Trial reportSocial psychiatry and psychiatric epidemiology2012
Effects of labeling and interpersonal contact upon attitudes towards schizophrenia: implications for reducing mental illness stigma in urban China.
Trial report in Social psychiatry and psychiatric epidemiology, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 2 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
24 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Self-stigma in Serious Mental Illness: A Systematic Review of Frequency, Correlates, and Consequences.Schizophrenia bulletin · 2021Pooled it
- Effect of psychosocial interventions on social functioning in depression and schizophrenia: meta-analysis.The British journal of psychiatry : the journal of mental science · 2013Pooled it
- Recognition of mental disorders among the Singapore general population: an 8-year comparison.BMC psychiatry · 2026Article
- The use of vignettes in studies on mental disorders in low- and middle-income countries in the East Asia and the Pacific region: A scoping review.PCN reports : psychiatry and clinical neurosciences · 2025Review
- Analysis of factors influencing contact in the 686 Program for patients with a first-time diagnosis of severe mental disorders in Hainan Province from 2018 to 2022.BMC psychiatry · 2025Article
- Labeling, causal attributions, and social network ties to people with mental illness.Social science & medicine (1982) · 2022Article
- Dimensionality of the Chinese CES-D: Is It Stable across Gender, Time, and Samples?International journal of environmental research and public health · 2021Article
- Chinese Validation of the Multidimensional Attitude Scale toward Persons with Disabilities (MAS): Attitudes toward Autism Spectrum Disorders.Journal of autism and developmental disorders · 2020Article
- Development of Chinese mental health first aid guidelines for psychosis: a Delphi expert consensus study.BMC psychiatry · 2020Article
- Mental health stigma and mental health knowledge in Chinese population: a cross-sectional study.BMC psychiatry · 2020Article
- Identifying Modifiable Risk Factors for Relapse in Patients With Schizophrenia in China.Frontiers in psychiatry · 2020Article
- Characteristics of help-seeking behavior among bipolar disorder patients: A study in Hunan, China.Medicine · 2019Article
- Experiences of stigma and discrimination faced by family caregivers of people with schizophrenia in India.Social science & medicine (1982) · 2017Article
- Gender effect on public stigma changes towards psychosis in the Hong Kong Chinese population: a comparison between population surveys of 2009 and 2014.Social psychiatry and psychiatric epidemiology · 2017Article
- The economic burden of mental disorders in China, 2005-2013: implications for health policy.BMC psychiatry · 2016Article
- Stigma related to labels and symptoms in individuals at clinical high-risk for psychosis.Schizophrenia research · 2015Article
- Under the banyan tree--exclusion and inclusion of people with mental disorders in rural North India.BMC public health · 2015Article
- A brief anti-stigma intervention for Chinese immigrant caregivers of individuals with psychosis: adaptation and initial findings.Transcultural psychiatry · 2014Article
- Has the public taken notice of psychiatric reform? The image of psychiatric hospitals in Germany 1990-2011.Social psychiatry and psychiatric epidemiology · 2013Article
- Does labeling matter? An examination of attitudes and perceptions of labels for mental disorders.Social psychiatry and psychiatric epidemiology · 2013Article
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
purposeAs mental illness stigma contributes to poor outcomes for schizophrenia in China, locating strategies to reduce public stigma is imperative. It is currently unknown whether diagnostic labeling and contact with different help-seeking sources increase or decrease public stigma in China. Further, it remains unresolved whether prior personal contact acts to reduce stigma in this context. Advancing understanding of these processes may facilitate stigma-reduction strategies.
methodsWe administered an experimental vignette randomly assigning one of four labeling conditions to respondents to assess social distance towards a psychotic vignette individual in a sample of 160 Northern, urban Chinese community respondents.
resultsAs expected, respondents given a "non-psychiatric, indigenous label" + "lay help-seeking" condition endorsed the least social distance. Unexpectedly, the labeling condition with a "psychiatric diagnostic label" + "lay help-seeking" condition elicited the greatest social distance. Unlike Western studies, personal contact did not independently decrease community stigma. However, prior contact reduced social distance to a greater extent in the labeling condition with a "non-psychiatric, indigenous label" + "lay help-seeking" condition when compared with all other labeling conditions.
conclusionThe results indicate that cultural idioms do provide some protection from stigma, but only among respondents who are already familiar with what mental illness is. Our finding that the condition that depicted untreated psychosis elicited the greatest amount of stigma, while the "treated psychosis" condition was viewed relatively benignly in China, suggests that improved access to mental health services in urban China has the potential to decrease public stigma via labeling mechanisms.
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