ArticleWorld psychiatry : official journal of the World Psychiatric Association (WPA)2014
Effectiveness of programs for reducing the stigma associated with mental disorders. A meta-analysis of randomized controlled trials.
Article in World psychiatry : official journal of the World Psychiatric Association (WPA), 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 165 papers, 10 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
165 citing papers in PubMed, 10 syntheses or guidelines pooled it, 459 citations in OpenAlex.
- Exploring Continuum and Categorical Conceptualisations of Mental Health and Mental Illness on Australian Websites: A Systematic Review and Content Analysis.Community mental health journal · 2023Pooled it
- Managers' Action-Guiding Mental Models towards Mental Health-Related Organizational Interventions-A Systematic Review of Qualitative Studies.International journal of environmental research and public health · 2022Pooled it
- Effects of online stigma-reduction programme for people experiencing mental health conditions: A systematic review and meta-analysis.International journal of mental health nursing · 2021Pooled it
- Effectiveness of arts interventions to reduce mental-health-related stigma among youth: a systematic review and meta-analysis.BMC psychiatry · 2021Pooled it
- Pooled it
- 'Management of a spoiled identity': systematic review of interventions to address self-stigma among people living with and affected by HIV.BMJ global health · 2019Pooled it
- Stigma and intersectionality: a systematic review of systematic reviews across HIV/AIDS, mental illness, and physical disability.BMC public health · 2018Pooled it
- Interventions for reducing self-stigma in people with mental illnesses: a systematic review of randomized controlled trials.German medical science : GMS e-journal · 2017Pooled it
- Evidence for effective interventions to reduce mental health-related stigma and discrimination in the medium and long term: systematic review.The British journal of psychiatry : the journal of mental science · 2015Pooled it
- Mental Health Stigma Reduction Interventions Among Men: A Systematic Review.American journal of men's healthPooled it
- Effectiveness of a Brief Internet-Based Workplace Training Program to Support Help Seeking for Mental Ill-Health: Cluster Randomized Controlled Trial.Journal of medical Internet research · 2026Trial
- Effectiveness of a blended learning program for enhancing mental health literacy among university students: a randomized educational study.BMC psychology · 2026Trial
- Reducing Stigma Toward People with Serious Mental Illness Through a Virtual Reality Intervention: A Randomized Controlled Trial.Games for health journal · 2024Trial
- A Randomized Control Trial for ReDeSign: A Dementia-Friendly Mobile Microlearning Training for Store Workers in Japan.The Gerontologist · 2023Trial
- A parish-based multilevel cluster randomized controlled trial to reduce stigma and mental health treatment disparities among Latino communities.Contemporary clinical trials · 2023Trial
- The Effects of Internet-Based Storytelling Programs (Amazing Adventure Against Stigma) in Reducing Mental Illness Stigma With Mediation by Interactivity and Stigma Content: Randomized Controlled Trial.Journal of medical Internet research · 2022Trial
- California's Mental Health Services Act and Mortality Due to Suicide, Homicide, and Acute Effects of Alcohol: A Synthetic Control Application.American journal of epidemiology · 2021Trial
- Scale development and an educational program to reduce the stigma of schizophrenia among community pharmacists: a randomized controlled trial.BMC psychiatry · 2021Trial
- Impact of Service User Video Presentations on Explicit and Implicit Stigma toward Mental Illness among Medical Students in Nepal: A Randomized Controlled Trial.International journal of environmental research and public health · 2021Trial
- Promoting stigma coping and empowerment in patients with schizophrenia and depression: results of a cluster-RCT.European archives of psychiatry and clinical neuroscience · 2020Trial
105 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The stigma associated with mental disorders is a global public health problem. Programs to combat it must be informed by the best available evidence. To this end, a meta-analysis was undertaken to investigate the effectiveness of existing programs. A systematic search of PubMed, PsycINFO and Cochrane databases yielded 34 relevant papers, comprising 33 randomized controlled trials. Twenty-seven papers (26 trials) contained data that could be incorporated into a quantitative analysis. Of these trials, 19 targeted personal stigma or social distance (6,318 participants), six addressed perceived stigma (3,042 participants) and three self-stigma (238 participants). Interventions targeting personal stigma or social distance yielded small but significant reductions in stigma across all mental disorders combined (d=0.28, 95% CI: 0.17-0.39, p<0.001) as well as for depression (d=0.36, 95% CI: 0.10-0.60, p<0.01), psychosis (d=0.20, 95% CI: 0.06-0.34, p<0.01) and generic mental illness (d=0.30, 95% CI: 0.10-0.50, p<0.01). Educational interventions were effective in reducing personal stigma (d=0.33, 95% CI: 0.19-0.42, p<0.001) as were interventions incorporating consumer contact (d=0.47, 95% CI: 0.17-0.78, p<0.001), although there were insufficient studies to demonstrate an effect for consumer contact alone. Internet programs were at least as effective in reducing personal stigma as face-to-face delivery. There was no evidence that stigma interventions were effective in reducing perceived or self-stigma. In conclusion, there is an evidence base to inform the roll out of programs for improving personal stigma among members of the community. However, there is a need to investigate methods for improving the effectiveness of these programs and to develop interventions that are effective in reducing perceived and internalized stigma.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.