2003; Link et al. 1999; Nordt et al. 2005; Pescosolido 2013; Pescosolido et al. 2008, 2010; Sai and Furnham 2013).”
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“Third, low awareness of child mental disorders among caregivers, even in North America, has been observed [31].”
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“behind, with the first national study of where the public stands on the acceptance and inclusion of children with mental health problems published in the Journal only in 2008.(5) However, one of the realizations that these”
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“It has long been recognized that although at-risk families are frequently the recipients of mental health services, they are typically unable to advocate for themselves, often underutilize services, and develop negative attitudes toward mental health systems (Collins & Collins, 1990; Dean, 1993; Olin et al., 2010a; Ow…”
Background
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“…to capture all components of MHL, and evidence regarding the use of vignettes to improve MHL is limited as it becomes difficult to differentiate between simple symptoms of disorders and full syndromes and daily experience of distress (Pescosolido et al., 2008; see a review, Kutcher et al., 2016).”
Background
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“[2] reported that three out of four youth experiencing depression are not diagnosed and of those diagnosed only 30% receive treatment.”
Background
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“…conditions, as general knowledge derived from research findings may strongly influence their concepts of personal identity (Singh 2005; Wisdom et al. 2008) and acceptance or stigmatization by others (Hinshaw and Stier 2008; Martin et al. 2007; Pescosolido et al. 2008, 2010; Schomerus et al. 2012).”
Background
Self-stigma and the Social Interactions of Mental Health Patients
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“…were adapted from existing Dutch and non-Dutch stigma surveys, including the cross-national SGc-MHS [2,23], the national Stigma Study – children [24] and the college toolbox Project – Baseline Survey [25]. the coordinating team held several meetings to discuss the progress of the survey and the…”
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“Parents ’ gender may in ﬂ uence their DL, as adult women have greater MHL than adult men in general (Angermeyer & Dietrich, 2006; Gibbons et al., 2015; Jorm et al., 2005; Swami et al., 2011), and also recognise mental health disorders in children more frequently than men (Pescosolido et al., 2008).”
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“These findings comport with and extend previous research (e.g., Leaf et al. 1987; Pescosolido et al. 2008; Gonzalez et al. 2011) indicating that males were more than twice as likely as females to deny that the individual had any mental health condition at all.”
Result
A Matter of Trust
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“Previous studies of mental health literacy have shown that knowledge of child mental health issues among adults in the general public is low, with many people lacking accurate information and holding stigmatizing beliefs about mental health issues (Pescosolido et al., 2008).”
Background
If we build it, they will come: Caregiver decision to use an accessible outpatient psychiatric service for children and adolescents in Nigeria
Kang, E., Omigbodun, O. O., Oduguwa, A. O., Kim, W., Qin, L., Ogunmola, O. A., Akinkuotu, F., Derenoncourt, M., Abdurahman, H., Adejumo, O., et al. (2021) · Social Science & Medicine · doi:10.1016/j.socscimed.2021.113972 · Cited by 3
“Adapted from the General Social Survey administered to households in the US (Pescosolido et al., 2008), the interviewers read each vignette followed by asking caregivers to indicate on a Likert scale (1 = very likely, 4 = not at all likely) how likely the mental health condition depicted in the…”
Method
Educator Preparedness for Mental Health in Adolescents: Opportunities for School Nurse Leadership
Smith-Fromm, T., & Evans‐Agnew, R. A. (2017) · NASN School Nurse · doi:10.1177/1942602x17700145 · Cited by 3
Development and Analysis of the Factor Structure of Parents' Internalized Stigma of Neurodevelopmental Disorder in Child Scale
Mahapatra, A., Choudhary, V., & Sagar, R. (2017) · Journal of Mental Health and Human Behaviour · doi:10.4103/0971-8990.210711 · Cited by 3
What Do Children and Adolescents Value in Their Mental Health Recovery?
McCarthy, M., & McDevitt, S. (2018) · Journal of Psychosocial Rehabilitation and Mental Health · doi:10.1007/s40737-018-0107-3 · Cited by 3
Somali male refugees: Perceptions of depression and help-seeking
Rae, S. (2014) · UEL Research Repository (University of East London) · doi:10.15123/pub.4181 · Cited by 3
Mental health literacy among older adults: a cross-sectional study in Turkey
Saraç, E., Can, R., & Yıldız, E. (2025) · Discover Public Health · doi:10.1186/s12982-025-00845-7 · Cited by 2
“This contrasts with some evidence suggesting that females generally have higher levels of knowledge and literacy compared to males [21–23].”
Rating Scales for Behavioral Health Screening System Within Pediatric Primary Care
Jeffrey, J. K., Venegas-Murillo, A. L., Krishna, R., & Hajal, N. J. (2021) · Child and Adolescent Psychiatric Clinics of North America · doi:10.1016/j.chc.2021.06.003 · Cited by 2
Finding the “Sweet Spot”: Sharing the decision-making in ADHD treatment selection
Tan, D., & King, T. R. (2022) · Annals of General Psychiatry · doi:10.1186/s12991-022-00394-2 · Cited by 2
“Conversely, each parent/caregiver knows that the decision to use a medication is fraught with drawbacks: the attachment of an ADHD “stigma” to a child by peers and even educators [6]; the need to have a child’s daily routine interrupted (including possibly sleep as well as time spent in school) for administering medic…”
Background
Insights into a Novel Measure of Childhood Mental Illness Stigma from the Stigmatizer′s Perspective
Biagi, N., Ferreira, E. V., & Celeri, E. (2023) · Journal of Child and Family Studies · doi:10.1007/s10826-023-02577-1 · Cited by 2
“…is the stereotype of dangerousness, incompetence, disruptiveness, parental guilt, discrimination by preference for social distance or treatment in restrictive environments (Heflinger et al., 2014; Hinshaw, 2005; Mukolo et al., 2010; B A Pescosolido et al., 2007; Bernice A Pescosolido et al., 2008).”
Background

Authors: PESCOSOLIDO, B. A., JENSEN, P. S., MARTIN, J. K., PERRY, B. L., OLAFSDOTTIR, S., & FETTES, D.
Affiliations: Boston University (US)
Corresponding author: PESCOSOLIDO, BERNICE A.
ORCID: PESCOSOLIDO, BERNICE A.
JENSEN, PETER S.
PERRY, BREA L.
FETTES, DANIELLE
Venue: Journal of the American Academy of Child & Adolescent Psychiatry
Publisher: Elsevier BV
Published: 2008-03
Volume: 47
Issue: 3
Pages: 339-349
ISSN: 0890-8567 (ISSN-L)
DOI: 10.1097/chi.0b013e318160e3a0
OpenAlex: W2064323433
Cited by: 268
References: 54
Citations by year: 2026: 1 · 2025: 11 · 2024: 6 · 2023: 9 · 2022: 15 · 2021: 22 · 2020: 18 · 2019: 16 · 2018: 17 · 2017: 19 · 2016: 18 · 2015: 8 · 2014: 17 · 2013: 17 · 2012: 24
FWCI: 22.22
Type: journal article
Language: en
Open access: closed
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations: Journal of the American Academy of Child & Adolescent Psychiatry (publishedVersion)
PubMed (publishedVersion)
Funders: National Institute of Mental Health (R01MH074985, K02-MH-012989)
Fogarty International Center (R01TW006374)
Topics: Health Sciences › Medicine › Psychiatry and Mental health › Mental Health Treatment and Access
Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
Social Sciences › Psychology › Clinical Psychology › Psychology and Mental Health
Keywords: child mental health, public knowledge, mental health stigma, help-seeking, attention deficit hyperactivity disorder, childhood depression, mental health service utilization, sources of help, sociodemographic differences
MeSH terms: Adolescent, Adult, Attention Deficit Disorder with Hyperactivity, Mental Disorders, Child, Depressive Disorder, Female, Health Services Accessibility, Humans, Health Knowledge, Attitudes, Practice, Male, Mental Health Services, Parents, Prejudice, United States, Logistic Models

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Public Knowledge and Assessment of Child Mental Health Problems: Findings From the National Stigma Study-Children

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