Evidence map›Paper›PMID 39891254›Full record

ArticleTrials2025

Assessing the effectiveness and the feasibility of a group-based treatment for self-stigma in people with mental disorders in routine mental health services in North-East Italy: study protocol for a pragmatic multisite randomized controlled trial.

Antonio Lasalvia, Luca Bodini, Doriana Cristofalo, Veronica Fin, Philip T Yanos, Chiara Bonetto

Registry-linked trialAbstract readClinical Trial Protocol
In one paragraph

Article in Trials, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06567145 (Assessing the Effectiveness and Feasibility of Group-based Treatment for Self-stigma in People With Mental Disorders), which is not on this map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing 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.

NCT06567145 narecruitingnot on this map

Assessing the Effectiveness and Feasibility of Group-based Treatment for Self-stigma in People With Mental Disorders: a Pragmatic Multisite Randomized Controlled Trial in Routine Mental Health Services in North-east Italy

TypeinterventionalSponsorUniversita di VeronaRan2024 to 2025Enrolled416ConditionsStigma, Mental Disorders, Self-stigmaArmsNarrative Enhancement Cognitive Therapy (NECT)
3 · Its place in the literature

Who cites it

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

  1. Pooled it
  2. The Prejudice Towards People with Mental Illness Scale: Psychometric Properties of the Italian Version (PPMI-IT).European journal of investigation in health, psychology and education · 2025
    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

6 authors.

Antonio LasalviaSection of Psychiatry, Department of Neuroscience, Biomedicine and Movement Sciences, University of Verona, Policlinico "G.B. Rossi", P.Le Scuro, 10 37134, Verona, Italy. antonio.lasalvia@univr.it.ORCID http://orcid.org/0000-0001-9963-6081
Luca BodiniSection of Psychiatry, Department of Neuroscience, Biomedicine and Movement Sciences, University of Verona, Policlinico "G.B. Rossi", P.Le Scuro, 10 37134, Verona, Italy.
Doriana CristofaloSection of Psychiatry, Department of Neuroscience, Biomedicine and Movement Sciences, University of Verona, Policlinico "G.B. Rossi", P.Le Scuro, 10 37134, Verona, Italy.
Veronica FinSection of Psychiatry, Department of Neuroscience, Biomedicine and Movement Sciences, University of Verona, Policlinico "G.B. Rossi", P.Le Scuro, 10 37134, Verona, Italy.
Philip T YanosJohn Jay College of Criminal Justice, City University of New York, New York, NY, USA.
Chiara BonettoSection of Psychiatry, Department of Neuroscience, Biomedicine and Movement Sciences, University of Verona, Policlinico "G.B. Rossi", P.Le Scuro, 10 37134, Verona, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSelf-stigma refers to the process whereby individuals with mental disorders internalize negative societal attitudes and misconceptions about mental health conditions, potentially affecting their sense of self-worth and identity. This internalization can significantly impact various aspects of life, including treatment engagement, personal relationships, and overall well-being. Narrative Enhancement and Cognitive Therapy (NECT) was developed in the United States to counteract self-stigma and has been supported by multiple randomized controlled trials. However, NECT has not yet been implemented in Italy or within a public mental health system grounded in community psychiatry. This study aims to evaluate the efficacy and feasibility of the Italian version of the NECT within the public mental health sector in a large part of North-East Italy. METHODS AND ANALYSIS: This pragmatic, multisite, superiority, randomized, wait-list controlled trial with two parallel arms will recruit over four hundred patients with severe mental disorders from 26 public community-based mental health centers in North-East Italy. The experimental intervention, NECT, consists of 20 group-based sessions to reduce self-stigma. The study will assess NECT's impact on several psychological dimensions, including self-stigma levels (primary outcome), self-esteem, hope, empowerment, recovery perception, mental well-being, and stigma stress (secondary outcomes). Feasibility will be evaluated by collecting data on participant adherence and treatment implementation, including eligibility screening, participation rates, intervention completion, exposure levels, and reasons for dropout. DISCUSSION: The findings of this research are expected to contribute to the understanding of effective treatments for patients with mental disorders, particularly those burdened by high levels of self-stigma, and to improve their recovery outcomes.

trial registrationClinicalTrials.gov; Identifier: NCT06567145.

Indexed as

Cognitive Behavioral TherapyMental DisordersPersons with Psychiatric DisordersPsychotherapy, GroupSelf ConceptSocial StigmaEquivalence Trials as TopicFeasibility StudiesHumansItalyMulticenter Studies as TopicPragmatic Clinical Trials as TopicTime FactorsTreatment OutcomeNECTQuality of lifeRecoverySelf-stigmaSevere mental illness anti-stigma intervention

Identifiers

PMID39891254
PMCPMC11783781

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.