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Cited by 225Mental Health Treatment and AccessCultural Competency in Health CareGender Roles and Identity Studies

Stigma of mental illness and cultural factors in Pacific Rim region: a systematic review

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Ran, Mao-Sheng, Hall, Brian J., Su, Tin Tin, Prawira, Benny, Breth-Petersen, Matilde, Li, Xu-Hong, Zhang, Tian-Ming·2021·BMC Psychiatry
DOI 10.1186/s12888-020-02991-5PMC PMC7789475
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Abstract

Background: Although cultural factors play a crucial role in experience of stigma, there is scant review on the impact and importance of culture on stigma of mental illness across Pacific Rim Region. This study aims to investigate: 1) the cultural factors related to stigmatizing beliefs about mental illness in Pacific Rim region, and 2) culture-specific measures and interventions on stigma of mental illness. Methods: A systematic search of papers was conducted in the MEDLINE, Embase, CINAHL, Web of Science, PsycINFO, Scopus, Cochrane Library and Google scholar through January 2003 to April 2019. Results: Forty-one studies in Pacific Rim region which met the inclusion criteria were included in the study. The rate of stigma of mental illness (e.g., public stigma: from 25.4 to 85.2%) was relatively high in Pacific Rim region. Culture factors (e.g., Collectivism, Confucianism, face concern and familism, religion and supernatural beliefs) contributed to people’s stigmatizing behaviors and attitudes toward persons with mental illness, their relatives and mental health professionals. Certain measurements were developed and employed to assess different type of cultural factors related to stigma of mental illness. Conclusions: Cultural factors play an important role in influencing the rate and performance of stigma of mental illness. Further research on stigma of mental illness and culture-specific interventions to reduce the stigma should be conducted in the Pacific Rim region.

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  • Mental health stigma is often more intense in collectivistic communities compared with individualistic communities.

    “Mental health stigma is often more intense in collectivistic communities compared with individualistic communities. 174”

    From The Lancet Psychiatry Commission on youth mental health (2024) · cites this paper as [174]

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  1. [1]Corrigan PW Watson AC Understanding the impact of stigma on people with mental illness World Psychiatry 2002 1 1 16 16946807 PMC1489832
  2. [2]Ran MS Zhang TM Wong IYL Yang X Liu CC Liu B Internalized stigma in people with severe mental illness in rural China Int J Soc Psychiatry 2018 64 1 9 16 29183250
  3. [3]Angermeyer MC Dietrich S Public beliefs about and attitudes towards people with mental illness: a review of population studies Acta Psychiatr Scand 2006 113 3 163 179 16466402
  4. [6]Xu Z Müller M Heekeren K Theodoridou A Metzler S Dvorsky D Pathways between stigma and suicidal ideation among people at risk of psychosis Schizophr Res 2016 172 1–3 184 188 26843510
  5. [7]Oexle N Waldmann T Staiger T Xu Z Rüsch N Mental illness stigma and suicidality: the role of public and individual stigma Epidemiol Psychiatr Sci 2016 27 2 169 175 27919303 PMC6998948
  6. [9]Oexle N Ajdacic-Gross V Kilian R Müller M Rodgers S Xu Z Mental illness stigma, secrecy and suicidal ideation Epidemiol Psychiatr Sci 2017 26 1 53 60 26606884 PMC6998646
  7. [10]Ng CH The stigma of mental illness in Asian cultures Aust NZ J Psychiatry 1997 31 3 382 390 9226084
  8. [11]Abdullah T Brown TL Mental illness stigma and ethnocultural beliefs, values, and norms: an integrative review Clin Psychol Rev 2011 31 6 934 948 21683671
  9. [17]Chiu MY Yang X Wong FHT Li JH Li J Caregiving of children with intellectual disabilities in China–an examination of affiliate stigma and the cultural thesis J Intellect Disabil Res 2013 57 12 1117 1129 22998422
  10. [18]Mak WW Ho CY Wong VU Law RW Chan RC Cultural model of self-stigma among Chinese with substance use problems Drug Alcohol Depend 2015 155 83 89 26341846
  11. [19]WonPat-Borja AJ Yang LH Link BG Phelan JC Eugenics, genetics, and mental illness stigma in Chinese Americans Soc Psychiatry Psychiatr Epidemiol 2012 47 1 145 156 21079911 PMC3141094
  12. [20]Mak WW Cheung RY Psychological distress and subjective burden of caregivers of people with mental illness: the role of affiliate stigma and face concern Community Ment Health J 2012 48 3 270 274 21681460
  13. [21]Chiu MYL Yang X Wong HT Li JH The mediating effect of affective stigma between face concern and general mental health - the case of Chinese caregivers of children with intellectual disability Res Dev Disabil 2015 36C 437 446 25462504
  14. [22]Griffiths KM Nakane Y Christensen H Yoshioka K Jorm AF Nakane H Stigma in response to mental disorders: a comparison of Australia and Japan BMC Psychiatry 2006 6 21 10.1186/1471-244X-6-21. 16716231 PMC1525161 · DOI · Paper page
  15. [23]Böge K Zieger A Mungee A Tandon A Fuchs LM Schomerus G Perceived stigmatization and discrimination of people with mental illness: a survey-based study of the general population in five metropolitan cities in India Indian J Psychiatry 2018 60 1 24 31 29736059 PMC5914258
  16. [24]Picco L Pang S Lau YW Jeyagurunathan A Satghare P Abdin E Internalized stigma among psychiatric outpatients: associations with quality of life, functioning, hope and self-esteem Psychiatry Res 2016 246 500 506 27821360
  17. [25]Mileva VR Vázquez GH Milev R Effects, experiences, and impact of stigma on patients with bipolar disorder Neuropsychiatr Dis Treat 2013 9 31 23355778 PMC3552549
  18. [26]Marquez JA García RJI Family caregivers’ narratives of mental health treatment usage processes by their Latino adult relatives with serious and persistent mental illness J Fam Psychol 2013 27 3 398 23750522
  19. [27]Lin X Rosenheck R Sun B Xie G Zhong G Tan C Associative stigma experienced by mental health professionals in China and the United States Soc Psychiatry Psychiatr Epidemiol 2018 54 6 745 753 30542960
  20. [28]Pang S Liu J Mahesh M Chua BY Shahwan S Lee SP Stigma among Singaporean youth: a cross-sectional study on adolescent attitudes towards serious mental illness and social tolerance in a multiethnic population BMJ Open 2017 7 10 e016432 29042379 PMC5652546
  21. [29]Haraguchi K Maeda M Mei YX Uchimura N Stigma associated with schizophrenia: cultural comparison of social distance in Japan and China Psychiatry Clin Neurosci 2009 63 2 153 160 19335384
  22. [31]Kurumatani T Ukawa K Kawaguchi Y Miyata S Suzuki M Ide H Teachers’ knowledge, beliefs and attitudes concerning schizophrenia Soc Psychiatry Psychiatr Epidemiol 2004 39.5 402 409 15133598
  23. [32]Papadopoulos C Foster J Caldwell K Individualism-collectivism’ as an explanatory device for mental illness stigma Community Ment Health J 2013 49 3 270 280 22837106
  24. [35]Tanaka C Tuliao MTR Tanaka E Yamashita T Matsuo H A qualitative study on the stigma experienced by people with mental health problems and epilepsy in the Philippines BMC Psychiatry 2018 18 1 325 30290782 PMC6173886
  25. [36]Fancher TL Ton H Le Meyer O Ho T Paterniti DA Discussing depression with Vietnamese American patients J Immigr Minor Health 2010 12 2 263 266 19242803 PMC2839469
  26. [37]Luo A He H Mohamed S Rosenheck R Medical student attitudes towards people with mental illness in China: a qualitative study Cult Med Psychiatry 2018 42 3 535 551 29508204
  27. [38]Chen FP Lai GYC Yang L Mental illness disclosure in Chinese immigrant communities J Couns Psychol 2013 60 3 379 23647389 PMC4098941
  28. [41]Mascayano F Toso-Salman J Ruiz B Warman K Escalona JA Muñoz AR What matters most’: stigma towards severe mental disorders in Chile, a theory-driven, qualitative approach Rev Fac Cien Méd 2015 72 4 250 260 27107276
  29. [42]Alvidrez J Snowden LR Kaiser DM The experience of stigma among black mental health consumers J Health Care Poor Underserved 2008 19 3 874 893 18677076
  30. [43]Interian A Martinez IE Guarnaccia PJ Vega WA Escobar JI A qualitative analysis of the perception of stigma among Latinos receiving antidepressants Psychiatr Serv 2007 58 12 1591 1594 18048562 PMC2288553
  31. [44]Caplan S Intersection of cultural and religious beliefs about mental health: Latinos in the faith-based setting Hispanic Health Care Int 2019 17 1 4 10 30799650
  32. [45]Bui QN Han M Diwan S Dao T Vietnamese-American family caregivers of persons with mental illness: exploring caregiving experience in cultural context Transcult Psychiatry 2018 55 6 846 865 30088804
  33. [46]Yang LH Valencia E Alvarado R Link B Huynh N Nguyen K A theoretical and empirical framework for constructing culture-specific stigma instruments for Chile Cadernos Saude Coletiva 2013 21 1 71 79 23990755 PMC3753780
  34. [47]Keller S McNeill V Honea J Miller LP (2019). A look at culture and stigma of suicide: textual analysis of community theatre performances Int J Environ Res Public Health 2019 16 3 352 PMC6388390 30691183
  35. [48]Yang X No matter how I think, it already hurts: self-stigmatized feelings and face concern of Chinese caregivers of people with intellectual disabilities J Intellect Disabil 2015 19 4 367 380 25801087
  36. [49]Yang LH Lai GY Tu M Luo M Wonpat-Borja A Jackson VW A brief anti-stigma intervention for Chinese immigrant caregivers of individuals with psychosis: adaptation and initial findings Transcult Psychiatry 2014 51 2 139 157 24318864 PMC3993525
  37. [50]Lee S Lee MT Chiu MY Kleinman A Experience of social stigma by people with schizophrenia in Hong Kong Br J Psychiatry 2005 186 2 153 157 15684240
  38. [51]Mascayano F Tapia T Schilling S Alvarado R Tapia E Lips W Stigma toward mental illness in Latin America and the Caribbean: a systematic review Braz J Psychiatry 2016 38 1 73 85 27111703 PMC7115468
  39. [52]Yang LH Kleinman A Face’ and the embodiment of stigma in China: the cases of schizophrenia and AIDS Soc Sci Med 2008 67 3 398 408 18420325 PMC2911783
  40. [53]Yang LH Kleinman A Link BG Phelan JC Lee S Good B Culture and stigma: adding moral experience to stigma theory Soc Sci Med 2007 64 7 1524 1535 17188411
  41. [56]Kulhara P Avasthi A Sharma A Magico-religious beliefs in schizophrenia: a study from North India Psychopathol. 2000 33 62 68 10705248
  42. [57]Kidd LI Tusaie KR Disconfirming beliefs: the use of poetry to know the lived experience of student nurses in mental health clinicals Issues Ment Health Nurs 2004 25 4 403 414 15204901
  43. [58]Verhaeghe M Bracke P Associative stigma among mental health professionals: implications for professional and service user well-being J Health Soc Behav 2012 53 1 17 32 22382718
  44. [60]Yang LH Application of mental illness stigma theory to Chinese societies: synthesis and new directions Singap Med J 2007 48 11 977 985 17975685

Cited by

Sorted by citations

Authors
Ran, M.-S., Hall, B. J., Su, T. T., Prawira, B., Breth-Petersen, M., Li, X.-H., & Zhang, T.-M.
Affiliations
  • University of Hong Kong (HK)
  • University of Macau (MO)
  • Monash University Malaysia (MY)
Corresponding author
Ran, Mao-Sheng
ORCID
Venue
BMC Psychiatry
Publisher
Springer Science and Business Media LLC
Published
2021-01-07
Volume
21
Issue
1
Pages
8-8
ISSN
1471-244X (ISSN-L)
DOI
10.1186/s12888-020-02991-5
PMC
PMC7789475
OpenAlex
W3120947317
Cited by
225
References
3
Citations by year
2026: 42 · 2025: 60 · 2024: 45 · 2023: 39 · 2022: 32 · 2021: 7
FWCI
4.99
Type
journal article
Language
en
Open access
Licence
Locations
  • BMC Psychiatry (publishedVersion, cc-by)
  • Europe PMC (PubMed Central) (publishedVersion, other-oa)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • Monash University Research Portal (Monash University) (submittedVersion, cc-by)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
Funders
General Research Fund (17605618)
Topics
  • Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
  • Social Sciences › Sociology and Political Science › Cultural Competency in Health Care
  • Social Sciences › Gender Studies › Gender Roles and Identity Studies
Keywords
mental health stigma, cultural factors, collectivism, Confucianism, face concerns, familism, public stigma, stigma measurement, stigma reduction interventions
MeSH terms
Mental Disorders, Humans, Social Stigma

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