Evidence map›Paper›PMID 39668846›Full record

ArticleIllness, crises, and loss2025

Understanding and Addressing Mental Health Disparities and Stigma in Serious Illness and Palliative Care.

James Gerhart, Laura Bouchard Oswald, Laurie McLouth, Lindsey Gibb, Laura Perry, Ashley Eaton England, Timothy Sannes, Delaney Schoenbine, Katherine Ramos, Jared Greenberg and 4 more

Abstract read
In one paragraph

Article in Illness, crises, and loss, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 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

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Delivering Palliative Care in Mental Health Nursing Settings: A Systematic Review.Journal of psychiatric and mental health nursing · 2026
    Pooled it
  2. Article
  3. Review
  4. 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

14 authors.

James GerhartDepartment of Psychology, Central Michigan University, Mt. Pleasant, MI, USA.
Laura Bouchard OswaldMoffit Cancer Center, Health Outcomes and Behavior Program, Tampa, FL, USA.
Laurie McLouthUniversity of Kentucky College of Medicine, Department of Behavioral Science, Lexington, KY, USA.
Lindsey GibbDepartment of Psychology, Central Michigan University, Mt. Pleasant, MI, USA.
Laura PerryTulane University School of Medicine, Department of Medicine, Center for Health Outcomes, Implementation, and Community-Engaged Science (CHOICES), New Orleans, LA, USA.
Ashley Eaton EnglandDepartment of Psychology, Central Michigan University, Mt. Pleasant, MI, USA.
Timothy SannesUMass Memorial Medical Center, Department of Psychiatry, Boston, MA, USA.
Delaney SchoenbineDepartment of Psychology, George Fox University, Newberg, OR, USA.
Katherine RamosDepartment of Psychiatry and Behavioral Sciences, Duke University, Durham, NC, USA.
Jared GreenbergDepartment of Internal Medicine, Division of Pulmonary and Critical Care Medicine, Rush University Medical Center, Chicago, IL, USA.
Sean O'MahonyDepartment of Internal Medicine - Palliative Care, Rush University Medical Center, Chicago, IL, USA.
Stacie LevineDepartment of Medicine - Section of Geriatrics and Palliative Care, University of Chicago, Chicago, IL, USA.
Aliza BaronDepartment of Medicine - Section of Geriatrics and Palliative Care, University of Chicago, Chicago, IL, USA.
Michael HoergerDepartment of Psychology, Tulane Cancer Center, Tulane University, New Orleans, LA, USA.

Funding

Institutional Career Development CoreKL2TR001996 · NCATS · UNIVERSITY OF KENTUCKY · PI BUSH, MATTHEW LEE, KELLY, THOMAS H. · 2016 to 2025
$7.1M
A Patient-Caregiver Behavioral Intervention for Older Adults with Cancer and Mild Cognitive ImpairmentK08CA258947 · NCI · DUKE UNIVERSITY · PI Katherine Ramos · 2022 to 2026
$809k
NCATS NIH HHS KL2 TR001996NCI NIH HHS K08 CA258947
6 · The paper itself

Abstract

Patients receiving palliative care experience stigma associated with their illness, personal identity, and healthcare utilization. These stigmas can occur at any stage of the disease process. Varying stigmas combine to cause palliative care patients to feel misunderstood, contribute to treatment barriers, and further negative stereotypes held by clinicians. Stigma surrounding palliative care patients stems from complex intersections of varied access to resources, familial and physical environment, socioeconomic status, mental health and disorders, and identity characteristics. This article examines the relationship between mental health stigma and palliative care through three pathways: stigma and barriers existing within healthcare, the tendency of this stigma to undermine social support, and the deferral of treatment-seeking in response to stigma. Recommendations to address and diminish stigmatization are presented, including advocacy, increased research and assessment, and contextual and intersectional awareness. Clinicians are also encouraged to turn to their colleagues for peer support and team-based care.

Indexed as

mental healthpalliative carestigma

Identifiers

PMID39668846
PMCPMC11633853

What OpenQuestion holds

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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.