Evidence map›Paper›PMID 36806140›Full record

SynthesisBMJ open2023

Evidence for the effectiveness of interventions to reduce mental health related stigma in the workplace: a systematic review.

Mónika Ditta Tóth, Sarah Ihionvien, Caleb Leduc, Birgit Aust, Benedikt L Amann, Johanna Cresswell-Smith, Hanna Reich, Grace Cully, Sarita Sanches, Naim Fanaj and 8 more

Abstract readSystematic Review
In one paragraph

Synthesis in BMJ open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 4 pooled it
–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

19 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Disclosure of Mental Health Problems or Suicidality at Work: A Systematic Review.International journal of environmental research and public health · 2023
    Pooled it
  4. Family Honor, Gender Norms, and Help-Seeking Shape Mental Health Stigma in Saudi Arabia: A Systematic Review.Inquiry : a journal of medical care organization, provision and financing
    Pooled it
  5. Trial
  6. Article
  7. Article
  8. Article
  9. Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Review
  16. Article
  17. Article
  18. Review
  19. 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

18 authors.

Mónika Ditta TóthInstitute of Behavioural Sciences, Semmelweis University, Budapest, Hungary tmonika85@gmail.com.ORCID 0000-0001-8903-4802
Sarah IhionvienInstitute of Behavioural Sciences, Semmelweis University, Budapest, Hungary.
Caleb LeducSchool of Public Health, University College Cork, Cork, Ireland.ORCID 0000-0003-1140-0184
Birgit AustNational Research Centre for the Working Environment, Copenhagen, Denmark.ORCID 0000-0002-4184-6577
Benedikt L AmannCentro Fórum Research Unit, Institute of Neuropsychiatry and Addictions (INAD), Hospital del Mar Medical Research Institute (IMIM), Parc de Salut Mar, Barcelona, Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM), Barcelona, Spain.ORCID 0000-0002-4407-1519
Johanna Cresswell-SmithFinnish Institute for Health and Welfare (THL), Helsinki, Finland.ORCID 0000-0003-2740-3830
Hanna ReichGerman Depression Foundation, Leipzig, Germany.ORCID 0000-0002-9577-1144
Grace CullySchool of Public Health, University College Cork, Cork, Ireland.ORCID 0000-0002-9236-1545
Sarita SanchesPhrenos Center of Expertise for Severe Mental Illness, Utrecht, The Netherlands.ORCID 0000-0001-6675-927X
Naim FanajMental Health Center, Prizren, Kosovo.ORCID 0000-0001-7375-643X
Gentiana QirjakoDepartment of Public Health, University of Medicine, Tirana, Albania.
Fotini TsantilaLUCAS, Centre for Care Research and Consultancy, KU Leuven, Leuven, Belgium.ORCID 0000-0002-1229-6318
Victoria RossAustralian Institute for Suicide Research and Prevention, School of Applied Psychology, Griffith University, Brisbane, Queensland, Australia.ORCID 0000-0002-6768-1205
Sharna MathieuAustralian Institute for Suicide Research and Prevention, School of Applied Psychology, Griffith University, Brisbane, Queensland, Australia.ORCID 0000-0003-0784-0638
Arlinda Cerga PashojaFaculty of Epidemiology and Population Health, London School of Hygiene and Tropical Medicine, London, UK.ORCID 0000-0002-7029-947X
Ella ArensmanSchool of Public Health, University College Cork, Cork, Ireland.ORCID 0000-0003-0376-1203
György PureblInstitute of Behavioural Sciences, Semmelweis University, Budapest, Hungary.ORCID 0000-0002-9750-2001
MENTUPP Consortium

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesIncreasing access to mental health support is a key factor for treating mental disorders, however, important barriers complicate help-seeking, among them, mental health related stigma being most prominent. We aimed to systematically review the current evidence for interventions focusing on reducing stigma related to mental health problems in small and medium enterprises (SMEs).

designSystematic review with a focus on interventions targeting mental health related stigma in the workplace in accordance with PRISMA guidelines. The methodological quality of included articles was assessed using the Quality Assessment Tool for Quantitative Studies Scale. DATA SOURCES: PubMed, Ovid Medline, PsycINFO, Scopus, and Cochrane databases and Google Scholar were searched from January 2010 until November 2022. ELIGIBILITY CRITERIA FOR SELECTING STUDIES: We included experimental or quasi-experimental studies about workplace interventions aiming to reduce stigma, where the outcomes were measured in terms of stigmatisation against depression, anxiety and/or other mental health problems. DATA EXTRACTION AND SYNTHESIS: Records were screened by two independent reviewers after inspecting titles and abstracts and a full-text read of the articles to assess whether they meet inclusion criteria. The results were synthesised narratively.

resultsWe identified 22 intervention studies, 3 with high quality, 13 with moderate quality and 6 with weak quality. Only 2 studies included SMEs, but no study focused on SMEs exclusively . The mode of delivery of the intervention was face to face in 15 studies, online in 4 studies and mixed in 3 studies. We found a significant reduction in stigmatising attitudes in almost all studies (20/22), using 10 different instruments/scales. Effects seemed to be independent of company size. Online interventions were found to be shorter, but seemed to be as effective as face-to-face interventions.

conclusionsAlthough we did not find interventions focusing exclusively on SMEs, it is likely that antistigma interventions also will work in smaller workplaces.

trial registrationPROSPERO: ID: CRD42020191307.

Indexed as

Mental HealthSocial StigmaAnxietyAnxiety DisordersDatabases, FactualHumansDepression & mood disordersMENTAL HEALTHOCCUPATIONAL & INDUSTRIAL MEDICINE

Identifiers

PMID36806140
PMCPMC9944311

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.