Cited by 735Mental Health Treatment and AccessPsychology and Mental HealthGender Roles and Identity Studies

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Association between mental health-related stigma and active help-seeking: Systematic review and meta-analysis

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Schnyder, Nina, Panczak, Radoslaw, Groth, Nicola, Schultze-Lutter, Frauke·2017·British Journal of Psychiatry

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Abstract

Background: Mental disorders create high individual and societal costs and burden, partly because help-seeking is often delayed or completely avoided. Stigma related to mental disorders or mental health services is regarded as a main reason for insufficient help-seeking. Aims: To estimate the impact of four stigma types (help-seeking attitudes and personal, self and perceived public stigma) on active help-seeking in the general population. Method: A systematic review of three electronic databases was followed by random effect meta-analyses according to the stigma types. Results: Twenty-seven studies fulfilled eligibility criteria. Participants' own negative attitudes towards mental health help-seeking (OR = 0.80, 95% CI 0.73–0.88) and their stigmatising attitudes towards people with a mental illness (OR = 0.82, 95% CI 0.69–0.98) were associated with less active help-seeking. Self-stigma showed insignificant association (OR = 0.88, 95% CI 0.76–1.03), whereas perceived public stigma was not associated. Conclusions: Personal attitudes towards mental illness or help-seeking are associated with active help-seeking for mental problems. Campaigns promoting help-seeking and fighting mental illness-related stigma should target these personal attitudes rather than broad public opinion.

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Authors: Schnyder, N., Panczak, R., Groth, N., & Schultze-Lutter, F.
Affiliations: University of Bern (CH)
Corresponding author: Schnyder, Nina
ORCID: Schnyder, Nina
Panczak, Radoslaw
Venue: British Journal of Psychiatry
Publisher: Royal College of Psychiatrists
Published: 2017-04
Volume: 210
Issue: 4
Pages: 261-268
ISSN: 0007-1250 (ISSN-L)
1472-1465
DOI: 10.1192/bjp.bp.116.189464
OpenAlex: W2585744943
Cited by: 716
References: 119
Citations by year: 2026: 78 · 2025: 127 · 2024: 103 · 2023: 96 · 2022: 101 · 2021: 82 · 2020: 67 · 2019: 26 · 2018: 27 · 2017: 6
FWCI: 5.32
Type: journal article
Language: en
Open access: bronze
doi.org
Licence: www.cambridge.org/core/terms (unspecified, 276 d)
Locations: The British Journal of Psychiatry (publishedVersion)
PubMed (publishedVersion)
Bern Open Repository and Information System (University of Bern) (submittedVersion)
Funders: University of Bern
Topics: Health Sciences › Medicine › Psychiatry and Mental health › Mental Health Treatment and Access
Social Sciences › Psychology › Clinical Psychology › Psychology and Mental Health
Social Sciences › Gender Studies › Gender Roles and Identity Studies
Keywords: mental health stigma, help-seeking, help-seeking attitudes, personal stigma, self-stigma, perceived public stigma, help-seeking delay, mental illness
MeSH terms: Humans, Health Knowledge, Attitudes, Practice, Patient Acceptance of Health Care, Persons with Psychiatric Disorders, Social Stigma

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Association between mental health-related stigma and active help-seeking: Systematic review and meta-analysis

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