ArticleAnnals of behavioral medicine : a publication of the Society of Behavioral Medicine2016
Stigma Predicts Treatment Preferences and Care Engagement Among Veterans Affairs Primary Care Patients with Depression.
Article in Annals of behavioral medicine : a publication of the Society of Behavioral Medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 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
14 citing papers in PubMed, 2 syntheses or guidelines pooled it, 40 citations in OpenAlex.
- Self-stigma in Serious Mental Illness: A Systematic Review of Frequency, Correlates, and Consequences.Schizophrenia bulletin · 2021Pooled it
- Non-Communicable Diseases-Related Stigma: A Mixed-Methods Systematic Review.International journal of environmental research and public health · 2020Pooled it
- Trial
- Treatment stigma mediates relationships between morally injurious events and depression, PTSD and anxiety symptoms.European journal of psychotraumatology · 2025Article
- Mental Health Treatment among U.S. Military Veterans: Insights from the National Health Interview Survey.Journal of general internal medicine · 2025Article
- Beyond the medical file: A scoping review on patients' perspectives on depression treatment in primary care.PloS one · 2025Article
- Depression among general outpatient department attendees in selected hospitals in Somalia: magnitude and associated factors.BMC psychiatry · 2024Article
- Self-stigma mediates the relationships between childhood maltreatment and symptom levels of PTSD, depression, and anxiety.European journal of psychotraumatology · 2024Article
- Article
- Posttraumatic stress disorder collaborative care: A quality improvement study in veterans affairs primary care.Families, systems & health : the journal of collaborative family healthcare · 2021Observational
- Prevalence of documented alcohol and opioid use disorder diagnoses and treatments in a regional primary care practice-based research network.Journal of substance abuse treatment · 2020Article
- Modeling Relationships Involving Perceived Recovery Orientation of Mental Health Teams Among Quebec Mental Health Professionals.The journal of behavioral health services & research · 2019Article
- Treatment Initiation for New Episodes of Depression in Primary Care Settings.Journal of general internal medicine · 2018Observational
- The Role of Primary Care Experiences in Obtaining Treatment for Depression.Journal of general internal medicine · 2018Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
9 authors at 7 institutions in 1 country.
Funding
Abstract
backgroundWhereas stigma regarding mental health concerns exists, the evidence for stigma as a depression treatment barrier among patients in Veterans Affairs (VA) primary care (PC) is mixed. PURPOSE: This study tests whether stigma, defined as depression label avoidance, predicted patients' preferences for depression treatment providers, patients' prospective engagement in depression care, and care quality.
methodsWe conducted cross-sectional and prospective analyses of existing data from 761 VA PC patients with probable major depression.
resultsRelative to low-stigma patients, those with high stigma were less likely to prefer treatment from mental health specialists. In prospective controlled analyses, high stigma predicted lower likelihood of the following: taking medications for mood, treatment by mental health specialists, treatment for emotional concerns in PC, and appropriate depression care.
conclusionsHigh stigma is associated with lower preferences for care from mental health specialists and confers risk for minimal depression treatment engagement.
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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.