Evidence map›Paper›PMID 33249319›Full record

SynthesisAsian journal of psychiatry2021

Systematic review of interventions to reduce mental health stigma in India.

Amanpreet Kaur, Sudha Kallakuri, Brandon A Kohrt, Eva Heim, Petra C Gronholm, Graham Thornicroft, Pallab K Maulik

Open access · greenAbstract readSystematic Review
In one paragraph

Synthesis in Asian journal of psychiatry, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 1 pooled it
5.2field-weighted citation impact, top 4% of its field
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 1 synthesis or guideline pooled it, 63 citations in OpenAlex.

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  16. Exploring the stigma against people with mental illness in Bangladesh.Global mental health (Cambridge, England) · 2024
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 5 institutions in 5 countries.

Amanpreet KaurGeorge Institute for Global Health, India. Electronic address: akaur@georgeinstitute.org.in.
Sudha KallakuriGeorge Institute for Global Health, India. Electronic address: skallakuri1@georgeinstitute.org.in.
Brandon A KohrtDepartment of Psychiatry and Behavioral Sciences, The George Washington University, Washington, DC, USA. Electronic address: bkohrt@email.gwu.edu.
Eva HeimDepartment of Psychology, University of Zurich, Zurich, Switzerland. Electronic address: e.heim@psychologie.uzh.ch.
Petra C GronholmHealth Service and Population Research Department, King's College London, Institute of Psychiatry, Psychology and Neuroscience, London, UK; Centre for Global Mental Health and Centre for Implementation Science, King's College London, Institute of Psychiatry, Psychology and Neuroscience, London, UK. Electronic address: petra.gronholm@kcl.ac.uk.
Graham ThornicroftHealth Service and Population Research Department, King's College London, Institute of Psychiatry, Psychology and Neuroscience, London, UK; Centre for Global Mental Health and Centre for Implementation Science, King's College London, Institute of Psychiatry, Psychology and Neuroscience, London, UK. Electronic address: graham.thornicroft@kcl.ac.uk.
Pallab K MaulikGeorge Institute for Global Health, India; University of New South Wales, Sydney; Prasanna School of Public Health, Manipal University. Electronic address: pmaulik@georgeinstitute.org.in.
George Institute for Global Health · INKing's College London · GBGeorge Washington University · USManipal Academy of Higher Education · INUniversity of Zurich · CH

Funding

RESHAPE Diversity SupplementR01MH120649 · NIMH · GEORGE WASHINGTON UNIVERSITY · PI KOHRT, BRANDON ALAN · 2019 to 2023
$3.5M
COBALT: Comorbid Affective Disorders, AIDS/HIV, and Long Term HealthR01MH100470 · NIMH · KING'S COLLEGE LONDON · PI FAIRALL, LARA ROSEMARY, PETERSEN, INGE · 2013 to 2018
$2.0M
Reducing Barriers to Mental Health Task SharingK01MH104310 · NIMH · GEORGE WASHINGTON UNIVERSITY · PI KOHRT, BRANDON ALAN · 2014 to 2018
$908k
Optimizing Provider Attitudes and Competence in Learning Mental Health Systems (OPAL)R21MH111280 · NIMH · GEORGE WASHINGTON UNIVERSITY · PI GIRMA, ESHETU, KOHRT, BRANDON ALAN · 2016 to 2017
$369k
Medical Research Council MR/R023697/1NIMH NIH HHS K01 MH104310NIMH NIH HHS R01 MH100470NIMH NIH HHS R01 MH120649NIMH NIH HHS R21 MH111280
6 · The paper itself

Abstract

backgroundStigma is a barrier for help-seeking, mental health service access, and contributes to the mental health treatment gap. Because the mental health treatment gap is greatest in low- and middle-income countries, it is vital to identify effective strategies to reduce stigma in these settings. To date, there has been a lack of synthesis of findings from interventions to reduce stigma related to mental disorders within India.

methodA systematic review was conducted to provide an overview of the characteristics and effectiveness of stigma reduction interventions studies in India. PubMed, Embase and PsycINFO databases were searched for literature published up to 30

resultsFrom a total of 1,984 articles identified, only 9 were eligible for final inclusion, published between 1990-2020. No study was found from North, North-East, Central or East India. Most stigma-reduction interventions were multi-level, that is, using a combination of intra-personal, inter-personal and community level strategies to target changes in outcomes of individuals, environments and community groups. Three studies focused on health and stigma-related changes at the organisational/institutional level. No interventions focused on the governmental/structural level. There were only two randomised controlled trials, and two studies focused on all three stigma components of knowledge, attitudes and behaviour. Most interventions were delivered to community members. None focused on mental health professionals as intervention delivery target.

conclusionThere is a need for the development of comprehensive, culturally acceptable evidence-based interventions that act at multiple levels, and involve a mixture of various stigma reducing strategies with multiple target groups.

Indexed as

Mental DisordersMental Health ServicesHumansIndiaMental HealthSocial StigmaCultureIndiaInterventionsMental disordersReviewStigma

Identifiers

PMID33249319
PMCPMC7116814
OpenAlexW3101218019

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.