Cross-national variations in reported discrimination among people treated for major depression worldwide: the ASPEN/INDIGO international study
Open accessAbstract
BACKGROUND: No study has so far explored differences in discrimination reported by people with major depressive disorder (MDD) across countries and cultures. AIMS: To (a) compare reported discrimination across different countries, and (b) explore the relative weight of individual and contextual factors in explaining levels of reported discrimination in people with MDD. METHOD: Cross-sectional multisite international survey (34 countries worldwide) of 1082 people with MDD. Experienced and anticipated discrimination were assessed by the Discrimination and Stigma Scale (DISC). Countries were classified according to their rating on the Human Development Index (HDI). Multilevel negative binomial and Poisson models were used. RESULTS: People living in 'very high HDI' countries reported higher discrimination than those in 'medium/low HDI' countries. Variation in reported discrimination across countries was only partially explained by individual-level variables. The contribution of country-level variables was significant for anticipated discrimination only. CONCLUSIONS: Contextual factors play an important role in anticipated discrimination. Country-specific interventions should be implemented to prevent discrimination towards people with MDD.
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People often report losing friends after disclosing a mental health condition.
“People also often report losing friends after disclosing a mental health condition.82”
From The Lancet Commission on ending stigma and discrimination in mental health (2022) · cites this paper as [82]
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- Authors
- Lasalvia, A., Van Bortel, T., Bonetto, C., Jayaram, G., van Weeghel, J., Zoppei, S., Knifton, L., Quinn, N., Wahlbeck, K., Cristofalo, D., Lanfredi, M., Sartorius, N., Thornicroft, G., & Aspen/Indigo Study Group
- Affiliations
- University of Verona (IT)
- Corresponding author
- Lasalvia, Antonio
- ORCID
- Venue
- British Journal of Psychiatry
- Publisher
- Royal College of Psychiatrists
- Published
- 2015-12
- Volume
- 207
- Issue
- 6
- Pages
- 507-514
- ISSN
- 0007-1250 (ISSN-L)
- 1472-1465
- OpenAlex
- W2230056702
- Cited by
- 55
- References
- 47
- Citations by year
- 2026: 1 · 2025: 3 · 2024: 2 · 2023: 7 · 2022: 22 · 2021: 3 · 2020: 1 · 2019: 5 · 2018: 4 · 2017: 2 · 2016: 3 · 2015: 1 · 2012: 1
- FWCI
- 5.45
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- The British Journal of Psychiatry (publishedVersion)
- Research portal (Tilburg University) (publishedVersion)
- PubMed (publishedVersion)
- Strathprints: The University of Strathclyde institutional repository (University of Strathclyde) (submittedVersion)
- Data Archiving and Networked Services (DANS) (submittedVersion)
- Institutional Research Information System (Università degli Studi di Trento) (submittedVersion)
- Research Portal (King's College London) (submittedVersion)
- Faculty of Special Education and Rehabilitation (University of Belgrade) (submittedVersion, other-oa)
- STM:n Hallinnonalan avoin julkaisuarkisto (Julkari) (submittedVersion)
- Apollo
- Funders
- University of the Punjab
- South London and Maudsley NHS Foundation Trust
- King's College Hospital NHS Foundation Trust
- National Institute for Health and Care Research (RP-PG-0606-1053, FP7/2007–2013)
- King's College London
- European Commission (2007–2013, FP7 2007-2013, FP7/2007)
- Topics
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
- Social Sciences › Sociology and Political Science › Racial and Ethnic Identity Research
- Keywords
- major depressive disorder, discrimination, anticipated discrimination, experienced discrimination, cross-national variation, Human Development Index, stigma, contextual factors
- MeSH terms
- Adult, Asia, Australia, Cross-Sectional Studies, Cross-Cultural Comparison, Major Depressive Disorder, Europe, Female, Humans, International Cooperation, Interview, Psychological, Male, Middle Aged, Psychiatric Status Rating Scales, Regression Analysis, Socioeconomic Factors, Stereotyping, Social Stigma, Self Report, Social Discrimination
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