Evidence map›Paper›PMID 35927343›Full record

SynthesisSocial psychiatry and psychiatric epidemiology2023

Continuum beliefs of mental illness: a systematic review of measures.

S Tomczyk, S Schlick, T Gansler, T McLaren, H Muehlan, L-J Peter, G Schomerus, S Schmidt

Abstract readSystematic Review
In one paragraph

Synthesis in Social psychiatry and psychiatric epidemiology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
–field-weighted citation impact
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

15 citing papers in PubMed.

  1. Article
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  9. Article
  10. How pharmacology can aid in the diagnosis of mental disorders.Naunyn-Schmiedeberg's archives of pharmacology · 2025
    Review
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
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

8 authors.

S TomczykDepartment Health and Prevention, Institute of Psychology, University of Greifswald, Robert-Blum-Straße 13, 17489, Greifswald, Germany. samuel.tomczyk@uni-greifswald.de.ORCID http://orcid.org/0000-0002-2846-5489
S SchlickDepartment Health and Prevention, Institute of Psychology, University of Greifswald, Robert-Blum-Straße 13, 17489, Greifswald, Germany.
T GanslerDepartment Health and Prevention, Institute of Psychology, University of Greifswald, Robert-Blum-Straße 13, 17489, Greifswald, Germany.
T McLarenDepartment Health and Prevention, Institute of Psychology, University of Greifswald, Robert-Blum-Straße 13, 17489, Greifswald, Germany.ORCID http://orcid.org/0000-0001-8899-5476
H MuehlanDepartment Health and Prevention, Institute of Psychology, University of Greifswald, Robert-Blum-Straße 13, 17489, Greifswald, Germany.ORCID http://orcid.org/0000-0001-8048-5682
L-J PeterDepartment of Psychiatry and Psychotherapy, Medical Faculty, Leipzig University, Leipzig, Germany.ORCID http://orcid.org/0000-0002-0635-6687
G SchomerusDepartment of Psychiatry and Psychotherapy, Medical Faculty, Leipzig University, Leipzig, Germany.ORCID http://orcid.org/0000-0002-6752-463X
S SchmidtDepartment Health and Prevention, Institute of Psychology, University of Greifswald, Robert-Blum-Straße 13, 17489, Greifswald, Germany.ORCID http://orcid.org/0000-0002-4194-1937

Funding

Deutsche Forschungsgemeinschaft SCHM-2683/4-2Deutsche Forschungsgemeinschaft SCHO-1337/4-2
6 · The paper itself

Abstract

purposeThe continuum of mental health/illness has been subject to scientific debate for decades. While current research indicates that continuum belief interventions can reduce mental health stigma and improve treatment seeking in affected populations, no study has yet systematically examined measures of continuum beliefs.

methodsThis preregistered systematic review summarizes measures of continuum beliefs. Following the PRISMA statement, three scientific databases (PubMed, PsycInfo and PsycArticles via EBSCOhost, Web of Science) are searched, instruments are described and discussed regarding their scope, and methodological quality.

resultsOverall, 7351 records were identified, with 35 studies reporting relevant findings on 11 measures. Most studies examined general population samples and used vignette-based measures. Schizophrenia and depression were most commonly examined, few studies focused on dementia, ADHD, OCD, eating disorders, and problematic alcohol use, or compared continuum beliefs across disorders. Validity was very good for most measures, but reliability was rarely tested. Measures mostly assessed beliefs in the normality of mental health symptoms or the normality of persons with such symptoms but rarely nosological aspects (i.e., categorical v continuous conceptualization of mental disorders).

conclusionsCurrent research provides psychometrically sound instruments to examine continuum beliefs for a variety of mental disorders. While studies suggest utility for general population samples and mental health professionals, more research is necessary to corroborate findings, for instance, regarding age (e.g., in adolescents), gender, or type of mental disorder. Future research should also compare self-report ratings, and vignette-based measures, include measures of nosological concepts to fully grasp the continuum concept of mental illness. PREREGISTRATION: PROSPERO: CRD42019123606.

Indexed as

Mental DisordersSchizophreniaAdolescentHumansMental HealthReproducibility of ResultsSocial StigmaAssessmentContinuumMental healthPublic healthStereotypingSystematic review

Identifiers

PMID35927343
PMCPMC9845169

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.